While more commonly known as Cushing's Disease, Pituitary Pars Intermedia Dysfunction (PPID) is a very elusive condition to definitively diagnosis. Mostly found in elderly horses, the clinical signs of PPID can include weight loss, chronic infections, and the classic sign carrying a winter coat late into the spring. With over twenty years of researching endocrine diseases, Dr. Diane McFarlane discusses her findings and what they mean for the horse and the owner. She reviews the clinical symptoms, the diagnostic tests available, and the treatment options available for PPID.