Billings veterinarian Dr. Ken Brown operates on a dog at the Animal Clinic of Billings and Animal Surgery Clinic.

What to know if surgery is advised for your dog

At the Animal Clinic of Billings and Animal Surgery Clinic, we understand how frightening a recommendation for surgery on your dog can be. This isn’t something our veterinarians take lightly. If surgery is recommended for your dog by one of our veterinarians, you can rest assured that we have gathered all the information needed to reach that conclusion with the highest level of confidence possible. Every surgical case our veterinarians manage is always thoroughly evaluated with diagnostic testing and imaging first to ensure that surgery is, in fact, necessary and in the best interest of your dog.

Additionally, if your dog is undergoing surgery at our veterinary hospital, then it’s being performed by one of our highly talented, competent, and experienced veterinary surgeons.

Most surgeries on dogs are low-risk procedures

Animal Clinic of Billings and Animal Surgery Clinic surgical suite

Although any surgery carries a potential risk of complications, these risks are usually very low, and our veterinary surgeons are highly trained and experienced in maintaining your pet’s safety as our top priority.

Many dogs and cats will need surgery at least once in their lifetime. As caring pet owners, we want our canine and feline companions to receive the best veterinary surgical care possible in a safe, comfortable environment. The Animal Surgery Clinic of Billings understands these concerns.

Our facility features a state-of-the-art modern surgical suite, and our doctors perform all types of surgical procedures with top-of-the-line anesthetic monitoring equipment to ensure our patients’ safety and comfort throughout their surgical procedure.

Making The Decision To Proceed With Surgery on your dog

The decision to proceed with any surgical procedure involves an at-length discussion between you and your veterinarian to address everything from possible complications to prognosis and recovery care.

These may include:

  • Possible risks involved in general anesthesia based on the dog’s general health and current condition
  • Possible intraoperative complications
  • Possible postoperative complications
  • Prognosis for return to normal or near-normal function following surgery
  • Prognosis if surgery is not performed and alternatives to surgery (if they exist)
  • Post-surgery hospitalization time and care that will be provided while in the hospital
  • Post-surgery recovery time and home care
  • Physical Rehabilitation Therapy
  • Regenerative Therapy options

Our veterinarians want you to feel comfortable and confident in your decision to proceed with surgery if we recommend it for your dog. Our veterinarians will work diligently with you to ensure you are fully informed of all relevant considerations and possible outcomes of the operation. Our goal in choosing to proceed with surgery is for both you and your veterinarian to feel as confident as possible that the proposed surgery is the most ethical, compassionate, and medically sound decision to treat your dog.

Instructions for surgery on dogs


If surgery is recommended for your dog, please know how important it is that you follow your veterinarians’ advice throughout every step of the surgical process. The instructions your veterinary surgeon recommends can vary immensely depending on the surgical procedure being performed, so come prepared and feel free to take notes if you need to.

Your dog will need to be fasted before the surgery, meaning your dog may not be allowed to eat or drink anything the morning of or night before the operation. This is very important for the safe administration of anesthesia for their surgery. Oftentimes, dogs need to be carefully monitored or properly medicated by a veterinarian before and/or after major surgical procedures.

It’s important to understand that if your veterinarian recommends admitting your dog to our hospital for any length of time before or after surgery, it’s for a very good reason and in the best interest of your dog.

Anesthesia for dogs during surgery

Anesthesia and monitoring are essential aspects of every surgery we perform. Anesthesia is tailored to the individualized needs of your dog or cat based on a number of factors. These include the type of procedure, your pet’s age and breed, current physical status, the presence of any chronic health conditions, the presence of any bloodwork abnormalities, and any prior anesthetic experiences. By precisely tailoring each patient’s anesthetic protocol, we are able to minimize side effects and facilitate a smooth recovery.

Prior to being anesthetized, your pet is given a pre-anesthetic dose of pain medication and sedation to help keep them calm and relaxed as they are prepared for surgery and to ensure that pain control is distributed throughout their body before the surgery begins. In most cases, these pre-anesthesia medications also decrease the dose of anesthetic needed during the surgical procedure.

Once the pre-anesthesia medication takes effect, an IV catheter is placed into a vein in the dog or cat’s front leg. This allows us to administer IV fluids during and after surgery. IV fluids are important during surgery to help support a patient’s blood pressure and maintain adequate blood flow to all of their internal organs while they are under anesthesia. Additionally, IV catheters provide quick access to the bloodstream, for easy and rapid administration of additional medications that may be necessary during surgery.

