High levels of milk production coupled with low feed intake cause negative energy balance in early lactation, especially in the first month postpartum (PP). Therefore, specific nutritional management at this time may improve nutritional and metabolic status with the possibility of contrasting genotypes responding differently. Thus, the objective of this study was to compare the effects of nutritional management strategies and dairy cow genotype on milk production, metabolic status, and some fertility parameters during early lactation in a pasture-based system. Sixty Holstein Friesian cows were blocked on parity and genotype [low-fertility highmilk (LFHM) and high-fertility low-milk (HFLM)] and were randomly assigned to 1 of 2 treatments in a 2 × 2 factorial arrangement, in a randomized complete block design based on calving date, previous 305-d milk yield, and precalving body condition score (BCS). The nutritional management treatments were: (1) ad libitum access to fresh pasture plus an allowance of 3 kg of concentrates per day (CTR, n = 30); and (2) ab libitum access to a tailored total mixed ration (TMR, n = 30). These diets were offered for the first 30 d PP. Following the first 30 d PP, cows fed TMR joined the CTR treatment and were managed similarly until 100 d PP. Blood samples were taken at d 7, 14, 21, and 28 PP to determine metabolic status. Milk samples for composition analysis were collected weekly and BCS assessed every 2 wk. Genotype had a significant effect on milk output, whereas LFHM had increased fat (+0.28 kg/d) and fat-plus-protein (+0.17 kg/d) yield in the first 30 d PP compared with HFLM cows. The LFHM group also exhibited higher protein and lactose yields over the first 100 d PP. Nutritional management did create significant differences in milk composition in the first 30 d: TMR cows had lower protein, milk urea nitrogen, and casein concentration and higher lactose concentration than CTR cows. Over the first 100 d PP, TMR cows had higher fat-plus-protein and lactose yields. Feeding TMR reduced concentrations of nonesterified fatty acids (−0.12 mmol/L) and β-hydroxybutyric acid (−0.10 mmol/L) compared with the CTR group. Cows fed TMR had smaller BCS losses from calving to 60 d PP. There was no effect of any treatment on uterine recovery. Cows in the LFHM group demonstrated greater milk production in the first 30 and 100 d in milk. These results demonstrate that feeding cows a TMR for the first month of lactation has positive effects on milk output, metabolic status, and BCS profile.