I appreciate the professional way the staff and veterinarians handle and care for my dog. He is a little shy and scared in a clinical environment, and the vet has no problem getting on the floor, etc during the exam to make it easier on him. My only complaint is the cost... a simple exam, heart worm test and a year of heartworm meds run around $375, which seems steep to me. That's a lot for a 30 minute visit. Of course, I haven't found quality this high elsewhere for less, so maybe I'm expecting too much.