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  • Estimate Builder

    Create the most accurate estimate possible for each procedure...no guesswork!

  • Pick your procedure(s) to generate a printable list of items for your estimate.

    Scroll all the way down to see the list & print it.

    • Helpful Hints: definitely read on your first visit. Use triangle button to show → 

    • If there are injectable or topical pain medications that your practice does not carry, we can provide them...no worries!

      If your practice uses an "anesthesia package" that bundles together premeds, pain injections, etc., you do not need to quote for these separately. This tool generates a comprehensive list so nothing gets missed, but you know your software best!

      If the pet will have multiple concurrent procedures, reach out by text or email so we can tweak the total anesthesia time and surgery fee. These are typically less for combined procedures than they are for separate procedures. Then, just quote any redundant items once.

      For cats:

      • Substitute Zorbium for hydromorphone & postop buprenorphine injection
      • Ignore the NSAIDs completely or use Onsior x 3 days

      For longer canine surgeries, we may need to repeat the hydromorphone intra-op, typically 3-4 hours after the first dose was given on induction.

      Please text or email if you have any questions about how to quote for a particular case – we’re happy to help. This tool may not be able to account for every situation!

      If you have any feedback on this tool, please let us know!  We're happy to use your input to make it better!

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    • ORTHOPEDIC PROCEDURES

    • Selecting the correct procedure for a stifle injury can be tricky, 
      so follow this flow chart to make things easier.

      Since many smaller dogs have concurrent ACL & patellar luxation issues, it's best to quote for correction of both, regardless of physical exam findings. Dual pathology may not be apparent until the joint is open in surgery. Quoting for both ACL & patellar procedures gives us the latitude to fix everything without pausing surgery to call the client and increase the estimate (which they hate!). If dual correction is not necessary, the client's bill is lower and everyone is happy!  


    •  

    • SOFT TISSUE PROCEDURES

    • TPLO

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 view stifle (TPLO-specific positioning)
      • Postop x-rays: 2 view stifle
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 8 weeks: 2-view stifle

    • Patella correction (unilateral over 25lbs)

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 view stifle
      • Postop x-rays: 2 view stifle
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: use Patellar correction: unilateral on Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 8 weeks: 2-view stifle

    • TPLO + patellar correction

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 view stifle (TPLO-specific positioning)
      • Postop x-rays: 2 view stifle
      • Anesthesia: 3-3.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 8 weeks: 2-view stifle

    • Unilateral patellar correction + extracapsular ACL repair

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 view stifle
      • Postop x-rays: 2 view stifle
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 8 weeks: 2-view stifle

    • Bilateral patellar correction + extracapsular ACL repair

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 view stifle
      • Postop x-rays: 2 view stifle
      • Anesthesia: 3-3.5 hours
      • Surgery Fee: use Patellar correction + extracap ACL: bilateral on Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 8 weeks: 2-view stifle x 2

    • FHO

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: AP pelvis
      • Postop x-rays: AP pelvis
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: depends on weight/breed - text or email for surgery fee
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar

    • Toggle Pin

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: AP pelvis
      • Postop x-rays: 2 view pelvis
      • Anesthesia: 3-4 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 4 weeks: 2-view pelvis

    • Digit Amputation

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 views of the paw
      • 3-view chest rads within 7-10 days of surgery if any concern of cancer
      • Postop x-rays: none
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days, then PRN
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth
      • Hard plastic e-collar
      • Amputation of digits 3 or 4 require a bandage change at the 1-week mark

    • Limb Amputation

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: depends on the reason for amputation -- text or email if you are unsure if these are needed
      • 3-view chest rads within 7-10 days of surgery if any concern of cancer
      • Postop x-rays: none
      • Anesthesia: 2.5-3.5 hours
      • Surgery Fee: depends on weight/breed - text or email for surgery fee
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days, then PRN
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth
      • Hard plastic e-collar

    • Tail Amputation

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: depends on the reason for amputation -- text or email if you are unsure if these are needed
      • 3-view chest rads within 7-10 days of surgery if any concern of cancer
      • Postop x-rays: none
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days, then PRN
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN
      • Hard plastic e-collar

