The nursery is a critical point for pigs, and having a consistently healthy group can improve overall barn performance. Producing good weaned pigs depends on the sow operation. Good herd health and biosecurity, and strong herd productivity are important considerations. Nursery pigs should be uniform in size and immunity, and be at a known age. Good preparation will reduce the stress on pigs entering the nursery. The room should be properly cleaned, dried, and temperature, drinkers, and feeders adjusted. Sorting is generally inefficient, but the smallest pigs and sick pigs can be separated. The first 4 days are the most crucial, and attention and intervention should be applied early on to those that are not eating. Nursery feed is expensive, so budgeting and feeding age appropriate diets should be done to receive the most benefit while maintaining costs.