Throughout their anesthesia and surgery, your dog or cat is closely monitored by a veterinary technician using our advanced monitoring systems. This equipment continuously tracks a patient’s oxygen level, respiratory rate, heart rate and rhythm, blood pressure, carbon dioxide exhalation, and core body temperature. By continuously monitoring all of these parameters, we are able to provide the highest possible level of safety for your dog or cat. You can take comfort in knowing we provide the highest possible level of surgical care and anesthetic safety to our clients and their pets.

Post Surgical Care For Dogs

After surgery, your dog’s activity should be strictly limited until your veterinarian tells you otherwise. There is no substitute for rest when it comes to healing. Too much activity in the immediate post-operative period can result in serious complications, such as opening of the incision, excessive swelling, surgical site infection, and the breakdown of orthopedic repairs.

veterinary surgery on a catFor most soft tissue surgeries, a dog can return to full physical activity after 2-4 weeks, and this will be confirmed by your vet at their two week recheck and suture removal appointment. The recovery period for orthopedic surgeries is typically longer, and varies depending on the specific procedure as well as individual factors. At each post-operative recheck, your vet will advise you on what level of activity is safe for your dog. Orthopedic patients are also started on a customized progressive physical rehabilitation program shortly after surgery, which aids in comfort, healing, and a more rapid return to optimal function.

dog on underwater canine PRT hydrotherapy treadmillWe highly recommend incorporating physical rehabilitation therapy and laser therapy into your dog or cat’s post-surgery rehabilitation program in conjunction with our recommended home care. Our orthopedic patients consistently demonstrate improved recovery times and final outcomes when they frequent our underwater treadmill and laser treatment center during the critical months after surgery. If your dog or cat has just had a major orthopedic surgery procedure, ask your vet for post-op rehab instructions. We’ve laid out a typical fracture rehab guideline and time table HERE.

Learn more about our PRT Underwater Treadmill and Laser Therapy Treatment Center in Billings HERE.

veterinarianHow to schedule surgery for your dog

When accidents occur, follow the advice of your veterinarian, who always has your dog’s best interest in mind. Because addressing a significant injury can often be time-sensitive, if your dog has been injured or you’ve been referred to us by your regular veterinarian for surgery, please call us immediately to schedule an appointment with one of our highly skilled veterinary surgeons. Our veterinarians and support staff are here to help your canine companion get back to living the healthiest and most comfortable life possible.

Types of dog surgery our veterinary hospital offers

At the Animal Clinic of Billings and Animal Surgery Clinic, canine surgical procedures typically fall into two categories: soft-tissue surgery and orthopedic surgery.


Many dogs and cats will have to undergo surgery at some point in their lives. As a pet owner, you want your companion to receive the best possible surgical care in a state-of-the-art, safe and comfortable environment. 

At the Animal Surgery clinic of Billings, we pride ourselves on making every procedure as safe as possible, using our state of the art monitoring equipment and the combined years of experience of our doctors and technicians.

The Animal Surgery Clinic of Billings is equipped with a state-of-the art surgical suite where our veterinarians perform all common procedures and many advanced orthopedic procedures, including but not limited to:


  • Anal Gland Removal Surgery
  • Biopsies
  • Cystotomy Surgery
  • Ear Hematoma Surgery
  • Ear Polyp Removal
  • Foreign body removal
  • Hernia repairs
  • Laceration (wound) repair
  • Mass/lump removal
  • Nephrectomy (Kidney Removal)
  • Neuter (Castration) in Dogs and Cats
  • Organ Biopsy
  • Oronasal fistula repair
  • Ovariohysterectomies (spays) and neuters
  • Parathyroid Gland Tumor Surgery
  • Perineal Hernia
  • Perineal Urethrostomy
  • Reproductive Surgery
  • Salivary Gland Problems
  • Skin Grafting and Reconstructive Surgery
  • Soft tissue tumors
  • Spay in Dogs and Cats
  • Thyroid Gland / Mass Removal
  • Tracheal Collapse
  • Tumor Removal and Histopathology
  • Upper respiratory surgery


  • Brachycephalic Obstructed Airway Syndrome (BOAS)
  • Cleft Palate Repair
  • Dental extractions
  • Fractured Tooth Extractions
  • Jaw Fracture Repair Surgeries
  • Laryngeal Paralysis
  • Laryngeal Tie Back
  • Oral Surgery – resection of oral tumors, repair of jaw fractures
  • Retained (Deciduous) Teeth in Dogs and Cats
  • Tooth Root Abscess in Dogs
  • Salivary Mucocele


