I took a dog that we are fostering in to be neutered. When I called to make the appointment I explained in detail that the dog has an old injury that makes him twitch and they said no problem. After getting up at 5 am to drive the 1.5 hours to the clinic the vet tech told us the Dr. would not do the surgery and if we wanted him to tell us in person it would cost $28. I had her send in the Dr. and he was condescending. While I am upset that they would not do the surgery, it pales in comparison to the upset I experienced in how the Dr. handled the situation.