Some young pigs suffer from a disease that causes them to be anorexic and experience catobolic events that leads to body store depletion. These pigs either die or are euthanized as they cannot grow properly.The condition causes mobilization of lipid stores, loss of muscle mass, failure to grow as well as other symptoms. This condition has been increasing recently so members from the Swine Health Management (SHM) section of the American Board of Veterinary Practitioners want to revisit “failure to thrive syndrome”.  In these conference proceedings from the 2010 Leman conference SHM members discuss the disease in detail. The topics they cover are:  Clinical presentation and progression to outcome, progression of the clinical pathologic process, pathologic changes and assumed metabolic changes, experiences and approaches to investigating an emerging clinical problem, and the difficulties of investigating an emerging clinical problem. The intent of this presentation is to educate stakeholders who are impacted by FTS they are researchers, diagnosticians and practitioners.