Choosing surgery for your senior dog is never an easy decision. Many dog owners have expressed some version of this sentiment to me: “My veterinarian is recommending a procedure for my umpteen-year-old dog, but I’m scared. Is my dog too old for surgery?”
This paradigm is prevalent, but it’s a myth we must dispel.
Age is not a disease, and your dog is never “too old” to receive the quality care he or she needs, even if it involves a surgical procedure that requires anesthesia.
When I published “Is My Senior Dog Too Old for Anesthesia,” I didn’t imagine that it would resonate with so many dog owners and would generate so many questions regarding surgery and anesthesia for dogs. In the comments section of the blog post, dog owners have been pouring out their anxious thoughts and heart-wrenching stories about anesthesia for their grey-muzzled companions.
Is my dog too old for surgery? 3 stories that offer hope
If this question is heavy on your heart, you’ve come to the right place. I want to share a story—actually a few stories—from two veterinarians and a dog owner about the risks and rewards of surgery. Then you can draw your own conclusions about surgical procedures for your senior dog.
1. A veterinarian’s reflections on surgery for two senior dogs
Recently, I read the following remarks from my colleague, Dr. Kelly McGuire, and I asked for her permission to share them. I couldn’t agree more with her sentiment and I love her perspective.
Yesterday I euthanized two of my long-term patients. One was Gabriel. He was a 17-year-old cairn terrier. When he was 15 I started seeing him. He had a murmur and cataracts and osteoarthritis. He was “old”. He also had severe dental disease. I pretty much begged them to let me do a dental. We did.
I made him not “old” for another 18 months. Their previous vet told them he was too old and not ok for anesthesia at 13. He was owned by two wonderful women who hugged me and thanked me for more good times with him.
The other was Noel. She was almost 18, I think. She had chronic kidney disease (CKD), hyperthyroidism, a heart murmur, and a growing splenic tumor. I removed that spleen two years ago. She lived another two years until the CKD caught up with her. The two men that owned her are amazing and wonderful and thanked me for getting them more time.
Will it always work? No. But we’ve got to change the mindset that says, “My dog is too old for surgery.”~Dr. Kelly McGuire, Park Hill Veterinary Medical Center, Denver Colorado
I work in a city and clinic that are constantly growing. Sometimes I even have to disagree with what my clients have been told by other vets…I beg them to please stop telling people it can’t be done. These animals and owners deserve a chance at more quality, pain-free time.”
2. A vet grapples with surgery for her 18-year-old dog
My second story comes from a friend and colleague, Dr. Christy Mackenzie. She gave me permission to share her account of choosing dental surgery for her own dog…who was 18-years-old!
I tell people all the time that I anesthetized my 18-year-old Jack Russell Terrier, Kip, for a dental—six months before he passed away. He had moderately high liver values at the time, but he needed it done.
~Dr. Christy Mackenzie
And then he had another happy six months, as opposed to not having another happy six months. Worth every penny!
Was I scared about it? Of course, I was. I’m always a little scared for any patient that’s going under anesthesia, in spite of trying to make it as safe as I can for every patient. But, to me, it’s worth the risk to make them comfortable and happy.
Plus, we found out at that last dental that while we thought all his teeth werehealthy, since he had had regular dental cleanings most of his life, he actually needed two of his last molars removed (that couldn’t be seen onregular exam while awake). So we spared him a LOT of discomfort for those last six months!”
Ensuring senior dogs get the best quality of care
In both of these examples, I hope you can feel the levity of the decisions. Neither of these vets nor myself is suggesting that choosing surgery for a senior dog is an easy decision or one that can be taken lightly. To the contrary, each patient is carefully examined and appropriate lab work and diagnostics are performed in advance.
Then much thought and care go into custom formulating the anesthetic protocol for our senior patients. They receive intensive care and monitoring before, during, and after the procedure, which is critical in helping everything “go right.”
The bottom line is this—we don’t shy away from anesthetic procedures if there is a golden opportunity to improve our senior patients’ quality of life.
