I brought my one year old puppy in for a routine vaccination. The vaccination itself was smooth and well handled, but the consultation was very unsettling.

The vet immediately recommended invasive and life threatening patellar surgery on a healthy, active, pain free puppy without first asking about her medical history. She then stated confidently, “For this condition, we recommend surgery,” even though my puppy has already been evaluated twice by an orthopedic surgeon with over 25 years of specialist experience who confirmed that surgery is not currently necessary. By comparison, this vet is a general practitioner who graduated from veterinary school approximately ten years ago.

When I raised concerns about elective surgery and general anesthesia, especially because I previously lost a pet under GA after a vet proceeded despite critically low red blood cell levels, the response was simply, “GA always carries risks of death.” This was said without acknowledgment that we were discussing an optional procedure, and it felt dismissive of lived experience and grief.

There was also an implication that owners decline surgery due to cost. This assumption was misplaced. My pets have always received specialist care, and many lived close to twenty because their wellbeing was prioritised above convenience or expense.

More importantly, proper informed consent was not provided. No explanation was given regarding actual surgical risks (including death), success rate, probability of complications, recovery timeline, expected lifestyle impact, or long term prognosis. There was also no discussion of medical necessity, especially given that all aging pets eventually develop some level of arthritis regardless of whether they have patellar luxation.

When I referenced insights shared by a highly regarded neurosurgeon regarding the relatively low number of elective orthopedic surgeries performed in Singapore due to survival concerns, the vet responded with skepticism rather than curiosity, respect, or empathy.

Unnecessary surgery and a lack of sensitivity from some clinics have become a growing concern among pet owners in Singapore. Many have lost animals during elective, non-urgent procedures. I hope the clinic reflects on how and when such serious recommendations are made, especially when proposed within minutes to the owner of a young, asymptomatic puppy.

Veterinary guidance should be thoughtful, evidence based, and delivered in a manner that allows pet owners to make informed and responsible decisions.

We found APEX very helpful when our dog swallowed a potentially harmful item. They immediately agreed to see her – this was already after 6 PM and were able to induce vomiting to remove the item before it moved into her intestines where it may have caused a blockage. We were very pleased with their prompt attention and transparent pricing.

Had a pleasant experience seeing Dr Nick, who was very thorough and informative. Scarlet at the reception is friendly and patient too. Happy with the visit!