    • Fracture: Plate

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2+ views of fracture, may need additional views under anesthesia
      • Postop x-rays: 2 views of fracture
      • Anesthesia: 2-3.5 hours (depends on type & complexity of fracture)
      • Surgery Fee: depends on patient size as well as the location, type, and complexity of the fracture. Text or email for surgery fee.
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Some fractures need to be splinted postop, especially radius/ulna fractures in small dogs. (Text or email to find out if splinting will be required for this particular case). If splinted, will need weekly bandage changes until the splint is removed.
        • Week 1 bandage change is typically painful – will definitely need dexdomitor/torb sedation.
        • After that, may need sedation based on patient temperament. PO gabapentin and/or trazodone a couple of hours before recheck may be enough. If not, then injectables.
      • Recheck x-rays at 8 weeks: 2-views of fracture

    • Fracture: External Fixator

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2+ views of fracture, may need additional views under anesthesia
      • Postop x-rays: 2 views of fracture
      • Anesthesia: 3-4 hours 
      • Surgery Fee: depends on patient size as well as the location, type, and complexity of the fracture. Text or email for surgery fee.
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Sterile bandage changes performed by your staff (we will train staff & leave instructions postop):
        • Days 3 & 7
          • Sedation: dexdomitor/torb
          • Sterile bandage change
        • Week 2, 3, 4, 5
          • Sedation only if uncooperative: dexdomitor/torb
          • Sterile bandage change
      • Fixator adjustment at 6 weeks (LexVet Mobile Surgery team):
        • IV catheter (don’t need fluids)
        • Anesthesia: 30 minutes (buprenorphine, midazolam, propofol)
        • X-rays: 2 views of the fracture (will take under anesthesia)
        • Fixator adjustment/downsizing: $500
        • NSAID x 3 days, then PRN up to 6 months
        • Trazodone 3-7mg/kg BID PRN 
      • Sterile bandage changes performed by your staff
        • Week 7, 8, 9, 10, 11
          • Sedation only if uncooperative: dexdomitor/torb
          • Sterile bandage change
      • Fixator removal at 12 weeks (LexVet Mobile Surgery team):
        • IV catheter (don’t need fluids)
        • Anesthesia: 30 minutes (buprenorphine, midazolam, propofol)
        • X-rays: 2 views of the fracture (will take under anesthesia)
        • Fixator removal: $500
          • NSAID x 3 days, then PRN up to 6 months
          • Trazodone 3-7mg/kg BID PRN

    • Fracture: Distal Femoral Physis

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 views of fracture, may need additional views under anesthesia
      • Postop x-rays: 2 views of fracture
      • Anesthesia: 2-3 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 6 weeks: 2-view stifle/distal femur

    • Fracture: Humeral Condyle

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 views of fracture, may need additional views under anesthesia
      • Postop x-rays: 2 views of fracture
      • Anesthesia: 2.5-3.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 6 weeks: 2-view elbow

    • Fracture: Tibial Tuberosity Avulsion

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: 2 views of fracture, may need additional views under anesthesia
      • Postop x-rays: 2 views of fracture
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar

    • Arthrodesis

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Preop x-rays: up to 4 views of the joint. Our team will take stressed rads/special views under anesthesia
      • Postop x-rays: 2 views of joint
      • Anesthesia: 3.5-4.5 hours
      • Surgery Fee: see Price List. Quote high end to be safe.
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Will be splinted postop, so will need weekly bandage changes at least until the 8-week recheck. Recheck x-rays may show splinting needs to continue a few weeks longer.
        • Week 1 bandage change is typically painful – will definitely need dexdomitor/torb sedation.
        • After that, may need sedation based on patient temperament. PO gabapentin and/or trazodone a couple of hours before recheck may be enough. If not, then injectables.
      • Recheck x-rays at 8 weeks: 2-views of arthrodesis

    • Limb Alignment: Corrective Osteotomy

      • Must have in-person consult ($250) before scheduling surgery
        • Pet must be fasted, as sedated x-rays will be taken by the Vet Surg team
        • Quote for up to 8 x-ray views for surgical planning and to determine if level of deformity requires referral to a specialty group.
      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Postop x-rays: 2 views of osteotomy/implants
      • Anesthesia: 3.5-5 hours
      • Surgery Fee: depends on patient size as well as the location, type, and complexity of the deformity. Surgery fee can narrowed down during consult.
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Recheck x-rays at 8 weeks: 2-views of osteotomy/implants

