How to Choose a Good Veterinarian for Your Dog
"Calm and patient" isn't a personality trait but a learnable method – low-stress handling is a field of its own, with certification. How to recognize it.
Michael Sauerwein · September 30, 2023
In brief
There are four things you should know. First: "calm and patient" isn't a personality trait but a learnable method – low-stress handling is a field of its own, with certification. Second: the need is real. In one study of 135 dogs, more than three quarters showed fear-related behavior during the visit, especially on the examination table. Third: fear at the vet isn't just unpleasant, it can be learned – and make later visits harder. And fourth: a considerable part of it is up to you, not the vet.
This article walks through how to recognize a good practice, which qualifications you can verify – and what you can contribute yourself.
👉 The basics of preventive care and health checks for dogs
1. The point that's often missing: low-stress handling
Almost every guide says a good vet is "calm and patient." That's true, but it's put too softly – as if it were a matter of temperament. In fact, there is a whole field for it, with principles, training and certifications.
Why it's needed is shown by the numbers. In a study of 135 dogs in a veterinary practice, 78.5 percent showed fear-related behavior, especially on the examination table (Döring et al., 2009). Dogs whose previous visits had been exclusively positive were less fearful than dogs with negative prior experiences – an association, not proof of cause, but consistent with the idea that fear at the vet is partly learned. The AAHA behavior management guidelines also cite this figure and warn that manual restraint and forceful handling can interfere with a successful case outcome (Hammerle et al., 2015).
And it has consequences. In behavioral medicine, the term iatrogenic behavioral harm is sometimes used for this – behavioral damage caused by the treatment itself. Not every practice is familiar with the term; almost every practice knows the phenomenon behind it. A dog that is held down while afraid and loses control can learn from it. In practice, the fear then often starts earlier next time – in the parking lot instead of the exam room. And the escalation often follows a typical pattern: first freezing, then attempts to flee, then defensive aggression – and in some dogs, later on, offensive aggression as well.
This isn't just an animal welfare problem. It is also one reason why some dogs eventually can't be examined at all.
The principles by which you can recognize such a practice:
- The focus is on the patient, not the procedure. The dog's emotional state is assessed continuously, and the approach is adjusted accordingly.
- A considerate approach instead of grabbing directly.
- Minimal restraint. The less the dog is held down, the less loss of control – and, as a rule, the less defensive behavior.
- Prioritizing: What really has to happen today, and what can be skipped or postponed?
- And when something is essential but can't be done: sedation or training beforehand instead of pushing through.
The last point is the most telling. A practice that would rather sedate a panicking dog or schedule a new appointment than have three people hold him down has understood what this is about.
Other things you can recognize it by: separate or less crowded waiting areas, non-slip mats on the table and floor, examining on the floor instead of the table when possible, treats as a natural part of the routine, and a willingness to explain to you what is happening.
There are certifications for this – for example as a Fear Free certified practice or, specifically for cats, as a Cat Friendly Clinic. A missing certificate doesn't mean a practice does poor work – but having one is a useful indicator.
2. What you can contribute yourself
The part that rarely appears in guides about vets – even though it makes up a large share.
Medical training. Handling can be practiced like any other behavior: touching paws, looking into the mouth, checking ears, being palpated, standing still. In small steps, voluntarily, with rewards. A dog that knows this can experience the examination more as a variation on something familiar than as an ambush.
Cooperation signals. Advanced, but effective: the dog learns a behavior that serves as a start signal – as long as he shows it, things continue – resting his chin in your hand, a paw on a target. And he learns that the procedure pauses when he stops that behavior. This gives him back control, and the loss of control is a central part of the problem.
Visits without treatment. Drop by briefly, treats, leave again. Many practices are happy to go along with this if you ask beforehand.
Train the muzzle in advance. Not only when it's needed. A muzzle that is put on for the first time in an emergency can add even more stress.
And on a very practical level: arrive with your dog on an empty stomach if possible, so food works as a reward. Bring favorite treats. Choose off-peak times if your dog is sensitive. And mention on the phone beforehand if he is afraid – then the practice can plan.
Related: Muzzle training and, if fear is a bigger issue, Fearful dogs.
3. Qualifications – what you can actually check
A license to practice is the baseline, and every practice has it. The additional qualifications are more interesting, because they differ:
- Specialist titles or board certification – several years of further training with an examination.
- Additional certifications for individual fields, such as behavioral medicine, dentistry, surgery, ophthalmology, cardiology or nutrition.
Depending on the country, these titles are protected and awarded by veterinary professional bodies or specialty colleges. If you are looking for a practice for a specific problem, they are worth a look.
