My dog is 86 pounds of pure chicken. She's a rescue who is still very nervous around strangers (and vacuums, doorbells, and wood flooring), and her size can make her a real monster when she's scared. Yet she still needs annual checkups and booster shots, and Lookout Mountain is the lucky winner. The front desk was very cooperative at shuffling her right into the exam room when we arrived so that she wouldn't have to sit in the waiting room (with all those scary strangers). The vet tech and the vet were both very patient and so very sweet to her throughout the visit. My dog responded very well to their kindness, and actually behaved better for them than she has with any other stranger (even though the mailman has never tried to put a thermometer in her butt!). I'm very happy with how they handled my dog. (Though, from experience, it helps to schedule the first appointment of the morning and call them en route to warn them that a big scared dog is on its way.) They also see my cat, which has also always been a positive experience. (But he's always well behaved at the vet. He's just glad he gets let out of the evil plastic box inside the evil metal box on wheels. He doesn't care what the vet does to him, as long as he's out of the box.)