Having a new foal is an amazing and exciting experience, but also comes with a lot of responsibility. Evaluating foals between 12-24 hours after birth is extremely important for their health. Foals need to drink quality mare’s colostrum before 18-24 hours of age or risk developing failure of passive transfer. Foals that develop failure of passive transfer require plasma transfers and are at increased risk of developing septic joints, systemic sepsis, gastrointestinal dysbiosis, and other deadly diseases. By evaluating the mare’s colostrum and the foal’s ability to nurse appropriately, steps can be taken to mitigate these concerns. Foals are also evaluated for evidence of broken bones, a ruptured bladder from the birthing process, patent urachus, gastrointestinal obstruction (such as retained meconium), gastrointestinal diseases, any developmental abnormalities and more during this examination. It is also important to understand that foals oftentimes have conformational abnormalities that are significantly easier to correct when identified and treated early on. Something as simple as bandaging in the first few days or weeks of life may correct a conformational abnormality that will require a surgical correction at an older age.