Veterinary Surgery for Dogs and Cats

ACVS TPLO and Cruciate Ligament Surgeries

VSH provides a number of veterinary surgery procedures for dogs and cats, including:

  • Abdominal
  • Arthroscopy
  • Bone and Joint
  • Canine Cruciate Ligament Repair
  • Cardiovascular
  • Circular Ring Fixation
  • Fracture Repair
  • Hip Dysplasia
  • Microvascular
  • Neurosurgery
  • Oncologic (Cancer)
  • Ophthalmologic
  • Reconstructive
  • Thoracic
  • Tibial Plateau Leveling Osteotomy (TPLO)
  • Tibial Tuberosity Advancement
  • Total Hip Replacement
  • Urologic

We specialize in thoracic, abdominal, reconstructive and oncologic surgery. If you have questions about the types of procedures we offer, please This e-mail address is being protected from spambots. You need JavaScript enabled to view it or give us a call!

Compassionate, Comprehensive Surgical Care

VSH emphasizes a team approach, where we integrate a comprehensive treatment plan so patients receive thorough, high-quality care. Our fully-equipped surgical suites have state-of-the-art monitoring and anesthetic equipment, and pain management is integrated into the preoperative management of all cases to ensure your pet's comfort.

Your dog or cat will be greeted by a compassionate surgery team from the moment of check-in to the time of discharge. When your dog or cat has fully recovered from surgery, our staff will provide detailed instructions on post-surgical care for your beloved pet at home. We pride ourselves on compassion and communication with you and your family veterinarian.

To learn more about veterinary surgery for dogs and cats or to book an appointment for surgery, please call one of our nearby locations at (760) 466-0600 (North County) or (858) 875-7500 (San Diego). Our veterinary surgical department offers morning, afternoon and weekend surgical consult times to better suit your schedule.

If you are experiencing a crisis and are in need of emergency veterinary care, please call our Emergency & Critical Care department at (760) 466-0600 (North County) or (858) 875-7500 (San Diego). A surgeon is always on-call for surgical emergencies.


Our Experienced, Compassionate Team and State-of-the-Art Technology

VSH's board-certified surgeons are at the forefront of veterinary surgery technology, techniques and treatments for dogs and cats. Our five-member surgical team is committed to offering cutting-edge orthopedic procedures for your pets to treat many common but debilitating ailments, such as hip dysplasia and cruciate ligament injuries in dogs.

Procedures include:

  • Total joint replacements
  • Knee surgery
  • Tibial plateau leveling osteomtomy (TPLO)
  • Tibial tuberosity advancement (TTA)
  • Tight rope procedures
  • Arthroscopy
  • Circular ring fixation

If you have a referral from your family/general veterinarian, please schedule an appointment for a veterinary surgery consult at one of our locations today. Referring veterinarians may also request a consultation or visit our Veterinarians Resource Section to learn more about continuing education opportunities.

Sean Aiken, DVM, MS, DACVS


A Diplomate of the American College of Veterinary Surgeons, Dr. Sean Aiken served as staff surgeon at the Animal Medical Center (AMC) in New York City, an internationally distinguished veterinary teaching hospital, from 1995-2005. As an enthusiastic advocate in the advancement of veterinary medicine for the benefit of patients and their families, he was voted Teacher of the Year. He also acted as Associate Director of the Bobst Hospital of the Animal Medical Center for three years. While on staff at AMC, Dr. Aiken served as a Visiting Investigator at Memorial Sloan Kettering Cancer Center, collaborating on several investigations with the orthopedic service. He is an author on more than 15 published scientific articles and book chapters.

Dr. Sean Aiken, a native Californian, is a graduate of the University of California, Davis School of Veterinary Medicine (1988). He completed his internship and small animal surgical residency at Purdue University in 1992, becoming board certified by the ACVS in 1995. An invited national and international lecturer, Dr. Aiken’s areas of special interest include surgical oncology and reconstruction, arthroscopy, joint replacement, minimally invasive fracture repair and TPLO surgeries. Dr. Aiken has served as a Wildlife Conservation Associate for the Wildlife Conservation Society of the Bronx Zoo. He is currently a reviewer for several veterinary journals.

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Katy Fryer, DVM, DACVS


Dr. Katy Fryer is a  Diplomate of the American College of Veterinary Surgeons since 2013. She has undergone broad training leading to clinical interests in both orthopedic and soft tissue surgery. Her special interests include minimally invasive surgery and oncologic surgery. Her soft tissue interests include laparoscopic ovariectomy, gastropexy, and intestinal biopsy, along with emergency gastrointestinal and hepatobiliary surgery. Dr. Fryer is trained in the Tibial Plateau Leveling Osteotomy (TPLO) and stifle arthroscopy for evaluation of meniscal tears. She also has a strong interest in fracture stabilization and repair of sacroiliac luxation.