    • Limb Alignment: Ulnar Ostectomy

      • Must have in-person consult ($250) before scheduling surgery
        • Pet must be fasted, as sedated x-rays will be taken by the Vet Surg team
        • Quote for up to 8 x-ray views for surgical planning and to determine if level of deformity requires referral to a specialty group.
      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Postop x-rays: 2 views of radius/ulna
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Will be splinted postop, and will need bandage changes at the 1, 2, and 3-week marks. Splint should be removed at 4 week recheck.
        • Week 1 bandage change is typically painful – will definitely need dexdomitor/torb sedation.
        • After that, may need sedation based on patient temperament. PO gabapentin and/or trazodone a couple of hours before recheck may be enough. If not, then injectables.

    • Elbow OCD/FCP/UAP excision

      • Must have in-person consult ($250) before scheduling surgery
        • Pet must be fasted, as sedated x-rays will be taken by the Vet Surg team
        • Quote for up to 8 x-ray views for surgical planning and to determine if referral to a specialty group is necessary.
      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Postop x-rays: none
      • Anesthesia: 2-3 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar

    • Tendon Repair

      • Preop CBC/Chem – 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Antibiotic options:
        • Convenia: 8mg/kg
        • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
      • Pre-op x-rays: up to 4 views of affected area, taken by LexVet Mobile Surgery team under anesthesia
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02 mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 30 days, then PRN up to 6 months
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
        • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
      • Hard plastic e-collar
      • Will be splinted postop, and will need weekly bandage changes until the splint is removed at 8 weeks. 
        • Week 1 bandage change is typically painful – will definitely need dexdomitor/torb sedation.
        • After that, may need sedation based on patient temperament. PO gabapentin and/or trazodone a couple of hours before recheck may be enough. If not, then injectables.

    • Stem cell therapy (stand-alone treatment)

      • Must have in-person consult ($250) before scheduling surgery
        • Pet must be fasted, as sedated x-rays will be taken
        • Quote for up to 8 x-ray views to determine if stem cell therapy is appropriate and to establish injection protocol.
      • There must be no suspicion of underlying cancer, either at the proposed site(s) of treatment or elsewhere in the body
      • Preop CBC/Chem – 1 week in advance
      • Harvest - typically scheduled on a Tuesday:
        • IV catheter & fluids
        • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
        • Antibiotic options:
          • Convenia: 8mg/kg
          • Cefazolin: 22mg/kg x 2 doses + cefpodoxime 5-10mg/kg SID x 7 days
        • Anesthesia: 1-1.5 hours
        • Surgery Fee: see Price List 
        • Postop buprenorphine 0.02 mg/kg
        • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
        • RX to go home:
          • NSAID x 30 days, then PRN up to 6 months
          • Gabapentin 10-20mg/kg TID x 7 days, then PRN up to 8 weeks for additional sedation
          • Trazodone 3-7mg/kg BID PRN – dispense at least 2 weeks’ worth, with additional refills PRN
        • Hard plastic e-collar
      • Injection(s): 2 days after harvest, typically on a Thursday
        • IV catheter - no fluids
        • Dexdomitor/torb sedation & reversal
        • Injection fee: $0 (included in harvest fee)

    • Stem cell therapy (add-on to other surgery)

      • Must have in-person consult ($250) before scheduling surgery
        • Pet must be fasted, as sedated x-rays will be taken
        • Quote for up to 8 x-ray views to determine if stem cell therapy is appropriate and to establish injection protocol.
      • There must be no suspicion of underlying cancer, either at the proposed site(s) of treatment or elsewhere in the body
      • Preop CBC/Chem – 1 week in advance
      • Surgery/harvest - typically scheduled on a Tuesday. Add these onto estimate for the primary surgical procedure:
        • Anesthesia: 0.5 hours
        • Surgery Fee: see Price List 
      • Injection(s): 2 days after harvest, typically on a Thursday
        • IV catheter - no fluids
        • Dexdomitor/torb sedation & reversal
        • Injection fee: $0 (included in add-on harvest fee)

