Dairy has intertwined with human society since the beginning of civilization. It evolves from art in ancient society to science in the modern world. Its roles in nutrition and health are underscored by the continuous increase in global consumption. Milk production increased by almost 50% in just the past quarter century alone. Population growth, income rise, nutritional awareness, and science and technology advancement contributed to a continuous trend of increased milk production and consumption globally. With a fourfold increase in milk production per cow since the 1940s, the contemporary dairy industry produces more milk with fewer cows, and consumes less feed and water per liter of milk produced. The dairy sector is diversified, as people from a wider geographical distribution are consuming milk, from cattle to species such as buffalo, goat, sheep, and camel. The dairy industry continues to experience structural changes that impact society, economy, and environment. Organic dairy emerged in the 1990s as consumers increasingly began viewing it as an appropriate way of both farming and rural living. Animal welfare, environmental preservation, product safety, and health benefit are important considerations in consuming and producing organic dairy products. Large dairy operations have encountered many environmental issues related to elevated greenhouse gas emissions. Dairy cattle are second only to beef cattle as the largest livestock contributors in methane emission. Disparity in greenhouse gas emissions per dairy animal among geographical regions can be attributed to production efficiency. Although a number of scientific advancements have implications in the inhibition of methanogenesis, improvements in production efficiency through feeding, nutrition, genetic selection, and management remain promising for the mitigation of greenhouse gas emissions from dairy animals. This article describes the trends in milk production and consumption, the debates over the role of milk in human nutrition, the global outlook of organic dairy, the abatement of greenhouse gas emissions from dairy animals, as well as scientific and technological developments in nutrition, genetics, reproduction, and management in the dairy sector.