This paper includes the predominant inertia terms in an analysis of hydrostatic thrust bearings. The influence of centripetal accelerations on the distribution of pressure is found to be considerable. For parallel surface bearings of constant film thickness the inertia effects are found to be detrimental to load capacity. In a stepped bearing however correct location of the step can result in an increased load capacity at speed. No increase in load capacity can result from inertia effects if the step radius is less than 0.4508 of the bearing radius. A consequence of the inclusion of inertia terms in the analysis is the existence of a velocity component in the axial direction. Even in the parallel surface bearing considered a fluid element is found to move toward the rotating surface as it spirals through the clearance space.