I came here on emergency; My 3yr old dachshund hind legs went suddenly limp (common in doxies). The doc and nurse explained ALL my options. I didn't feel like i was being jerked around. I opt'd to put her down to stop her suffering. They were very compassionate and were very gentle with my pup. I was only able to hold my girl for the anesthesia and opt'd for the doc to take her for the last shot; i just couldnt handle it. Everyone, down to the receptionist, showed the utmost professionalism and respect and i can't tell you how much all of those things meant to me. There is an option to keep your animals ashes, which i thought was nice for those who are interested.