Friendship Springs Veterinary Care

7380 Spout Springs Road, Suite 160
Flowery Branch, GA 30542


Friendship Springs Veterinary Care serving Flowery Branch, Braselton, and Buford since 2006.

Your best friend's veterinarian and animal hospital.






Surgical  Complications


Surgeries for pets with any of the following conditions will include additional fees because these conditions result in additional costs in skills, time and materials. 


Sometimes these conditions are readily apparent, and sometimes they may not be found until after surgery has started.  We very strongly recommend that you be available at all times by phone on the day of your pet's surgery, so that we may reach you if any unexpected abnormalities are found before, during or after surgery If we cannot reach you on these occasions or if we have already reached a point in the procedure where we cannot stop, we will proceed in our best professional judgment.   Below is a partial list of some of the more common problems we encounter.  We reserve the right to be the final determiner of the presence or absence of these conditions.  If you are uncertain as to what these conditions are, whether or not your pet has them, or have any concerns about them whatsoever, please let us know.  We are happy to discuss these issues with you at any time. 


A couple of conditions are worth mentioning specifically.  The other conditions are most likely self-explanatory. However, if you have any questions about any of these conditions, please do not heisitate to call.  We are always happy to discuss your questions and concerns.


Estrus (Being "In Heat")


The most common complicating condition encountered in routine well care surgeries is when a female dog or cat is "in heat."  This means that they are in one of three stages of their four-stage reproductive (estrous) cycle:  proestrus, estrus, or diestrus.  The signs of proestrus and estrus are similar and usually include things like blood discharge from the vulva, swollen vulva, vocalizing, restlessness, and so on, although sometimes signs can be absent.  Signs of diestrus are often almost non-existent, but can include things like swelling of the mammary glands, lactation, adoption of odd behaviors, such as "mothering," and so on.  Proestrus/estrus can last anywhere from as little as three days to up to three weeks.  Diestrus lasts about sixty-three days beginning at the end of estrus


Although surgery may be performed safely during any of these phases, because of the physical changes in the body during these phases of the estrous cycle, surgery often involves more careful tissue handling, more than usual disposable supplies, and more time.  As a result there are usually additional fees if these conditions are present.  Therefore, if surgery does not absolutely have to be performed right away, we recommend that if your pet goes into heat (proestrus/estrus), you should wait at least ninety days before scheduling surgery so that the body will have had a reasonable chance to get through diestrus and return to a normal state.  When scheduling your spay appointment, remember that even though outward signs of heat may be absent during diestrus, we will still find its identifiable complicating internal changes during surgery. While waiting 90 days from the end of obvious signs of heat (estrus) usually works to get them out of the active part of the heat cycle, occasionally it doesn't.  If we find during surgery that proestrus, estrus, or diestrus are still present, regardless of outward signs, there will be an additional fee to cover the additional time and supplies needed.


Admittedly, however, this can be a trick in cats, because they will often go in and out of heat every few weeks.  This may make it impossible to catch a cat in a normal state and you may have to schedule surgery even if they are in heat.  The best time to spay a cat, therefore, is often before they ever go into heat the first time.  Another plan might be to wait until late in the year; some cats stop cycling in November, December, and January.  But, waiting means you have to put up with a cat in heat which can sometimes be quite annoying to say the very least and may result in inadvertent pregnancy if accidents happen. And some cats don't stop cycling.


Cryptorchidism (Undescended Testicles)


During fetal development the immature testicle begins to form inside the abdomen near the kidney, and as it matures it begins to migrate towards the pelvis, out of the abdomen through an opening called the inguinal canal, and finally comes to rest in the scrotum.  When this migration fails to happen normally and the testicle doesn't make it to the scrotum it is called an undescended testicle, or cryptorchidism.  Either or both testicles can be undescended.  Retained testicles are usually sterile and under-developed.  This is a hereditary condition. 


Testicles that are undescended  have an increased tendency to grow tumors. They may also twist on their stalks and cause life-threatening inflammation. Because these testicles are not in their normal position, surgery is more complicated.  The undescended testicle can be in one of two places.  It can be under the skin along the path it should have descended to the scrotum, or it may be inside the abdomen. Some exploration may be needed to find it, thus there is often an incision for each testicle.


Other Conditions Which May Incur Additional Fees








Unpredictable Abnormalities


Intra-operative and Post-operative Complications


Well Care Fees