Took my shi-poo to a clinic pebble animal clinic after she dove on bed and wrenched her hind legs...that vet wanted to do a $6k surgery on her..it's not the money..I researched it and found it was no guarantee she'd ve better in fact maybe worse..I didn't know what to do then I ran across article on dr. Wessen. He specialized in this type of surgery so i expected he'd want to cut...instead I was pleasantly surprised..he too a conservative approach with Dasaquin supplements abd shots. My dog is doing great ..running..jumping..though I try to deter jumping as it's not good for her..shes a happy dog. Thanks to this wonderful vet. The facility is not fancy..it looks old but they really care. We also had both dogs teeth done..great care. I have to go near my house for basic shots because they are far from us and it's hard to take the dogs across town but for anything serious or anything requiring anesthesia. .it go to dr wessen. Highly recommend.