A dental procedure could be a fountain of youth for a senior dog
For example, dental extractions under anesthesia on senior dogs with “trench mouth” is one of the most rewarding parts of my job! Why? Because these patients feel
My third story comes from one of our ToeGrips® dog nail grips customers, Cynthia. Recently, she shared with me her story about choosing surgery for her senior dog. With her permission, I’m sharing her account and I hope that it helps others who are grappling with this decision.
3. A dog owner’s decision to choose surgery for her senior dog
“Chopper is our 13-year-old black-tri Australian Shepherd who was intact until last week. He has always been such a sweet and loving boy! We had chosen not to neuter him after two litters of pups he sired because he was diagnosed with degenerative disc disease which led to a dorsal laminectomy at eight years old.
Following the surgery, we felt he had suffered a stroke as he would not lie down. We were told by his doctor, a top neurosurgeon, that it was a behavioral disorder. We insisted this was not normal or behavioral, so they did a series of spinal injections and he was able to sleep normally once more. After all of that, we didn’t want to put him through a surgery to neuter as he’d been through so much medically.
Just after he turned 10, I noticed a very slight change in his ear set; the right side looked a little different. So off to the vet we went. Upon initial exam, we were once again referred to a specialist as a brain tumor was suspected.
A CT Scan was recommended and we agreed to the procedure. It did not show a tumor or cyst but it did confirm he’d had a stroke in the past. Not something I was happy to have been right about but it did affirm I do know my dog.
Next was an MRI which did confirm there was a tumor/cyst applying pressure to the brain stem and the fifth cranial nerve, possibly a nerve sheath tumor. There was no way to know without doing a triple craniotomy, which we were not inclined to do given the grave possible consequences…brain bleed, brain swelling, altering who he was mentally, and possibly not surviving the surgery.
The odds just were not in his favor.
Without surgery, they said we probably had three months left with him. We were beyond devastated. We decided that we would continue to love him and cherish every single day.
Three months passed, and we still had our happy boy. Then six months, a year, then two. His vets were amazed!
A year ago, he began to have incontinence issues. He would struggle to urinate but with a
We were out of town working in Colorado and took him to a vet referred to us. Upon hearing his history, she suspected we were dealing with a prostate issue as opposed to the bladder. She ordered an abdominal ultrasound which showed an increased prostate. We stopped the bladder medication and started a regimen of prostate medication.
This worked almost six months, until this February when it flared up again but was definitely the worst it had ever been. Total incontinence with him wearing male wraps/diapers. He was miserable and we were worn out from all the worry and the constant cleaning of him. This time we were in New Orleans, LA, and did not have a vet who knew his history.
We contacted the vet who treated him in Colorado and miraculously one of her best friends was in practice here in NOLA! She was able to get us an appointment the next day! We did full panels of bloodwork, a urine culture, and repeated the abdominal ultrasound.
His prostate was again very enlarged. The culture grew ecoli/staph so we started him on antibiotics and discussed options. Given the brain “cyst”, degenerative disc disease and prostate issue, we had to try to decide which was causing the incontinence. We all agreed that the prostate was the most likely culprit and easily solved with
Our only reluctance was anesthesia given his age and past medical challenges. We were worried that the few neurological side effects he did have could be permanently increased by the anesthesia.
The vet was very knowledgeable and
I am extremely happy to report that he did very well in surgery with no complications, woke up and recovered well from the anesthesia.
However, the first 24 hours, we did see an increase of neurological symptoms which really scared us but the vet felt they would return to normal within 48 hours. Thankfully they did and he was urinating normally within hours of the surgery.
He is acting as though he is young again! I’m so thankful to have had a team of doctors who cared so much about his quality of life! He has recovered so much better than we could have ever expected!
And your ToeGrips gave him so much more stability after his back surgery! Thank you for all you do! ”
~Cynthia Fowler
Considering surgery for your dog? Take these 4 steps
If your veterinarian is recommending a procedure for your senior dog, it’s because she or he believes that it will help your dog feel better. (And maybe live longer too!)
