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News|Articles|May 7, 2026

How to talk to clients about spaying and neutering their pets

How veterinary teams approach this conversation will influence the client’s trust and, ultimately, the pet’s health.

Conversations about spaying and neutering come up frequently in small-animal visits, and they’re not always straightforward. Clients come in with opinions, online research, and sometimes strong feelings. Recently, there has been more focus on how veterinarians and pet owners communicate, and clients are looking for collaborative communication, which can lead to improved patient outcomes.1-3

The shift from paternalism to partnership

Veterinary medicine has traditionally used a “doctor knows best” approach. However, most clients today want to be active participants in conversations and decisions about their pet’s care.2 When discussing spaying and neutering, start by asking open-ended questions that allow the client to express their thoughts, feelings, and understanding, such as the following:

  • “What concerns do you have about spaying Bella?”
  • “What have you heard about when to get a dog spayed?”

Take time to listen to the client’s response, giving them space to explain their understanding. It gives you a better sense of where they’re coming from and what information to provide.

Understanding common client concerns

Clients often come in with a few common concerns about spaying and neutering, including the following:

  • Long-term risk of joint disorders, certain cancers, or urinary incontinence
  • Changes in behavior (energy levels, aggression, or marking)
  • When to do the surgery based on breed, size, and age
  • Personal beliefs, such as wanting a pet to experience “natural” life events

Be ready to discuss these concerns using published evidence.4-8 Acknowledge uncertainty where it exists using clear language. For example:

  • “Neutering can lower or remove the risk of certain cancers, but in certain breeds, it may raise the risk for other cancer types.”
  • “Larger-breed dogs may have an increased risk of joint disorders when spayed before a certain age.”
  • “Neutering may reduce roaming or marking, but behavior isn’t that simple. A lot of factors play into it.”

Your responses should be clear, straightforward, and nonjudgmental. Focus on educating rather than correcting. Keep your explanations brief, and use visual aids or handouts to help clients understand complex information more easily.3

Is traditional spay/neuter outdated—should hormone-sparing techniques be the new standard in preventive surgery?

At Fetch Nashville, we’re introducing Veterinary Crossfire—a dynamic learning experience featuring veterinary voices in unscripted debates on our most pressing issues. Our topic is “Navigating Reproductive Surgical Sterilization Options in 2026,” and it is only available at Fetch Nashville, May 29-30, so register here today to secure your spot.

Presenting options and recommendations

Clients want guidance.2,3 Once you’ve addressed their concerns, lay out the options clearly: “Based on what you've shared with me; there are several options for Max’s neuter. Let’s go over them together.”

Present multiple timelines:

  • Pediatric spay or neuter
  • Waiting based on breed or expected adult size
  • Leaving the pet intact

Communicate these options clearly, along with their pros and cons, to help clients make informed decisions. Clients expect veterinarians to provide a clear recommendation grounded in the pet’s individual context while leaving room for the client to make the decision2,3: “Based on what you’ve told me about Max’s lifestyle and your concerns; I’d lean toward waiting until he is 15 months old to lower his risk of joint disease. But I want to hear how that feels for you.”

Strategies for effective conversations

Productive conversations rely on a combination of structure and empathy1-3:

  • Ask open-ended questions to understand their motivations.
  • Listen without interrupting or pushing an agenda.
  • Validate concerns: “I hear you saying that you’re afraid of Bella having surgery. Can I walk you through everything we do to keep every pet as safe as possible?”
  • Use plain language to explain medical evidence.
  • Be clear about risks and trade-offs: “Not spaying Bella is an option. If that’s what you choose, I would like to explain the risks and costs if she became pregnant or developed a uterine infection.”

Conclusion

The goal of every spay and neuter conversation is to foster partnership, provide expertise, and empower clients. What matters is that they feel heard, understand the risks, and know you’re available to revisit the decision. That’s what builds long-term trust and better care over time.

References

  1. Coe JB, Janke N, Gray C, Serlin R. Clinical communication tools for contextualizing spectrum of care. Adv Small Anim Care. 2025;6(1):191-208. doi:10.1016/j.yasa.2025.06.013
  2. Groves CNH, Coe JB, Sutherland KA, Bauman C, Grant LE. Clients prefer collaborative decision-making with veterinarians regardless of appointment type. J Am Vet Med Assoc. 2024;263(1):1-11. doi:10.2460/javma.24.06.0421
  3. Janke N, Coe JB, Bernardo TM, Dewey CE, Stone EA. Pet owners’ and veterinarians’ perceptions of information exchange and clinical decision-making in companion animal practice. PLoS One. 2021;16(2):e0245632. doi:10.1371/journal.pone.0245632
  4. Romagnoli S, Krekeler N, de Cramer K, Kutzler M, McCarthy R, Schaefer-Somi S. WSAVA guidelines for the control of reproduction in dogs and cats. J Small Animal Pract. 2024;65(7):424-559. doi:10.1111/jsap.13724
  5. Hart BL, Hart LA, Thigpen AP, Willits NH. Assisting decision-making on age of neutering for mixed breed dogs of five weight categories: associated joint disorders and cancers. Front Vet Sci. 2020;7:472. doi:10.3389/fvets.2020.00472
  6. Hart BL, Hart LA, Thigpen AP, Willits NH. Assisting decision-making on age of neutering for 35 breeds of dogs: associated joint disorders, cancers, and urinary incontinence. Front Vet Sci. 2020;7:388. doi:10.3389/fvets.2020.00388
  7. Oliveira-Martins M, Portugal M, Cardoso L, Martins-Bessa A. The impact of pediatric neutering in dogs and cats—a retrospective study. Animals (Basel). 2023;13(15):2487. doi:10.3390/ani13152487
  8. Acharya KP, Phuyal S, Hart LA, Hart BL. Determining the earliest age for neutering and spaying specific companion dogs. Open Vet J. 2025;15(6):2284-2285. doi:10.5455/OVJ.2025.v15.i6.2

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