One of the most common problems in the equine athlete and pleasure horse is recurring lameness, which can be equally frustrating for owner, rider and veterinarian. At one moment, the issue may seem resolved, bringing relief, but then it may recur or maybe even a new problem develops. Being a veterinarian, horse owner and involved in the rehabiliation of horses, I understand the frustration but have come to realize that there is much to discover, learn and reveal when it comes to seeing the ‘entire’ horse in these situations. More often than not, the primary problem the horse is presented for is actually not the main issue, but in order to see the true problem, we need to step back and look at several factors. Despite us wanting to fix everything in one fail swoop, often the issue is more complex than we would like it to be.