Bovine uterine torsion is a common form of dystocia encountered by farm animal veterinary surgeons worldwide with reports of 1–20% of all attended calvings (Frazer et al., 1996). Anecdotally there have been suggestions that the incidence has been increasing although this may be biased by veterinarians seeing relatively less of the more basic forms of dystocia due to improved obstetrical competence demonstrated by farmers (Laven & Howe, 2005; Robin, 2005). A recent UK study of Holstein Friesian cattle estimated the incidence to be 0.24%, accounting for up to 22°% of all veterinary attended dystocias (Lyons et al., 2012). This article reviews the condition within the context of the fndings of this study.