Herd average milk production continues to increase in the US. Average milk production in Holstein herds enrolled in DHI testing programs surpassed 9000 kg in some states in 1991. Individual dairy herds have produced > 14,000 kg per cow per lactation. The upper limit for milk production per cow continues to increase. A challenge exists in developing nutrition programs for these herds. The goal is to attain efficient and profitable levels of milk production while maintaining herd health and reproductive performance. Evaluation of rations currently fed to high producing herds indicate that these rations are consistent with current nutrient requirement guidelines. Many high producing herds have average DMI > 4% of BW. Ration formulation principles and nutrient requirements used in development of feeding programs for high producing herds are similar to methods already in use. Optimizing DMI, optimizing rumen fermentation, and providing supplemental nutrients are key factors in meeting tissue nutrient demands in this formulation process.