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Effective herd management is critical to the profitability of dairy production, with a focus on cow health and reproductive success. Adequate preventive care and veterinary supervision, especially during the periparturient period, play a crucial role in preventing metabolic diseases and maintaining a sufficiently high reproductive rate in the herd. Nutritional management during the transition period also plays an important role in minimizing negative energy balance and improving reproductive performance. It is important to implement management strategies to reduce stress and to increase genetic selection for stress tolerance, as the presence of stressors and systemic inflammation increases the risk of metabolic disorders or reproductive system inflammation. Continuous monitoring with advanced systems facilitates early detection of systemic disorders and rapid medical intervention, contributing to improved cow health. Control of infectious diseases is also vitally important to maintain herd fertility, while early detection of pregnancy and control of mastitis are essential to maximise reproductive performance and herd health. Coordinated efforts between breeders, animal technicians, nutritionists and veterinarians are essential to maintain high levels of cow health and fertility. Here, we present directions of responsible management of dairy cattle herd. [ABSTRACT FROM AUTHOR]