Here are specific steps to take to help you determine what’s best for your dog:
- Have a frank discussion with your vet about the procedure and share any concerns you have.
- Ask your vet to lay out the pros and cons of the surgery.
- If you or your veterinarian feels uncomfortable about proceeding, you can ask for a referral to a specialty facility (usually a large, 24-hour hospital with specialty doctors and advanced equipment).
- Please don’t write off the procedure because of the myth that your dog is “too old for surgery or anesthesia.”
I hope these perspectives shed some additional light on surgery for senior dogs. Most of all, I hope that you and your dog enjoy every moment of time that you have together.
Do you have questions about surgery for your senior dog?
Please comment below. We can all learn from each other.
Hi I have a 12 year old chocolate lab. He has a ruptured eye. He will never see in that eye again. The other symptoms are arthritis joint problems, he also has kidney problems. Just had blood work done a second time the kidney appears to be getting better but not up to par. He is on KD food for maybe 6 weeks. His eye has glaucoma. He doesn’t eat like he used to. Maybe once a day. About the kidney since he doesn’t eat that much the kidneys health will slow down. He must be in some kind of pain, l was thinking to have eye removed. However with the kidney and arthritis joint problems I think I should put him down.
Emelio, It’s impossible to get the full story from a few sentences, but I can tell you that glaucoma is extremely painful and also a “ruptured eye” sounds painful and in need of treatment. I recommend you seek veterinary care immediately. I can’t tell you if surgery or euthanasia is the more appropriate option for your senior lab, but I think I can safely say that doing nothing/waiting is not appropriate. I hope that you are able to get your dog the help he needs right away.
Hi – my 9 year old dog has a huge lipoma under his stomach. It is pushing his stomach out so much now his back right leg pushes out and sometimes gives out. My concern to remove it was his age until I read your story. Now I am concerned about complications from how large it is and where it is located. Any thoughts?
Hello Melissa! I was just reading a story today on a vet board posted by a colleague about this very thing. She described a senior lab patient of hers who had a huge lipoma in his neck/jaw. The first veterinary opinion was that it was not worth removing because he was too old. She was the second opinion. She sent the dog out to a specialist (surgeon) who removed a 5 pound lipoma and the dog is doing great! So my thoughts are this: 9 is fairly young. I would definitely consider removal. Yes, the size is the biggest concern because it will leave a big void once removed that will need to be properly thought out in terms of surgical approach, drainage, etc. If your vet isn’t comfortable doing the procedure, absolutely consider referral to a board certified surgeon (specialist). Please keep us posted. I’m optimistic that great things are ahead! 😉
My schnoodle (schnauzer poodle mix) will be 12 in July. She has mammary gland growths that have gotten bigger in the past two years. I noticed the growth when she was young and take her for her check up every year. Why wouldn’t this have been addressed before it got so big? The vet thinks it is cancer and if she opens her up, it will go straight to her lungs. After she told me this my little dog got prolapse infection. Again the vet told me the treatment was to have her spade but she didn’t want to open the tumors to get to the infection. We treated the infection for several months. I am so afraid she may be in pain although she is playful and eating well.
Hello Judy, The great news is that if she is playful and eating well and acting like herself, she is likely not in significant, ongoing pain. As for metastasis of mammary cancer to the lungs, I want to be clear that even if she is not “opened up” this is a very real possibility, I’m sorry to say. I would advise following your veterinarians recommendations, but taking her back for a recheck at the first sign of any changes. I would also revisit the topic with your vets of having her spayed, now that the infection sounds like it’s cleared, to see if they think it’s wise to do while she is stable.
We have a 13 year old Yorkshire Terrier. She doesn’t look over weight, but she is a solid 15 pounds. When we took her to get her shots the vet checked her mouth and said that she needed her teeth cleaned and that she needed three teeth removed. He checked her heart and did not detect a murmur. He does not appear to be in any pain and is active and healthy. She has always had a good appetite. He said it could lead to a heart valve problem. We are worried about putting her under anesthesia. at her age..
