Bělohlávek also conducts in the United States. He first conducted at the Metropolitan Opera (Met) in December 2004, conducting Leoš Janáček's "Káťa Kabanová" with Karita Mattila in the title role. He returned to the Met in January and February of 2007 for the same composer's "Jenůfa", once again with Mattila, and with Anja Silja as the Kostelnička. Other guest conducting appearances in the US have been with the Philadelphia Orchestra and the Saint Louis Symphony Orchestra.