    • Cherry eye - unilateral

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Anesthesia: 45 minutes
      • Surgery Fee: see Price List 
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 5 days
        • BNP ointment x 5 days
      • Hard plastic e-collar

    • Cherry eye - bilateral

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Anesthesia: 1-1.25 hours
      • Surgery Fee: see Price List 
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 5 days
        • BNP ointment x 5 days
      • Hard plastic e-collar

    • Entropion - 1 lid

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 45 minutes
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Entropion - 2 lids

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-1.25 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Entropion - 3 lids

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Entropion - 4 lids

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Enucleation

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-1.5 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Ear polyp removal

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 45 minutes
      • Surgery Fee: see Price List 
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Lateral ear canal resection

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List 
      • Histopath if concern of neoplasia
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • Vertical ear canal resection

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List 
      • Histopath if concern of neoplasia
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • TECA - unilateral

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2.5-3.5 hours
      • Surgery Fee: see Price List 
      • Aerobic/anaerobic culture & sensitivity of bulla
      • Histopath if concern of neoplasia
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN
      • Hard plastic e-collar

    • TECA - bilateral

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 4.5-5.5 hours
      • Surgery Fee: see Price List 
      • Aerobic/anaerobic culture & sensitivity of bulla x 2
      • Histopath if concern of neoplasia x 2
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN
      • Hard plastic e-collar

    • Stenotic nares

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 30-45 minutes
      • Surgery Fee: see Price List 
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN
      • Hard plastic e-collar

    • BOAS: soft palate, nares, laryngeal saccules PRN

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • DexSP: 0.5mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • RX to go home:
        • NSAID x 10 days (won't start for 72 hours due to DexSP preop)
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN - dispense at least 2 weeks' worth, with additional refills PRN
      • Hard plastic e-collar
      • Advise owners 20-30% of pets require overnight monitoring after surgery

    • Laryngeal tie-back

      • Preop CBC/Chem – 1 week in advance if possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2-3 hours
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN - dispense at least 2 weeks' worth, with additional refills PRN
      • Hard plastic e-collar
      • Advise owners 20-30% of pets require overnight monitoring after surgery
      • O will need to purchase a harness before surgery. No leashes clipped to the collar ever again after this surgery.

    • Mandibulectomy

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2-3 hours
      • Preop x-rays: up to 4 views of jaw, taken by LexVet Mobile Surgery team under anesthesia
      • Surgery Fee: see Price List 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Salivary mucocele

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2.5 hours
      • Surgery Fee: see Price List. (Quote the high end to be safe. Depending on how the surgery goes, price may be lower and client will be happy.)
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Anal sacculectomy - unilateral

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg - 2 doses
      • Anesthesia: 1.25-1.75 hours
      • Surgery Fee: see Price List. 
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Metronidazole 10-15mg/kg BID x 7 days
      • Hard plastic e-collar

    • Anal sacculectomy - bilateral

      • Preop CBC/Chem – 1 week in advance
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg - 2 doses
      • Anesthesia: 2-2.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Metronidazole 10-15mg/kg BID x 7 days
      • Hard plastic e-collar

    • Anal sac mass (AGASACA) - unilateral

      • Preop CBC/Chem – 1 week in advance
      • 3-view chest rads within 10 days of surgery 
      • Ultrasound to check for spread to sublumbar lymph nodes – if present, then refer to specialty group for surgery
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg - 2 doses
      • Anesthesia: 1.75-2.5 hours
      • Surgery Fee: see Price List
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Metronidazole 10-15mg/kg BID x 7 days
      • Hard plastic e-collar

    • Anal sac mass (AGASACA) - unilateral + excision of contralateral anal sac for owner’s convenience

      • Preop CBC/Chem – 1 week in advance
      • 3-view chest rads within 10 days of surgery 
      • Ultrasound to check for spread to sublumbar lymph nodes – if present, then refer to specialty group for surgery
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg - 2 doses
      • Anesthesia: 2.25-3 hours
      • Surgery Fee: see Price List
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Metronidazole 10-15mg/kg BID x 7 days
      • Hard plastic e-collar

