From soup to nuts it's always a pleasant experience - my dog might disagree on that - but from the human point of view it's great. Everyone is welcoming, and the entire staff show concern and consideration. We travel from Manteo and that's a fair distance but that is offset by the punctuality and readiness of the clinic and the staff. An 11am appointment means an 11am appointment, not an arrival at 11 and a wait until noon. On very rare occasions an animal in need of emergency care has delayed our appointment, but that was never a problem. If my dog needed emergency treatment I am sure that other clients in the waiting room would understand. The only regret from our last visit is that we didn't get to see Maybelline.