On behavioral medicine in particular: not every practice can assess behavior problems professionally. If your dog has a behavior issue where a physical cause is a possibility, a practice with the corresponding qualification is worth its weight in gold.
On who is responsible for what: Dog trainer or behavior consultant?
4. Communication
Explaining clearly. Diagnosis, treatment options, risks, alternatives – without jargon and without condescension.
Listening. Your observations from everyday life are diagnostically valuable. A practice that asks about changes in behavior, eating habits and how much your dog drinks works more thoroughly than one that only examines.
Naming options, not just one. For most findings there are several ways forward, with different effort and different costs. A good conversation lays them out.
Raising costs in advance. A practice that gives you a cost estimate on its own initiative for plannable procedures spares both sides an awkward situation.
Second opinion. With serious diagnoses or major procedures, a second assessment is normal and legitimate. A good practice doesn't take it personally – some offer on their own to pass on your records. An offended reaction says a lot.
5. Organization and emergencies
Day to day: appointment booking that works, reliable callbacks, sensible prioritizing of emergencies, friendly staff – the practice team often shapes a visit more than the ten minutes with the veterinarian.
For emergencies, you should know in advance: Does the practice have its own night and weekend service, or does it refer you to a hospital? How is coverage arranged when your vet is away? Where is the nearest hospital that is staffed around the clock?
Sort this out before you need it. And save the numbers in your phone. In an emergency, the time spent searching is the time you don't have.
A note on equipment: ultrasound, digital X-ray and in-house lab diagnostics speed up a lot. That doesn't make a smaller practice without all of it worse – what matters is that it knows when to refer, and does so in time.
6. How to find one in the first place
The sections above tell you how to recognize a good practice. That leaves the question before it: how do you get the shortlist to recognize it from?
6.1 Where the names come from
Official directories. Depending on the country, veterinary professional bodies or specialty colleges keep directories that can be filtered by specialist titles and additional certifications. This is the only route that reliably reflects the protected qualifications from section 3.
Recommendations from people you know – with one caveat: ask what someone is happy with. A practice that handles vaccination appointments pleasantly isn't automatically the right one for a dog with a behavior issue or a chronic illness.
Dog trainers, physical therapists and groomers see many dogs after treatment and notice how the animals come back. That's an unusually useful source.
Online reviews are the weakest. They mostly reflect waiting time, friendliness and price – in other words, what owners are able to judge. Professional quality rarely shows up there, and the worst reviews often come from situations in which the news was bad, not the work.
6.2 What a first phone call reveals
Ask three things and listen to the way they answer, not just to what they say: How do you handle a fearful dog? Is it possible to come by once without any treatment? How do things work outside office hours?
A practice that already knows the first point and doesn't seem surprised probably works the way section 1 describes.
6.3 The best time
Look while nothing is wrong. Taking a dog with acute symptoms to an unfamiliar practice means having to assess both at once – the illness and the practice. A preventive care appointment is the better setting for that.
And emergencies follow different rules than ongoing care: the nearest hospital with a night service doesn't have to be the one you usually go to. Both addresses belong in your phone before you need them.
7. At the end of life
This is where it shows most clearly what a practice is made of.
What good support looks like: an honest assessment of the prognosis instead of false hope, an explanation of what is still possible and what isn't, time for the decision – and no pressure in one direction or the other.
In practical terms, it helps to ask early, before it becomes urgent: Is euthanasia at home possible? How does it work? How much time is there before and after? Conversations like these are easier to have while they are still hypothetical.
And after the goodbye: understanding, time, and, if you wish, information about burial, cremation or grief support.
On the last stage of life: Caring for a senior dog.
8. When switching makes sense
Most guides end with "if you feel comfortable, it's the right practice." The warning signs are more useful:
- Your dog gets worse with every visit instead of better – and nobody addresses it.
- Restraint as the default solution, even when there would be alternatives.
- No explanation of what is being done and why.
- Questions are taken as distrust, a second opinion as an insult.
- Treatment without a prior examination – the same injection for every symptom.
- Costs only become visible on the bill, even though the procedure was plannable.
- Your observations are brushed aside. "He's just old" is not a diagnosis.
A single bad appointment isn't a reason yet – practices have overloaded days too. A pattern is.
9. Conclusion
A good veterinarian combines professional expertise with the ability to handle animals in a way that lets them come back next time.
The three things that count:
Pay attention to handling, not just diagnostics. How your dog is handled helps determine whether he can still be examined five years from now.
Do your part. Practice handling, visits without treatment, train the muzzle in advance, mention fear ahead of time.
Sort things out in advance, not in an emergency. Emergency service arrangements, coverage, nearest hospital.
And when your dog walks into the practice relaxed: then the two of you have done something right.