Dr. Fryer obtained her doctorate of veterinary medicine from Ross University School of Veterinary Medicine in 2008, completing her final year of clinical studies at North Carolina State University.  In 2008-2009, she completed her rotating small animal internship at Oregon State University in Corvallis, Oregon. Dr. Fryer then went on to complete a 3-year small animal surgical residency at Texas A&M University, Veterinary Medical Teaching Hospital in College Station, Texas. For the past two years, she has been working in Sacramento at the VCA Veterinary Referral Center.

In her free time, she enjoys traveling, camping, water sports and spending time with her soon to be husband Justin, and three dogs Violet, Olive, and Cali.



Seth Ganz, DVM, DACVS


Dr. Seth Ganz obtained his doctorate of veterinary medicine from Tufts University School of Veterinary Medicine, North Grafton, Massachusetts, in 2005.In 2005-2006, he completed an internship in general medicine and surgery here at the Veterinary Specialty Hospital. He stayed with VSH for an additional year, completing a surgery internship. Dr. Ganz then went on to complete a 3-year small animal surgical residency at Fox Valley Animal Referral Center in Appleton, WI and became board-certified by the American College of Veterinary Surgeons in 2011.

Dr. Ganz has special interests in all aspects of orthopedic surgery including treatment of cranial cruciate ligament disease and joint replacement. Interests in soft tissue surgery include oncologic, abdominal, and reconstructive surgery. He also has training in neurosurgery. Dr. Ganz's research interests have included lower respiratory tract trauma, urinary tract disease, and complications of total hip arthroplasty. Dr. Ganz is passionate about small animal surgery and is rewarded by the opportunity to benefit the lives of his patients and their human companions.

In his free time, he enjoys surfing, running, hiking, crocheting, working on his VW van, and spending time with his wife Sara, their twin sons Beau and Alder and their dog Winter.

Fred Pike, DVM, DACVS


A Diplomate of the American College of Veterinary Surgeons, Dr. Fred Pike has undergone broad training leading to clinical interests in both orthopedic and soft tissue surgery. His special interests include trauma surgery and surgery of critically-ill patients. His soft tissue interests include reconstructive surgery and surgical management of diseases of the extrahepatic biliary system. Dr. Pike is trained in both the Tibial Plateau Leveling Osteotomy (TPLO) and the Tibial Tuberosity Advancement (TTA) for the surgical management of cruciate disease. He has an avid interest in arthroscopy, total hip replacement and diseases of the immature skeleton. He is a member of the Veterinary Orthopedic Society (VOS) and the Society of Veterinary Soft Tissue Surgery (SVSTS).

Dr. Pike is a graduate of the Atlantic Veterinary College, University of Prince Edward Island, Canada (1996). Following completion of his DVM degree, Dr. Pike was an associate in a small animal practice in Portland, Oregon. Following two years of general practice, Dr. Pike completed internships in medicine and surgery at the Veterinary Medical and Surgical Group, Ventura, California (1999) and anesthesia and critical care at Tufts University School of Veterinary Medicine, North Grafton, Massachusetts (2000). Dr. Pike completed his residency in small animal surgery at the combined Tufts University/Angell Memorial Animal Hospital program in Boston, Massachusetts (2003) and became board-certified in 2004.

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Joshua Jackson, DVM, DACVS


Diplomate of the American College of Veterinary Surgery, Dr. Josh Jackson has extensive clinical interests in the field of veterinary surgery. His special interests include total hip replacement, arthroscopic surgery, and cruciate ligament tears in dogs (Tibial Plateau Leveling Osteotomy or TPLO).  

Dr. Jackson served as a clinical instructor in orthopedics while at the University of California, Davis and gained experience in all aspects of veterinary orthopedics. His interests in soft tissue surgery include thoracic and abdominal procedures, such as oncologic/portal-systemic shunts and microvascular surgery. While at UC Davis, Dr. Jackson worked on several research projects with the comparative tissue transplantation laboratory. He also performed renal transplantation on clinical patients at the Veterinary Teaching Hospital.

Led by Dr. Jackson, companion animal transplantation facility has been launched at Veterinary Specialty Hospital. Dr. Jackson has authored scientific articles on thoracoscopy, liver shunt surgery and stifle surgery. Recently, the doctor co-authored a textbook chapter on osteochondrosis.  

Dr. Jackson is a graduate of Colorado State University, College of Veterinary Medicine and Biomedical Sciences. He completed an internship in small animal medicine and surgery here at the Veterinary Specialty Hospital in Rancho Santa Fe. Following his internship, Dr. Jackson completed his residency in small animal surgery at the University of California, Davis.

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The Renal Transplant Program has currently been placed on hold; updates will be available in the coming months.

Surgery Updates

Video: Post TPLO Rehabilitation