Dairy herd health management benefits dairy farmers, the environment, dairy cows and citizens. It is an important part of modern dairy farm veterinary care. Dairy herd health management is assessing, monitoring and improving the health of dairy cows at a population level. Good herd health management takes a holistic approach and is ongoing and cyclical. All members of the dairy farm team and their advisors are involved, decisions are informed by data generated by the herd. These data may come from numerous sources. The data are processed and analysed to monitor cow health, target investigations and evaluate progress. To make lasting change on farms, advisors must communicate appropriately with farm managers to understand behaviour and motivate change. This chapter reviews these aspects of dairy herd health management, giving practical suggestions on how to get started, how to incorporate herd health management into business models and how to maintain momentum.