Genomic selection has revolutionized the dairy cattle breeding industry, with ripple effects that have greatly impacted dairy herd management. Rate of genetic progress has increased markedly, especially in Holstein and Jersey breeds, for production, health, and fertility traits. Genomic testing of young bulls and heifers provides greater accuracy of selection decisions involving traditional fertility traits, such as daughter pregnancy rate, while creating the opportunity to improve novel traits, such as fetal loss. Cameras, wearable sensors, and other precision livestock farming technologies will allow selection for traits such as estrus duration and intensity that require high frequency phenotyping. At the same time, synergies between genomic testing and advanced reproductive technologies have led to rapid and widespread adoption of sexed semen, coupled with mating of females whose offspring are not needed as herd replacements to beef sires. This strategy produces added-value crossbred calves for the beef supply chain, while allowing genetically inferior mature cows that are still producing at a high level to remain in the herd for additional lactations.