How Much Does Dog ACL Surgery Cost?


Insurance Ranked

- Updated September 20, 2023

How Much Does Dog ACL Surgery Cost?

Dog owners understand that their furry friends are cherished family members who deserve top-notch care. When it comes to canine health, one common issue is ACL injuries. Like humans, dogs rely on their ACL for stable leg movement, making ACL surgery a critical intervention to maintain mobility and quality of life.

ACL injuries in dogs can lead to pain, lameness, and reduced activity. Without treatment, they can result in joint damage and osteoarthritis. ACL surgery is the solution, but it comes with varying costs based on the dog’s size, age, health, and chosen surgical approach.


What is Dog ACL Surgery?

The ACL in dogs, also known as the Canine Cruciate Ligament (CCL), is crucial in stabilizing the knee joint, enabling smooth and controlled leg movements. Like humans, dogs can suffer from ACL injuries, which can be debilitating and painful. When the ACL is damaged, it can lead to instability in the knee joint, causing lameness, limping, and a significant reduction in the dog’s overall activity level. These injuries can be widespread among active or athletic breeds and result from natural aging. An ACL injury in a dog can disrupt their normal, active lifestyle and compromise their overall quality of life.

ACL surgery in dogs aims to repair or replace the damaged ligament to restore stability and function to the knee joint. The primary objective of this surgical procedure is to alleviate pain, improve mobility, and prevent the progression of joint damage. Different surgical techniques are available, with the choice depending on factors such as the dog’s size, age, and the severity of the injury.

Common surgical approaches include extracapsular stabilization, tibial plateau leveling osteotomy, and tibial tuberosity advancement. Each technique has distinctive advantages and considerations, but all aim to return the dogs to their active and pain-free selves, ensuring a better quality of life.

Main Causes Leading to ACL Injuries in Dogs

Traumatic Events

ACL injuries in dogs often result from traumatic events like vigorous exercise, jumping, or sudden stops, particularly affecting active breeds. Accidents such as falls or collisions can also lead to ACL tears, with younger dogs especially susceptible.

Degenerative Changes

Degeneration within the knee joint can weaken the ACL over time, making it more susceptible to injury. Factors like aging, obesity, and chronic wear and tear contribute to these degenerative changes, making older, overweight dogs more prone to ACL injuries.

Congenital Issues

Some dog breeds are predisposed to structural abnormalities in the knee joint, increasing the risk of ACL injuries. Breeds like labradors, rottweilers, and Newfoundlands are more susceptible. While not all dogs with these structural issues will experience ACL injuries, regular veterinary check-ups are crucial to identify potential problems early and prevent injury.

Symptoms Indicating an ACL Injury

An ACL injury in dogs typically manifests with noticeable symptoms that can serve as indicators for concerned pet owners. One of the most common signs is limping or lameness, especially in one of the hind legs. Dogs may favor the unaffected leg while keeping weight off the injured one. This is often a clear signal that something is amiss, and paying close attention to any changes in your dog’s gait can alert you.

Swelling around the knee joint is another prominent symptom of an ACL injury. The affected knee may become visibly swollen, and you might notice your dog licking or chewing the area in an attempt to alleviate the discomfort. Pain is inherent in ACL injuries, and dogs experiencing this type of injury may exhibit signs of distress, such as whimpering or vocalization, when trying to move or manipulate the injured leg. Furthermore, a dog with an ACL injury might show reduced activity levels, reluctance to engage in regular play, or difficulty climbing stairs. These behavioral changes should raise concerns and prompt a visit to the veterinarian for a thorough evaluation and diagnosis.

Breeds Most Prone to ACL Injuries

ACL injuries can affect various dog breeds, but some are more predisposed due to genetic and anatomical factors. Here are a few breeds known to be more prone to ACL injuries.

Labrador Retrievers

Labs are often susceptible to ACL injuries due to their active nature and genetic factors like a steep tibial plateau.

German Shepherds

German shepherds are another breed prone to ACL injuries. Their relatively large body size, agility, and physical activity levels can stress their knee joints, increasing the risk of ligament tears.


Rottweilers have a similar susceptibility due to their size and strength. Their robust build can make them more prone to ACL injuries during strenuous physical activities.

Golden Retrievers

Like labradors, golden retrievers are active and muscular breeds with a tendency for ACL issues. Their playful and energetic personalities can lead to ligament injuries.


Despite their smaller size, bulldogs can also experience ACL injuries. They have a unique anatomy, including bowed legs and relatively straight tibia, which can make them susceptible to ligament problems.

Pit Bulls

Pit bulls are known for their agility and strength. These traits and high activity levels can make them prone to ACL injuries, particularly when engaging in vigorous play.

How Much Does ACL Surgery for Dogs Cost?

The cost of ACL surgery for dogs can vary widely, typically within the range of $1,000 to $5,000 or more, depending on several factors. One of the primary cost determinants is the veterinary clinic's geographical location. Veterinary care expenses can vary significantly from one region to another, with urban areas generally having higher costs than rural ones due to differences in overhead and living expenses. The specific clinic and its reputation can also influence the price, as renowned or specialized clinics may charge more.