John, I totally understqnd your feelings and they are valid. I will just say that I’d much rather do an elective procedure on a 13-year-old healthy Yorkie than an urgent procedure on a 15-year-old Yorkie with healh problems (ie. down the road).
Hi. My 15 year old terrier mix was diagnosed with Cushing’s about a month ago, had a tumor on his adrenal gland, moderately high liver counts and was just diagnosed this week with a very angry and uncomfortable mast cell tumor. We go to see an oncologist on Monday, and I know they will recommend surgery to remove it, but I am so concerned about surgery given his other underlying health issues. I want to do what is best for him as he is truly a fighter, but I am honestly unsure as to what the right answer may be. Lisa
I understand your concerns, Lisa. They are certainly valid. By going to an oncologist, you are doing everything you can to get the answers you need. I commend you for going to see a specialist.
What a truly helpful article. This is exactly what I needed to read. My mini schnauzer will be 15 in six weeks. He needs a dental badly, and also has an enormous lipoma on his chest. It is so big it is impeding his walking, jumping and even lying comfortably. The dental I feel is needed, but unsure about the lipoma. It might be considered cosmetic. I wasn’t even going to consider surgery but this article helped me decide to at least explore the options. Thank you.
Jennifer, you totally made my day! If you do nothing more than explore the options, I will be thrilled and I think you’ll have peace of mind in the present and future. Thanks so much for taking the time to post your comment. I hope you get all the answers you need as you move forward.
My dog is 13 years old. He just had surgery about 2 weeks ago. They removed a stone in his bladder and after the surgery the vet noticed another one but in a different place which she wasn’t sure what it was until she sent the x-rays for review. She confirmed it was another stone. She tried to move it to the urethra with sterilize water and it moved so now she is telling me that she would like to do surgery to remove it.. This made really upset and nervous because my dog just had surgery and now she has to remove another stone when she could have done it the first time. She’s been our vet for the past 8 years and always been so good. I’m afraid that my dog has to go through anesthesia again. I just don’t know what to do at this point.
Hi Nati,
I understand your concern and frustration. Unfortunately, I always tell my clients that the practice of medicine is an art and not a science. No dog ever reads the book and sometimes things don’t go exactly as planned. I would be honest in expressing your concerns to your vet, but I’d also follow their recommendations, especially if the first anesthesia was uneventful. I hope this helps.
My 17 yr old Lab has pyo would she survive the surgery? So hard to make a decision we know it’s open pyo as she is leaking pus.
Hi Nicki, I’m sorry to hear this. I’m sure you are very worried. Thankfully it is an open pyo. There is some debate on whether or not those can be resolved fully with medical treatment (as opposed to emergency surgery), but it may be a reasonable option to try, all things considered. Unfortunately, I don’t have enough information to advise you on the surgical decision and would rely on your veterinarian’s recommendations.
My boxer Roxie is 12 years old. She was diagnosed w/ an enlarged heart years ago but it hasn’t effected her to my knowledge. Still very active, playful, energetic & just a ball of joy. I recently noticed growths in her mouth. Some seem almost connected to her gums but others are dangling from her gumline. I brought her to the vet & we decided on having the hanging growths removed via surgery & sent off for biopsy. The more I think about it, the more nervous I’m becoming. She is still eating & acting as normal as ever but I’m worried about complications under anesthesia. Any input would be greatly appreciated.
Hello Travis,
I understand that this is a big decision in a senior dog, let alone a senior dog with a heart condition. However, I’m sure your veterinarian weighed all the factors when recommending anesthesia and biopsies. The mouth is a common site for cancer in dogs, so I think you’re doing the right thing by pursuing these growths and getting answers. I would recommend you ask to speak to your veterinarian before the procedure by phone to express your concerns and hear his/her plan and expectations. I think this will help put your mind at ease because knowledge is power!
