High-stress design 35-kV ethylene propylene rubber (EPR)-insulated cables with 1.14-mm (45-mil) wall reduction have been in service for more than ten years. In the mid 1990s, an extensive cable testing program was initiated to demonstrate that high-stress designs up to 4 kV/mm (101.6 V/mil) exhibit a significant electrical and mechanical safety margin to operate on typical utility network systems. Investigations were also undertaken to demonstrate the suitability of accessories for high-stress designs. This paper will present the results of six-year, long-term wet electrical testing conducted to demonstrate that with proper design, the aging performance of standard wall and high-stress design cables provide satisfactory results and suitable performance for the intended application. Additionally, utility field experience is presented on 35-and 15-kV cables operating at high stress. The experience for these 15-kV medium-voltage EPR cable designs employ the highest recommended stress for cables of this class, as well as taking into account the complete system performance.