We have implemented active feedback control in a Q-switched diode-pumped Nd:YVO(4) laser by monitoring the fluorescence intensity from the laser crystal. When the initial inversion level indicated by the detected fluorescence has reached a predetermined value, Q switching is initiated. This scheme allowed us to vary the reproducibility of the output pulse peak power and pulse width. The novel active Q-switching approach can reduce the shot-to-shot variations of the output pulse peak power and the pulse width.