Approaching high-volume spay and neuter as a separate discipline, this comprehensive reference addresses the unique challenges of this branch of shelter medicine. You will learn how to become faster at performing these procedures in a variety of settings, while still maintaining the safety of the patient. Safety is emphasized throughout with guidance on how to best treat patients with unknown medical histories and financial constraints that restrict the ability to do pre-anesthetic blood work. Special attention is given to considerations about surgical technique, as well as topics such as suture selection and size, suture pattern, patient order, medications, and aftercare. Coverage of mobile veterinary services examines how to provide low-cost spay and neuter to underserved communities with this emerging trend in the industry.