Soft Tissue Surgery:
This refers to surgery of anything that does not include bone structure.

  • Elective surgeries such as spays, neuters, and declaws
  • Intra-abdominal surgeries: Exploratory surgery, preventative gastropexy, gastrotomy, enterotomy, biopsies of organs, cystotomy, splenectomy, pyometra surgery, Cesarean sections, etc.
  • Mass removals from the skin or underlying tissues
  • Eye surgeries including entropion repair, cherry eye surgery, eyelid growth removals, enucleations.
  • Mastectomy

Orthopedic Surgery:

Canine knee, prepping for cranial cruciate repair


This is any surgery the involves the bone.

  • Fracture repair including pins, plates, and external fixators: These require some advanced training and are only offered at select locations
  • Amputations
  • Femoral head osteotomy (select cases)
  • Stifle surgery including luxating patellas and cranial cruciate surgery: Dr. Couch offers these surgeries at our Rockville location. She performs the tight rope repair procedure.

Physical therapy and Rehabilitation:

  • Dr. Couch offers a variety of adjunct therapies for musculoskeletal injuries. These include teaching owners how to perform exercises particularly for their pet’s injury, rehabilitative gym sessions, post-operative physical therapy, and cold laser therapy.

Read more about our small animal surgery services below.

If you have any questions about our services, please contact us today.