  • Abdominal Exploratory Laparotomy
  • Adrenal Gland Tumor Removal
  • Bladder Stone Removal (Cystic Calculi)
  • Bloat Surgery / Gastric Dilatation and Volvulus (GDV)
  • Cystotomy (bladder surgery) – for removal of bladder stones or polyps
  • Emergency Abdominal Surgery
  • Enterotomy (intestinal surgery) – for biopsies and removal of foreign objects
  • Foreign Body Retrieval
  • Gastrointestinal Surgery
  • Gastropexy (to prevent bloat)
  • Gastrotomy (stomach surgery) – for biopsies and removal of foreign objects
  • Intestinal Mass Removal
  • Intestinal Resection/anastomosis – when removal of part of the intestinal tract is needed due to tumor or foreign object obstruction
  • Liver Biopsy – for diagnosis of liver disease
  • Liver lobectomy – for removal of liver tumors
  • Liver Mass Removal
  • Nephrectomy (Kidney Removal)
  • Pancreatic Mass Removal and Biopsy
  • Pyometra
  • Spleenic (spleen) Mass Removal
  • Subtotal Colectomy (Megacolon in Cats)


  • Anal Gland Tumors
  • Limb Amputations
  • Lymphosarcoma in Dogs
  • Tumor Biopsy / Removal
  • Mast Cell Tumor
  • Mammary Tumors
  • Nephrectomy (Kidney Tumor)
  • Lung Lobectomy / Lung lobe removal surgery


  • Abscess Treatment and Surgery
  • Corneal Ulcer in Dogs and Cats
  • GIT Intestinal Resection and Anastomosis
  • Bite Wound Treatment
  • Bloat Surgery / Gastric Dilatation and Volvulus (GDV)
  • C-Section and Dystocia in Dogs
  • C-Section and Dystocia in Cats
  • Bladder Stone Removal (Cystic Calculi)
  • Exploratory Abdominal Surgeries
  • Eye Enucleation
  • Feeding tube placement and management
  • Gastrointestinal foreign body removal
  • Laceration repair
  • Limb amputations
  • Pyometra (Pus in Uterus)
  • Rectal Polyp in Dogs and Cats
  • Rectal Prolapse in Dogs and Cats
  • Splenectomy
  • Vaginal Prolapse and Vaginitis in Dogs


  • Ear Hematoma Surgery
  • Lateral Ear Canal Resection – Zepp Procedure
  • Total Ear Canal Ablation (TECA)
  • Ventral Bulla Osteotomy
  • Vertical Ear Canal Ablation


  • Cherry Eye
  • Eye Enucleation – removal of the eye, in cases of trauma or painful/blind eye, as in end-stage glaucoma. Pets actually adapt quite quickly to enucleation surgery.
  • Eyelid surgery – correction of entropion (inverted lids) and lid tumors
  • Entropion and Ectopion Eye Surgery
  • Prolapsed gland of the third eyelid (“cherry eye”) repair


  • Cat declawing
  • Dog dewclaws removal
  • Ear cropping
  • Entropion and Ectopion Eye Surgery
  • Tail Docking and Amputation
  • Stenotic Nares in Dogs (narrow nostrils)


If your dog or cat has a broken leg, a broken back or some other severely broken bone or fracture, our orthopedic surgery team at the Animal Clinic of Billings and Animal Surgery Clinic are here to help! Many of the surgical procedures performed by Dr. Brown and Dr. Sherburne at the Animal Clinic of Billings and Animal Surgery Clinic on any given day can be among the most advanced and cutting-edge veterinary surgical procedures.

Veterinarians Dr. Sherburne and Dr. Brown perform advanced orthopedic procedures and spine surgery at The Animal Clinic of Billings and Animal Surgery Clinic in Billings Montana.

Doctors Brown and Sherburne have more than 65 years combined veterinary practice experience and have successfully managed thousands of complex orthopedic injuries.

Drs. Brown and Sherburne provide arthroscopic joint surgery, advanced ACL and CrCL injury procedures in Billings, including TPLO and TTA, partial and complete joint fusions, elbow dysplasia surgeries including PAUL, and CUE, total hip replacements, advanced limb straightening procedures in addition to many other advanced forms of spine surgery, knee surgery, shoulder surgery, pelvic fracture surgery, bone grafting, and torn or ruptured ligament repair procedures on dogs and cats at the Animal Clinic of Billings and Animal Surgery Clinic in Billings Montana.




