The importance of veterinary herd health management (VHHM) is increasing in both dairy farming and veterinary practice. Little is known, however, about how VHHM is perceived by farmers in terms of structure, content and satisfaction. In 2007 a questionnaire, containing questions about these three items was therefore sent to 800 Dutch dairy farmers. Farmers received two questionnaires, one for participants in VHHM and one for non-participants, allowing them to choose the appropriate one. Results were summarized and statistically analyzed. Farmers who were participating in VHHM had better farm performance. They were satisfied with the way VHHM was executed on their farm. However, there were some pressure points. Goal setting and evaluation was still not a regular part of VHHM, even though it is said to be effective in literature. Time spent on VHHM not visible to the farmer was often not charged or not clearly specified on the bill. The differences in opinions between participants and non-participants of VHHM indicated a lack of communication and/or product differentiation. Satisfaction with the way VHHM was executed on the farm had no significant influence on 305-day production. There was, however, some influence on calving interval and bulk milk somatic cell count (BMSCC).