Early and appropriate therapy for tendon lacerations can result in a sound, athletic horse in more than 50% of cases. Extensor tendon lacerations have a better prognosis and wound care, immobilization, and protection from flexor dominance are the goals of therapy. Flexor tendon lacerations are more serious because of the loss of support to the limb. Therapy goals include wound care, tendon suturing, and strict immobilization for approximately 6 weeks. This article describes management of horses with tendon lacerations and the outcomes in detail.