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Pre-Op exam is required for all surgical procedures. All surgery pricing includes-Surgical procedure, Medication to go home, an e-collar for spays/neuters, and a post-op recheck exam. Pre-Op/mini lab work ($125 is required for pets 5 yrs of age or older). Surgical/Medical procedures cancelled less than a week from the surgery date will incur a $75 no show fee that will be added to your pets next scheduled appointment with us.