    • Cholecystectomy

      • Preop CBC/Chem
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List
      • Aerobic/anaerobic culture & sensitivity of bile
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Colopexy

      • Preop CBC/Chem - 1 week in advance if possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID x 2 weeks
      • Hard plastic e-collar

    • Enterotomy

      • Preop CBC/Chem
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-3.5 hours
      • Surgery Fee: see Price List. (Due to the uncertainty present with GI foreign body surgery, always quote the full range from single to the high end of multiple…or higher in case there are other surprises in the abdomen).
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • PO Cerenia x 4 days
        • Bland diet x 7 days + extra for gradual transition back to regular diet
      • Hard plastic e-collar

    • Exploratory with biopsies

      • Note: this is pricing for a negative exploratory with intestinal +/- liver biopsies. Only use this template if abdominal rads & ultrasound have ruled out masses requiring resection.
      • Preop CBC/Chem
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List. (Due to the uncertainty present with GI foreign body surgery, always quote the full range from single to the high end of multiple…or higher in case there are other surprises in the abdomen).
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • PO Cerenia x 4 days
        • Bland diet x 7 days + extra for gradual transition back to regular diet
      • Hard plastic e-collar

    • Gastropexy (prophylactic)

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg
      • Anesthesia: 1.25 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID x 2 weeks
      • Hard plastic e-collar

    • Gastropexy (prophylactic) + neuter

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg
      • Anesthesia: 1.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID x 2 weeks
      • Hard plastic e-collar

    • Gastropexy (prophylactic) + spay

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Cefazolin: 22mg/kg x 2
      • Anesthesia: 1.75 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID x 2 weeksks
      • Hard plastic e-collar

    • Gastrotomy

      Applicable when we know there is only a foreign body in the stomach. If there is any chance of enterotomy or resection/anastomosis, use that template instead.

      • Preop CBC/Chem
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Sucralfate 500-1000mg TID x 5 days
        • Famotidine 0.5mg/kg BID x 10-14 days
        • PO Cerenia x 4 days
        • Bland diet x 7 days + extra for gradual transition back to regular diet
      • Hard plastic e-collar

    • Intestinal resection & anastomosis

      • Preop CBC/Chem
      • 3-view chest rads if concern of neoplasia
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2.5-4 hours
      • Surgery Fee: see Price List. (Due to the uncertainty present with GI foreign body surgery, always quote the full range from single to the high end of multiple…or higher in case there are other surprises in the abdomen).
      • Histopathology if concern of neoplasia
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Famotidine 0.5mg/kg BID x 10-14 days
        • PO Cerenia x 4 days
        • Bland diet x 7 days + extra for gradual transition back to regular diet
      • Hard plastic e-collar
      • Advise O that pet is likely to need several days of hospitalization. Add your typical charges for inpatient care with fluids, nausea meds, pain management, etc.

    • Liver Lobectomy

      • Preop CBC/Chem/coag panel - 1 week in advance when possible
      • 3-view chest rads within 7-10 days of surgery if concern of neoplasia
      • Ultrasound to determine location & potential for successful resection of liver mass without referral to specialty group
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2.5-4 hours
      • Surgery Fee: see Price List. 
      • Histopathology if concern of neoplasia
      • Blood transfusion PRN
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar
      • Advise O that pet may need overnight monitoring if there is concern of bleeding

    • Splenectomy

      • Preop CBC/Chem/coag panel - 1 week in advance when possible
      • 3-view chest rads within 7-10 days of surgery 
      • Ultrasound (if possible) to check for right atrial mass – if present, then refer to specialty group. If client declines this, they must understand the risks.
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.25-1.75 hours
      • Surgery Fee: see Price List
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar
      • Advise O that pet may need overnight monitoring if there is concern of bleeding or arrhythmias

    • Cystotomy

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-2.5 hours
      • Preop x-rays: 1-2 views taken by the LexVet Mobile Surgery team right before induction
      • Postop x-rays: 1-2 views
      • Surgery Fee: see Price List. Text or email case details to have price range narrowed down.
      • Aerobic/anaerobic culture & sensitivity of bladder wall
      • Stone analysis
      • Histopathology if any concern of neoplasia
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days 
        • Gabapentin 10-20mg/kg TID x 7 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Perineal urethrostomy (cat)

