Prof Simon Bailey is a world-leading researcher who has devoted his professional career to examining endocrinopathic laminitis, a common, but potentially devastating, disease. With over 30 horses on his property, including one pony that’s being managed for laminitis, Simon is well-versed in the challenges the disease presents from the perspective of a horse owner, a researcher and a veterinarian. In this article, he shares his research findings on the topic, as well as the key steps that can be taken to prevent the disease.