Pillar · Surgery
Orthopedic surgery, demystified.
What TPLO, FHO, and total hip replacement actually involve, what recovery looks like week by week, and the gear that makes both easier on dog and owner.

Latest guides

surgery
Hip Replacement and TPLO in the Same Dog: Same Day or One After the Other? What Has Been Studied, What Has Not, and the One Rule Surgeons Do Give
Is it safe to have a total hip replacement and a TPLO at the same time? No study covers that pairing. Here is the closest evidence, the one stifle-first rule that exists, and what to ask your surgeon.
16 min read

surgery
Both Hips at Once, or One at a Time? What the Bilateral Series Show for Hip Replacement, Pelvic Osteotomy and FHO, and Why 'We'll See' Is Usually the Real Plan
Single-session vs staged surgery for two bad hips: why hip replacement is done one side at a time, why pelvic osteotomy is routinely both at once, what the bilateral FHO series shows, and what decides the second hip.
31 min read

surgery
DPO or TPO for the Puppy Who Missed the JPS Window: What the 8-to-10-Month Deadline Buys, and What It Does Not
Double vs triple pelvic osteotomy for a loose-hipped puppy past JPS age: what one cut changes, what the complication series show, why clear films are not a clear joint, and what neither operation stops.
35 min read

surgery
JPS at 15 Weeks: The Only Hip Dysplasia Surgery That Has to Happen Before Anything Looks Wrong
JPS works best at 12 to 16 weeks, less at 18 to 20, and inconsistently past that. Who qualifies by distraction index, what the trials found, what the consult leaves out, and the one lever with no deadline.
30 min read

surgery
Does Pet Insurance Cover Hip Dysplasia? One Disease, Three Filing Systems
We pulled the actual policy documents. The same hips are an ordinary illness at one insurer, a named exclusion needing a paid rider at another, a 6- or 12-month clock at a third — and one uninsurable past a birthday.
20 min read

surgery
Is Pet Insurance Worth It for a Big Dog's Knees? Read the Bilateral Clause First
We pulled the actual policy documents. The knee waiting period runs 14 days to 6 months by brand, one knee's history can delete the other knee's coverage, and one state form caps year-one cruciate claims at $200.
19 min read

surgery
How Much Does a TPLO Cost, and What Is Inside the Estimate?
No US survey has ever measured what a TPLO costs. Here is what the two published price studies found, what the line items on an orthopedic invoice actually are, and the checklist to hold two estimates against.
23 min read

surgery
TPLO vs TTA: The Decision Your Surgeon Already Made
TPLO vs TTA for a torn cruciate: what each osteotomy does, what the comparative literature actually found, and why the choice is usually made before you walk in — plus the questions that do change the outcome.
21 min read

surgery
What Should I Ask the Veterinary Orthopedic Surgeon? Seven Questions the Consult Will Not Answer Unless You Ask
A first orthopedic visit can run 1.5 to 2 hours, most of it records, history and examination. Seven questions put the rest on the decision: ASA grade, who operates, who monitors, how complications are counted.
31 min read

surgery
Is My Dog Too Old for Orthopedic Surgery?
Age is a stand-in for the things that actually decide this. Here is what the anaesthetic risk really is by age and health status, and the four separate questions hiding inside "he's too old."
28 min read

surgery
FHO Surgery Recovery in Dogs: A Realistic Timeline
Most dogs toe-touch within days of FHO and reach their final level of use in one to four months; some take a year. A limp at week three is normal. Which way it is moving is what matters.
27 min read

surgery
Stairs After TPLO: None for Two Weeks, Sling-Assisted Through Week 8
Stairs after TPLO, week by week: none for weeks 0–2, sling-assisted and only-if-unavoidable through week 8, gradual return after recheck X-rays confirm healing.
20 min read

surgery
TPLO vs Total Hip Replacement: Different Joints, Different Surgeries
TPLO vs total hip replacement: one repairs a torn knee ligament, the other replaces the hip joint with an implant. What the published outcome data actually say, and which conversation your dog is in.
23 min read

surgery
TPLO Surgery Recovery: A Week-by-Week Guide
Tibial-Plateau-Leveling Osteotomy is the gold-standard repair for canine cruciate disease. Here's what to expect, week by week, and the gear that makes recovery survivable.
30 min read