I loved this book. Of course, I am an animal lover and have spent many hours at the vets office so it was interesting to get the perspective from a veterinarian who is on the other side and sees many patients a day. It was also informative as far as operations and procedures and diseases and what can be done for many of the afflictions that our pets have. As written, sometimes it is very difficult dealing with the owners of sick pets as they may not be emotionally able to make the right decision at the time on what is best for their pet - sometimes people are only thinking of themselves and their sadness and not about the pain their pet is going through. Nick Trout is a great writer and I loved his other book, "The Patron Saint of Lost Dogs", which is what I read first and then I ordered this book as I wanted to read more from him.