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + Zorbium + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-1.5 hours
      • Surgery Fee: see Price List
      • RX to go home:
        • Gabapentin 10-20mg/kg BID x 7 days
      • Hard plastic e-collar

    • Perineal urethrostomy + cystotomy (cat)

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + Zorbium + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2-3 hours
      • Preop x-rays: 1-2 views taken by the LexVet Mobile Surgery team right before induction
      • Postop x-rays: 1-2 viewsSurgery Fee: see Price List
      • Surgery Fee: see Price List
      • Aerobic/anaerobic culture & sensitivity of bladder wall
      • Stone analysis
      • Histopathology if any concern of neoplasia
      • RX to go home:
        • Gabapentin 10-20mg/kg BID x 7 days
      • Hard plastic e-collar

    • Prescrotal urethrostomy (dog)

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2.5 hours
      • Preop x-rays: 1-2 views taken by the LexVet Mobile Surgery team right before induction
        Postop x-rays: 1-2 viewsSurgery Fee: see Price List
      • Surgery Fee: see Price List
      • Stone analysis
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Prescrotal urethrostomy + cystotomy (dog)

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2.5-3 hours
      • Preop x-rays: 1-2 views taken by the LexVet Mobile Surgery team right before induction
        Postop x-rays: 1-2 viewsSurgery Fee: see Price List
      • Surgery Fee: see Price List
      • Aerobic/anaerobic culture & sensitivity of bladder wall
      • Stone analysis
      • Histopathology if any concern of neoplasia
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Diaphragmatic Hernia

      For acute/traumatic causes of diaphragmatic hernia only. If the hernia is chronic or congenital, or if there is no clear history of trauma, then refer to a specialty group. Risk of postop mortality following correction of chronic diaphragmatic hernias is too high to risk in a general practice setting.

      Postop care may involve 24-hour nursing care, including oxygen therapy and chest tube maintenance. If your staff or facility are not equipped for this, please refer the case to specialty.

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2-3.5 hours
      • Surgery Fee: see Price List. Quote high end to be safe.
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Inguinal Hernia - unilateral

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-1.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Inguinal Hernia - bilateral

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Perineal Hernia - unilateral + neuter/scrotal ablation 

      Neuter is required for intact males undergoing perineal hernia repair to decrease the chance of recurrence.

      Perineal hernia is quite rare in neutered males and in all females. For these patients, please check testosterone levels to make sure we are not missing a pet is bilaterally cryptorchid or intersex.

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • High fiber diet x 8 weeks
        • Will recommend OTC Miralax instead of lactulose due to cost & ease of administration
      • Hard plastic e-collar

    • Perineal Hernia - bilateral + neuter/scrotal ablation 

      Neuter is required for intact males undergoing perineal hernia repair to decrease the chance of recurrence.

      Perineal hernia is quite rare in neutered males and in all females. For these patients, please check testosterone levels to make sure we are not missing a pet is bilaterally cryptorchid or intersex.

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 2.5-3.5 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • High fiber diet x 8 weeks
        • Will recommend OTC Miralax instead of lactulose due to cost & ease of administration
      • Hard plastic e-collar

    • C-section 

      • Preop CBC/Chem
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + midazolam 0.25mg/kg
      • Anesthesia: 1-2 hours
      • Surgery Fee: see Price List. Quote the high end to be safe.
      • Postop buprenorphine 0.02mg/kg
      • RX to go home:
        • Gabapentin 10-20mg/kg TID x 5 days

    • Episioplasty

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.25-1.75 hours
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Mastectomy

      If a bilateral mastectomy is needed, it will have to be a staged procedure, with the 2nd surgery occurring 8 weeks after the first to allow for adequate healing. If we attempt to remove both chains at the same time, there will not be enough skin to close the incision. As a courtesy, the 2nd procedure will be $250 less than the initial procedure.

      It’s always best to prepare the client for bilateral mastectomy just to be safe. We often find additional masses under anesthesia that were not detectable prior to surgery. If we don't, then the client’s bill will be lower, and they will be happy.

