The effects on animal performance were measured when machine milking was compared with restricted access suckling of four, three and two calves per cow, and when machine milking was alternated with restricted access multiple suckling. Calves were allowed access to cows twice daily, and supplementary grain feeding was provided to half the calves. A stimulus to milk and butterfat production from cows returning to machine milking after a period of suckling occurred, but was not significant. Cow breeding performance and liveweight changes were unaffected by the suckling treatments. Clinical mastitis did not occur during suckling in comparison with 36 cases of mastitis during machine milking. Teat damage in suckling cows in early lactation was the only cow health care problem of consequence, and was controllable by udder salves. The average daily liveweight gain to 140 days over all treatments was 0.735 kg. Grain supplementation pre-weaning increased liveweight gain from 0.71 kg to 0.76 kg day-1 (P < 0.05). Calf health was excellent, apart from some nutritional diahorrhea in unsupplemented calves. Neither enteritis nor deaths occurred in calves pre-weaning.