BACKGROUND The objective of our study was to conduct high-density genome-wide association studies of dairy cow udder and teat conformation with direct phenotyping. We identified and compared quantitative trait loci ( QTL ) for a novel composite mastitis risk trait and considered environmental impact of milking by comparing primiparous cows only. Cows (N = 471) were genotyped on the Illumina BovineHD 777K beadchip and scored for front and rear teat length, width, end shape, and placement, fore udder attachment, udder cleft, udder depth, rear udder height, and rear udder width. Principal component analysis was performed on fore udder attachment, rear teat end shape, rear teat width, and rear udder height, to create a single new phenotype describing mastitis susceptibility based on these high-risk traits.RESULTS Over all 14 traits of interest, a total of 56 genome-wide associations were performed and 28 significantly associated (Bonferroni multiple testing correction < 0.05) QTL were identified. The linkage disequilibrium ( LD ) block surrounding the associated QTL or a 1 Mb window in the absence of LD was interrogated for candidate genes, resulting in the identification of genes with functions related to both cell proliferation and immune signaling, including ZNF683, DHX9, CUX1, TNNT1 , and SPRY1 . We assessed a primiparous only subset of cows (n = 144) to account for the possibility that the genetic variance component of the phenotype is greater for cows who have had less exposure to the environment, and observed different associated QTL and inheritance patterns for udder depth in primiparous cows compared to the total cohort.CONCLUSION Special focus was given to the aforementioned mastitis risk traits, and candidate gene investigation revealed both immune function and cell proliferation related genes in the areas surrounding significantly associated QTL, suggesting that selecting for mastitis resistant cows based on these traits would be an effective method for increasing mastitis resiliency in a herd.