I took my Catahoula puppy here after he was diagnosed with bad knees. We saw Dr. Monarski he explained what needed to be done and the costs involved. We had one knee done and later the other knee. All said and done it was about a year and a half before he was completely healed. I am so grateful Bear is 100 percent a new dog 95 pounds of happiness. He can outrun his sibling no problem and his knee caps stay in the grooves now. No more problems. Dr. Monarski and staff did an excellent job. Love this place. I would do it again if I had too!