      If it turns out that we only have to remove part of one mammary chain the surgery fee will be reduced accordingly.

      OVH is mandatory for intact females, and is included in the surgery fee.

      • Preop CBC/Chem - 1 week in advance when possible
      • 3-view chest rads within 7-10 days of surgery
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-2 hours
      • Surgery Fee: see Price List
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Ovarian remnant

      Be 100% sure that nobody in contact with the patient is using estrogen transdermal medication -- ask them several times, as sometimes owners don’t want to admit it or don't remember what type(s) of meds they or a family member are taking. This type of estrogen exposure can mimic signs of an ovarian remnant, but exploratory would be negative and the patient would have been put through an invasive procedure for no reason.

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-1.25 hours
      • Surgery Fee: see Price List
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Pyometra

      Advise the owner that the pet may require additional hospitalization prior to discharge, depending on how sick they are preop.

      • Preop CBC/Chem
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1-1.25 hours
      • Surgery Fee: see Price List
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Caudectomy

      Please use a combination of oral antibiotics and topical cleaners & antibiotics to get the skin as healthy as possible before surgery, otherwise we risk dehiscense.

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-2 hours
      • Preop x-rays: lateral pelvis, taken by the LexVet Mobile Surgery team under anesthesia
      • Surgery Fee: see Price List
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Mass removal

      • Preop CBC/Chem - 1 week in advance when possible
      • 3-view chest rads within 7-10 days of surgery, except for lipomas
      • FNA or biopsy before scheduling surgery
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: depends on mass size, type, and location. Please text or email case details - pictures are helpful!
      • Surgery Fee: depends on mass size, type, and location. Please text or email case details - pictures are helpful!
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Mast cell tumor excision

      • Preop CBC/Chem - 1 week in advance when possible
      • 3-view chest rads within 7-10 days of surgery
      • FNA or biopsy before scheduling surgery
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • DexSP: 0.5mg/kg
      • Famotidine: 0.5mg/kg
      • Diphenhydramine: 2.2mg/kg
      • Anesthesia: depends on mass size, type, and location. Please text or email case details - pictures are helpful!
      • Surgery Fee: depends on mass size, type, and location. Please text or email case details - pictures are helpful!
      • Histopathology
      • Postop buprenorphine 0.02mg/kg
      • RX to go home:
        • NSAID x 10 days (delay start for 72 hours due to DexSP)
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
        • Diphenhydramine 2.2mg/kg BID x 7 days
        • Famotidine 0.5mg/kg BID x 7 days
      • Hard plastic e-collar

    • Skin fold excision

      • Preop CBC/Chem - 1 week in advance when possible
      • IV catheter & fluids
      • Premeds: Cerenia 1mg/kg + hydromorphone 0.1mg/kg + midazolam 0.25mg/kg
      • Convenia: 8mg/kg
      • Anesthesia: 1.5-3.5 hours. Text or email pictures for a more precise range.
      • Surgery Fee: see Price List. Text or email pictures for a more precise range.
      • Postop buprenorphine 0.02mg/kg
      • Postop meloxicam or carprofen injection IF they will be prescribed meloxicam or carprofen as a postop NSAID – otherwise skip this
      • RX to go home:
        • NSAID x 14 days
        • Gabapentin 10-20mg/kg TID x 5 days, then PRN for sedation
        • Trazodone 3-7mg/kg BID PRN x 2 weeks
      • Hard plastic e-collar

    • Skin grafts or flaps

      This list is in addition to the mass removal portion of the estimate.

      • Anesthesia: add 1.5 hours
      • Surgery Fee: see Price List
      • Some grafts require sterile bandage changes performed by your staff (we will train staff & leave instructions postop):
        • Sterile bandage change every 2-3 days for 2-3 weeks or until the graft is fully healed.
        • Any motion during the bandage change can cause the graft to fail or can break sterility, so full immobilization with dexdomitor/torb will be needed.
        • At each bandage change, text pictures and we can adjust the bandage change schedule accordingly.
          Postop buprenorphine 0.02mg/kg
    •  
    • Should be Empty: