Objective—To determine factors that influenced culling or death of cows with left displaced abomasum (LDA) subsequent to correction by a roll-and-toggle (R&T) procedure or via laparotomy.

Design—Cohort study.

Animals—810 Holstein dairy cows with LDA.

Procedures—Data regarding method of repair and risk factors for survival after correction of LDA were collected during a 1-year period. Outcomes were compared at days 14 and 60 after LDA correction for 3 groups of cattle (veterinarians performed R&T [V-R&T], herd personnel performed R&T [H-R&T], and veterinarians performed surgical repair via laparotomy [V-Surg]).

Results—Survival rates 14 days after LDA correction for the V-R&T, H-R&T, and V-Surg groups were 87% (286/329), 81% (327/403), and 85% (66/78), respectively. At 60 days after LDA correction, survival rates for the V-R&T, H-R&T, and V-Surg groups were 79% (260/329), 71% (286/403), and 73% (57/78), respectively. Multivariable analysis indicated that factors positively associated with failure to remain in the herd at 60 days after LDA correction included current mastitis status, history of a previous LDA, high preoperative risk, and correction of LDA by herd personnel rather than by a veterinarian.

Conclusions and Clinical Relevance—Correction of LDA by veterinarians via an R&T procedure yielded results that were generally comparable to those for correction by veterinarians via laparotomy. Although survival rates at days 14 and 60 after surgery differed significantly between the V-R&T and H-R&T groups, herd personnel in this study used the R&T procedure to correct LDA and achieved survival rates within the range for those of practicing veterinarians.