The choice of surgical procedure also plays a significant role in the cost. Traditional extracapsular stabilization tends to be less expensive than advanced techniques like tibial plateau leveling osteotomy (TPLO) or tibial tuberosity advancement (TTA).

The size and weight of the dog are additional considerations, as larger dogs often require more extensive surgery and may incur higher costs for anesthesia and post-operative care. Lastly, other expenses, such as pre-surgical diagnostics, post-operative rehabilitation, and medications, should be factored into the overall cost. To get an accurate estimate, pet owners are encouraged to consult with their veterinarian and discuss the specific needs and circumstances of their dog’s ACL surgery.

Cost Breakdown

A comprehensive cost breakdown for ACL surgery in dogs typically covers several vital components. The initial consultation and diagnostics, often involving physical examinations and imaging such as X-rays or MRIs, can range from $100 to $500 or more. These diagnostics are essential for accurately assessing the extent of the injury and planning the surgical approach.

Pre-surgical preparations may involve blood tests, anesthesia, and medications, which can cost between $100 and $500, depending on the dog’s size and overall health. The surgery constitutes a significant portion of the cost, with traditional extracapsular stabilization generally costing between $1,000 to $2,500, while more advanced techniques can cost between $2,500 to $5,000 or more.

Post-surgical care, including follow-up appointments, pain medications, and rehabilitation, can add $200-$500 to the overall expenses. Discussing these cost breakdowns with your veterinarian is essential, as the total cost can vary based on the dog’s specific needs, the chosen surgical technique, and regional pricing disparities.

Does Pet Insurance Cover ACL Surgery?

Pet insurance can be a valuable resource for covering the costs of ACL surgery in dogs, but coverage can vary based on the insurance provider and the specific policy chosen. In many cases, pet insurance plans offer coverage for ACL surgery, but there are some important considerations to remember.

Generally, pet insurance policies can cover some of the surgical costs, including the surgery fees and sometimes the pre-surgical diagnostics and post-surgical care. The percentage of coverage and the maximum payout can vary between policies, so it’s crucial for pet owners to thoroughly review and compare different plans to find the one that best suits their needs.

It’s important to note that pet insurance policies often come with deductibles and waiting periods. Deductibles are the amount the pet owner must pay out of pocket before the insurance coverage kicks in. Waiting periods typically apply to orthopedic conditions like ACL injuries and may range from a few weeks to several months, during which the condition is not covered.

Additionally, the policy may have limitations or exclusions, such as breed-specific restrictions or pre-existing condition clauses. Understanding these policy terms is crucial to avoid unexpected expenses. Pet owners should carefully read and ask questions about their policy to ensure they clearly understand what is and isn’t covered, allowing them to make informed decisions about their pet’s healthcare.

Alternative Treatments to Surgery

Alternative ACL injury treatments for dogs are available and can be considered based on the dog’s condition and the owner’s preferences. These include:

Conservative Management

This approach involves rest, physical therapy, and restricted activity to allow the ACL to heal naturally. It is often used in smaller dogs or those with other health concerns that make surgery risky. While this option will enable you to avoid surgical risks, it also includes a prolonged recovery period, the potential for recurrent injuries, and a risk of developing arthritis.

Braces or Supportive Devices

Canine knee braces or orthopedic devices can help stabilize the joint, providing support during healing. This can help avoid surgery, reduce pain, and improve mobility. However, it also requires regular maintenance and adjustments and has limited effectiveness in severe cases.

Non-Surgical Medical Treatments

These may include anti-inflammatory medications, pain management, and joint supplements. While they significantly help with pain relief and inflammation, they may not address the underlying ligament tera, and the dog may remain at risk for future injuries.

Physical Therapy

Physical therapy can strengthen the surrounding muscles, improve joint stability, and aid in recovery. It can help improve mobility and reduce pain, but it may include the need for ongoing therapy and has the potential for limited effectiveness in severe cases.


Post-Op Recovery and Care

Post-op recovery and care following ACL surgery in dogs is critical to ensuring a successful outcome. In the immediate post-surgery period, dogs are typically monitored closely for signs of discomfort, infection, or complications. Pain management medications are administered as needed to keep the dog comfortable.

As the healing progresses, rehabilitation and physical therapy become essential to strengthen the muscles and promote joint stability. This often involves controlled exercises, range-of-motion activities, and underwater treadmill sessions tailored to the dog’s specific needs.

Pet owners must adhere to the veterinarian’s guidance and follow a structured rehabilitation plan. It’s crucial to watch for any signs of complications, such as increased swelling, excessive pain, lameness, or unusual behavior, and promptly report any concerns to the veterinarian to ensure a smooth recovery process and the best possible outcome for the dog.


Early detection and intervention are paramount for ACL injuries in dogs. Detecting the signs of ACL injury promptly can make a world of difference in a dog’s recovery. While the cost of ACL surgery and alternative treatments can be a concern for pet owners, it’s essential to strike a balance between financial considerations and ensuring the dog’s well-being. Investing in the appropriate surgical or alternative treatment can alleviate pain, improve mobility, and prevent long-term joint damage, ultimately providing our furry companions with the active and pain-free lives they deserve.

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