Laminitis is a painful and potentially devastating disease which originates in horses’ feet. While many horses and ponies recover from an episode of laminitis uneventfully it can end a horse’s career or even its life and is a worry to owners farriers and veterinary surgeons alike. This practical guide sheds light on this most unpredictable and traditionally misunderstood disease offering information in an accessible manner. It presents an insider’s view of what goes on in the feet of the horse with laminitis and explains the latest thinking on prevention causes diagnosis treatment recovery and long-term maintenance. Dr David Ramey is a practising veterinary surgeon who specializes in all aspects of equine health care including surgery lameness and medicine.