Progressive control pathways provide a stepwise, measurable approach to disease control and, potentially, eradication. Surveillance systems must be capable of providing useful information to document programme progress, assessing intervention efforts, and the achievement of interim outcomes. This document demonstrates a practical surveillance approach that progresses from measuring broad disease epidemiology and risk factors to specifically evaluating intervention options and documenting low disease prevalence. The process focusses on aligning practical surveillance components with disease programme outcomes while focusing on foot-and-mouth disease as an example.