The Netherlands and Flemish dairy industry are set to see a significant shift in breeding goals for dairy cows, with the upcoming adjustment to the NVI breeding index in April 2022. This change, which comes after extensive consultation with stakeholders, aims to prioritize health characteristics over milk production. Over 2,000 dairy farmers and various organizations expressed a preference for a more balanced focus on fertility, hoof health, and udder health, indicating a move away from the traditional emphasis on maximizing milk yield. Furthermore, the new index will take into account social and environmental concerns, such as calf mortality, nitrogen and methane emissions, and the promotion of circular agriculture. This shift towards a more holistic approach to dairy cow breeding marks a significant departure from the current practices, aiming to harmonize productivity with health and sustainability.