My rating my be somewhat unfair becuase I don’t think I realized this is just a surgical center and it feels like an assembly line service without much personal touch. My dog was neutered due to a suspicious growth and also had a lump removed. I don’t have pet insurance so was recommended to use Spay Now becuase of their reasonable prices but it ended up being more expensive than it would have been through my vet which apparently is one of the more expensive vets in area! Lesson learned and maybe that’s what I get for trying to save some money. Also the lack of personal touch bothered me. You drop off your pet and never get to speak with the surgeon aside from a follow up email/electronic communication. Compared to my vets office this place has a dirty and smelly feel to and then staff is not as friendly - probably becuase they have to keep it moving with so many animals going in and out. All this said the surgery seems to have been performed well but I think this place really is just suitable for spaying and neutering like the name says, not for other surgeries. If my pet needs surgery again I will not come back here. I had a concern with the surgery right after and they told me I needed to discuss it with my vet ! so again that’s where I should have had all this done to begin with. Also be aware that you willl not know until the day of the surgery what the actual cost is. The prices posted on the website are just an estimate. You have to wait outside in the morning and inside for a while before being seen - even if you have an appointment - so by the time they give you the price even though it was very high, I proceeded with it becuase by then i had already spent a couple of hours travelling and waiting in the office and did not want to put my dog through that again.