Recent environmental change and biodiversity loss have modified ecosystems, altering disease dynamics. For wildlife health, this trend has translated into increased potential for disease transmission and reduced capacity to overcome significant population-level impacts, which may place species at risk of extinction. Thus, current approaches to wildlife health focus not on the absence of disease but rather on the concept of health promotion. That is, wildlife populations will be more resilient to disease if they have the basic requirements for survival, as well as functioning ecosystems, within an enabling socio-economic environment. In this context, animal health programmes must adapt to design and implement wildlife health programmes that bridge knowledge gaps and fully integrate conservation goals. This article proposes new pathways and additions to the animal health management toolbox, including new approaches to surveillance and information management, partnerships and new wildlife health management practices. The traditional approach to disease surveillance in wild animals solely because of risks to domesticated animals and human health has now been replaced by a drive to recognise the intrinsic value of wildlife and the extended benefits of actively pursuing ecosystem health and associated life-sustaining ecosystem services. In this context, it is paramount to transition to holistic health programmes embracing One Health as a pathway to set the health of all on equal footing.