Approaches to disease control are prioritized. Genetic improvement could reduce need for treatment and culling but would not reduce the need for proper management and sanitation. Results of several studies indicate that disease incidence and cost increases with selection for milk yield. The large array of disease resistance mechanisms in animals suggests a large number of loci are involved in disease resistance. A few loci, e.g., the major histocompatibility complex, may account for a major portion of genetic variance in disease. Rate of genetic gain from selection for a major locus alone or in combination with performance is discussed. Four criteria for including traits in a breeding program are outlined, and each is discussed with respect to disease. In spite of low heritabilities for disease traits, genetic variation for disease incidence is economically important and justifies including disease in breeding programs. An industry-wide standard for recording and accumulating field data for disease is lacking. Institutional relationships among segments of the animal breeding and animal health industries are needed to facilitate genetic improvement for disease resistance.