Very accommodating to my last minute request. The office is very nice and the receptionist is very friendly! The wait time was very short compared to most vets I have been to. The doctor was very patient with my concern and answered all of my questions. They also make sure to discuss all of the costs up front before services rendered. My kitty ended up not needing anything additional to the exam and I appreciated that I did not feel hustled (which is rare in las vegas.)