  • Biceps Tendon Injury and Rupture
  • Biceps Ulnar Release (BURP)
  • Canine Unicompartmental Elbow (CUE)
  • Carpal Hyperextension / Arthrodesis Joint Fusion
  • Elbow Dysplasia (PAUL, CUE, PUO, SCO, & BURP)
  • Elbow Osteochondritis Dissecans (OCD)
  • Fragmented Coronoid Process Removal and Surgery
  • Lateral Humeral Condylar Fracture Repair
  • PAUL Surgery for Elbow Dysplasia
  • Proximal Abducting Ulnar Osteotomy (PAUL)
  • Proximal Ulnar Osteotomy (PUO)
  • Shoulder Instability (MSI)
  • Shoulder Osteochondritis Dissecans (OCD)
  • Subtotal Coronoid Osteotomy (SCO)


  • Achilles Tendon – stretched, torn or ruptured
  • Anterior Cruciate Ligament repair surgery (ACL, CrCL or CCL)
  • ACL, CrCL or CCL Extra Capsular repair surgery
  • Cranial Cruciate Ligament Disease or Rupture (ALC, CrCL or CCL)
  • Distal Tibial Growth Plate Fractures
  • Double Pelvic Osteotomy (DPO)
  • Femoral Head and Neck Excision (FHNE)
  • Femoral Head and Neck Ostectomy (FHO)
  • Femoral Osteochondritis Dissecans (OCD) of the Knee
  • FHO Rear Limb Surgery
  • Hip Dysplasia Surgery
  • Iliopsoas Muscle Injury Surgery
  • Juvenile Pubic Symphysiodesis (JPS)
  • Luxated hip toggle pin repair surgery
  • Medial Patella Luxation correction (MPL)
  • Osteochondritis Dissecans (OCD) of the Hock
  • Patellar Luxation Surgery
  • Pelvic fracture surgery
  • Slocum TPLO Certification for ACL, CRCL injury
  • Stifle (Knee) Surgery
  • Superficial Digital Flexor Tendon Luxation
  • Tarsal Arthrodesis Fusions (Complete and Partial)
  • Tibia Bone Fracture Surgery
  • Tibia Growth Plate Fracture Repair Surgery
  • Tibial Fracture Repair Surgery
  • Tibial Plateau Leveling Osteotomy (TPLO)
  • Tibial Tuberosity Advancement (TTA)
  • Tibial Tuberosity Avulsion Fracture
  • Total Hip Replacement (THR)
  • Triple Pelvic Osteotomy (TPO)
  • TTA-KYON-Swiss for Cranial Cruciate Deficient Stifle
  • Zurich Cementless Total Hip Replacement (THR)


  • Advanced Spinal Surgery
  • Hemilaminectomy Spine Surgery
  • Intervertebral Disk Disease (IVDD)
  • Laminectomy Spine Surgery
  • Lumbosacral Stenosis & Spine Disease (LS, CLS & DLS)
  • SOP for Bone Fractures and Spinal Stabilization
  • Spinal Fractures
  • Ventral Slot IVDD Spine and Neck Surgery


  • Advanced Osteotomy for ALD Limb Straightening
  • Angular Limb Deformities
  • Masters Level Advanced Osteotomy for ALD limb straightening


  • Platelet Rich Plasma (PRP) Injection
  • Regenerative therapy, Stem cell therapy & IRAP


  • Advanced Bone Fracture Repair
  • Amputations
  • Arthrodesis Joint Fusion
  • Arthroscopic Exams and Assisted Joint Surgery
  • Arthroscopy of Elbow, Shoulder, Stifle Knee
  • Arthroscopic Fragment Removal
  • Bone and Spine Tumor Management and Surgery
  • Bone Grafting and Joint Fusion
  • Carpal and Tarsal Fracture surgeries
  • Degenerative Joint Disease (DJD)
  • Diagnostic and Surgical Arthroscopy
  • External Fixation Surgery
  • Fracture repair – intramedullary pinning (placement of pins inside the long bones)
  • Fracture repair – external fixation (using external pinning and connecting rods)
  • Fracture repair with ORIF, conventional and locking plate systems, external fixation
  • Fracture Repair – All Types
  • Interlocking Nail Bone Fracture Repair
  • Internal Fixation Surgery
  • Joint Fusion (Arthrodesis) Surgery
  • KE – Complete and Hybrid External Fixation
  • Legg Calve Perthes Disease
  • Limb Amputation
  • Minimally Invasive Plate Osteosynthesis (MIPO)
  • Osteoarthritis
  • Physical Rehabilitation Therapy (PRT) & Laser Therapy

Let our highly trained and experienced team of veterinarians and veterinary technicians help you keep your dog as happy and healthy as they can be.

Call the Animal Clinic of Billings to schedule your dogs next wellness examination with us today!





providing our region’s companion animals and their families what they need and deserve since 1981

1414 10th St. West, Billings MT 59102