My retired precious service dog, a German Shepherd mix is 14 yo. She has had a keratinizing cyst off and on above her paw pads most of her life. It has been large and infected for several months now. She has also been ill with increased liver enzymes, and 2 large liver masses. After taking the liver med and changing her diet, she is perky and playful, but in paw pain . My vet wants to operate on her paw. She is just now doing well. She’s had previous cancer surgeries and really struggled afterward. What do I do? I feel that every answer the Veteranarian has to my pup’s problems is to operate. What do I do? This is hard! The last surgery was so traumatic for my girl, and she developed a nervous tick afterward.
Hi Christine,
I’m a huge believer in you (mother’s intuition) knowing your dog best. Given that you have so many valid questions and concerns, I would strongly recommend getting a second opinion before proceeding to surgery. I would seek word-of-mouth recommendations to find another veterinarian in your area who could do a full exam, listen to your concerns, and provide a second opinion. If both opinions match, I think you need to pursue surgery, but hopefully you can do so with more peace of mind.
My senior Minature Pinscher had dental work 6 months ago. He has been a disaster since then. Severe nerve pain in his mouth and collapsed trachea resulting from the procedure. It has literally cost me thousands of dollars after paying $3,700.00 for the procedure. IThe dentist was highly recommended by his veterinarian and a specialty clinic. His senior years have been ruined. I struggle with whether or not he now has quality of life. My heart is broken for him. I seriously don’t know what to do now….He has a neurologist, Internist, etc…but suffers daily even though he is on Prozac, Hydrocodone, Neurontin, Trazadone, Diphenhydrate, etc….Nothing is helping. 😢🐾💔
Oh, Denise. I’m sorry to hear how difficult this has been for you both. It sounds like you have an incredible team of veterinarians—specialists in many different areas—advising you in his care. I don’t know that I’ve ever heard a story of an advanced dental procedure, done by a qualified professional, making the dog worse. Typically it’s like the fountain of youth. Perhaps there is something else going on? Have you reached back out to the dentist for a follow up examination/consult. I would certainly give him/her the opportunity to recheck your dog and provide their thoughts on what you describe.
What about a geri cattle dog with a heart murmur? Needs a dental. Also severely allergic to shellfish/iodine.
Hi Beth,
I’m not sure about the allergies impacting anesthesia. I don’t think that shellfish or iodine produts are ingredients in the common drugs we use, but your dog could be premedicated with diphenhydramine to reduce chances of a drug reaction [see: https://toegrips.com/benadryl-for-dogs/%5D
With proper monitoring and a well thought out anesthetic plan, I would have no problem anesthetizing a geriatric cattle dog with a heart murmur for a procedure. But as I said in the article, if you and/or your vet are not comfortable, referral to a specialty facility is always an option.
Thank you!! I recently did surgery on two of my seniors and have before… Im scared every time but my vet is very good and I trust in what she does..❤
I do senior dog rescue…small one but I love the seniors others tend to throw away…many need surgery… Thank you for all you share and do.
Thanks for your kind words, Charlotte. It’s wonderful to hear that you recently had successful surgical procedures on two of your seniors. It’s also wonderful to hear that you have so much confidence in your vet. My hope is that every client would feel that way, as we partner with our clients to help their pets!
As always, Dr. Julie, you provide such great information. Having a senior pet does bring challenges but even more joys. If only our pets could tell us what they are feeling but since we can’t understand in words, knowing that certain steps can improve the quality of whatever time they have left is priceless. There are no guarantees that a puppy will live a long life or any of us, but if you can alleviate discomfort in your older best friend’s mouth so that he can enjoy his meals if only for another 6 months, that is a blessing, but YES! Of course, discuss with your vet all the options and potential outcomes.
Thanks so much, Denise! I couldn’t agree more with your comment! We strive to do all we can to help our pets live wonderful, happy lives for the time that they are with us.