Referral Services



If your pet needs advanced surgery, then you can rest assured that he or she is in capable hands in our Surgery Department.  Our team’s goal is to provide thorough pre-operative assessment, advanced diagnostic and surgical expertise, and compassionate post-operative care for all our patients. Our board-certified veterinary surgeons have the expertise to offer a level of surgical care with all the necessary inventory, equipment and tools that are not available elsewhere in our region.


Procedures Offered:

  • Anesthesia delivery and monitoring systems including blood pressure monitoring, pulse oximetry, electrocardiography, capnography, and mechanical ventilation
  • Diagnostic services including in-house laboratory service, digital radiography and digital orthopedic planning
  • Fluoroscopy for intra-operative imaging
  • Arthroscopy for minimally invasive joint procedures
  • Fracture repair using a full range of implant systems including bone plating, interlocking nail fixation, and external fixation
  • Post-operative care facilities include incubators, rewarming units, intravenous fluid pumps, and oxygen therapy when needed
  • 24 hour post-operative care provided in collaboration with the Hospital’s skilled and caring Emergency Department veterinarians and nursing staff and support team.

What to Expect:

The Surgery Department offers appointments from Monday to Friday and performs surgeries from Monday through Thursday.

If your pet is having surgery, he or she should not eat after midnight the evening prior to your pet’s surgery (unless your pet is diabetic or young, in which case, please feed them as per usual). However, he or she should have free access to water and should continue to receive any previously prescribed medications, unless otherwise directed by your veterinarian.

We understand that having your pet undergo a surgical procedure can be stressful. Rest assured that our Hospital will keep your pet comfortable during and after surgery, as we believe in modern pain management to manage your pet’s pain. The most common pain management techniques we use include:

  • Constant rate infusions
  • Injectable medications
  • Nerve and joint blockade/local anesthetics
  • Oral medications
  • Spinal or epidural administration of analgesics

Emergency Advice Service for Clients

The Surgery Department offers an after-hours advice service for clients with pets recovering from surgery performed at our facility. Clients may contact the London Regional Veterinary Emergency and Referral Hospital at (519) 432-3300 to provide the necessary information, and a veterinary technician from the Surgery service will return your call within approximately one hour. If you feel your pet needs more immediate attention, you are advised to proceed to the London Regional Veterinary Emergency and Referral Hospital or to contact your veterinarian or local emergency service.


  • TPLO (Tibial Plateau Leveling Osteotomy)
  • Extracapsular/Intracapsular Reconstruction (also known as lateral imbrication, fabellar-tibial suture technique)
  • Patellar Luxation Correction
  • Fracture Repair
  • Joint Reconstructions and Arthodesis (Fusion)
  • Double Pelvic Osteotomy (DPO) for Canine Hip Dysplasia
  • Arthoroscopic Surgery for OCD, Elbow Dysplasia, and Other Joint Conditions

Soft Tissue

  • Ear Ablation
  • Laryngeal Paralysis Surgery
  • Feline Colectomy
  • Portosystemic Shunt Correction (PSS)
  • Tumour Resections
  • Abdominal and Thoracic Procedures


Our surgeons have training and experience with various forms of spinal surgery. Initial referral of patients with spinal conditions will be to our Neurology Department when possible, but direct referral to the Surgery Department may be necessary in more urgent situations. Most patients requiring spinal surgery will first have spinal imaging (MRI) performed off-site at Thames Valley Veterinary Services in London. In addition to surgical and hospital care, patients have access to rehabilitation therapy and follow-up with a neurologist within our facility. In situations where MRI imaging and surgery cannot be obtained as quickly as needed for an individual patient, emergency referral to the Ontario Veterinary College at the University of Guelph can be arranged.


Intervertebral Disc Disease (IVDD)
Intervertebral disc disease / herniation is a common cause of spinal disease in dogs, with symptoms ranging from back pain to complete paralysis. Chondrodystophic (long back/short legs) breeds of dogs are most affected, but the condition is seen in other breeds as well. Diagnosis is based on a neurological examination and imaging of the spine with radiographs, special radiographic studies (myelography), or advanced spinal imaging including CT scans and MRI. Spinal surgery, sometimes on an emergency basis, is often required to remove the compressing herniated disc from around the spinal cord.


Lumbosacral Syndrome
Lumbosacral syndrome is usually a progressive condition that affects the lower back of larger breeds of dogs, resulting in pain and occasionally weakness to the hind legs. Some weakness in the tail and partial urinary incontinence can also be seen. Diagnosis is based on a neurological examination, radiographs, and usually advanced spinal imaging in the form of MRI. Some patients are candidates for surgery which usually involves a laminectomy (creation of a window in the bone above the spine) and removal of tissue that is compressing the nerves within the spinal canal.

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The greatness of a nation can be judged by the
way its animals are treated

Mahatma Gandhi