Key takeaways
"Calm and patient" isn't a personality trait but a learnable method. Low-stress handling is a field of its own, with principles, training and certifications.
The need is real. In a study of 135 dogs, more than three quarters showed fear-related behavior during the visit, especially on the examination table (Döring et al., 2009).
Fear at the vet can be learned. Dogs with negative previous visits were more fearful than dogs with only positive ones (Döring et al., 2009). In practice, the fear often starts earlier next time – in the parking lot instead of the exam room. And the escalation often follows a typical pattern: freezing, attempts to flee, defensive aggression.
The most telling point is how a panicking dog is handled. A practice that would rather sedate or schedule a new appointment than have three people hold the dog down has understood what this is about.
Minimal restraint is a principle, not negligence. The less the dog is held down, the less loss of control – and, as a rule, the less defensive behavior.
A considerable part is up to you. Medical training, cooperation signals, visits without treatment and a muzzle trained in advance can noticeably change the appointment – regardless of which practice you choose.
Titles can be checked. Specialist titles and additional certifications are protected and awarded by professional bodies – their directories are the most reliable starting point for your search.
Online reviews rarely reflect professional quality, but rather waiting time, friendliness and price. Dog trainers and physical therapists are the more useful source.
A note on the sources
The figure on fear behavior in the veterinary practice and the association with previous experiences come from Döring et al. (2009); the principles of low-stress handling follow the AAHA behavior management guidelines (Hammerle et al., 2015). The proportion given refers to the sample studied and should not be read as a general frequency. Statements marked "in practice" and the term iatrogenic behavioral harm reflect practical experience and common clinical teaching, not a specific study.
Information on certifications and further-training titles reflects the situation at the time of writing. Which titles are awarded is governed by the rules of the respective professional bodies and differs from country to country.
Note: This article is meant as guidance and is not a rating of individual practices. We do not recommend any specific veterinarians.
References
Döring, D., Roscher, A., Scheipl, F., Küchenhoff, H., & Erhard, M. H. (2009). Fear-related behaviour of dogs in veterinary practice. The Veterinary Journal, 182(1), 38–43. https://doi.org/10.1016/j.tvjl.2008.05.006
Hammerle, M., Horst, C., Levine, E., Overall, K., Radosta, L., Rafter-Ritchie, M., & Yin, S. (2015). 2015 AAHA canine and feline behavior management guidelines. Journal of the American Animal Hospital Association, 51(4), 205–221. https://doi.org/10.5326/JAAHA-MS-6527
Frequently asked questions about choosing a veterinary practice
How do I recognize a good veterinarian?
A good veterinarian combines expertise with a good way of dealing with both animal and owner. That includes clear explanations, time for questions, low-stress handling and a willingness to weigh treatment options together.
What does low-stress handling at the vet mean?
Low-stress handling means not restraining or overwhelming the dog unnecessarily. A good practice adapts its approach to the dog's emotional state, uses as little force as possible and, when needed, relies on training or planned sedation instead of letting fear escalate.
Which qualifications matter in a veterinarian?
Beyond the license to practice, additional qualifications such as specialist training or certifications in particular fields can be helpful. Which qualification makes sense depends on your dog's problem.
How should a veterinarian communicate with owners?
A good veterinarian explains diagnoses, treatment options, risks and alternatives in an understandable way. Owners should be taken seriously with their observations and included in decisions.
Can I get a second opinion on a diagnosis?
Yes. Especially with serious diagnoses or major procedures, a second assessment is normal and sensible. A good practice doesn't take such questions personally and supports passing on your records.
What should I clarify with my vet before an emergency happens?
Find out in advance about emergency service hours, coverage arrangements and the nearest animal hospital with round-the-clock care. In an emergency, it saves valuable time if this information is already saved.
My dog panics at the vet – what can I do?
Mention it on the phone beforehand so the practice can plan. Ask about off-peak times and whether you can come by once without any treatment. Arrive with your dog on an empty stomach so food works as a reward, and bring favorite treats. At the same time, medical training at home is worthwhile: touching paws, looking into the mouth, being palpated – in small steps and voluntarily. And train a muzzle before it's needed.
Is it a bad sign if the vet recommends sedation?
Quite the opposite – it is one of the most telling good signs. A practice that would rather sedate a panicking dog or schedule a new appointment than have three people hold him down avoids exactly the loss of control a dog can learn from. The alternative, pushing through, can make every further visit harder – and in some dogs leads to them eventually not being examinable at all.
How do I find a practice with a specific additional qualification?
Through the directories of veterinary professional bodies or specialty colleges, depending on the country. There you can often filter by specialist titles and additional certifications – for example in behavioral medicine, dentistry, cardiology or ophthalmology. These titles require several years of further training with an examination. That is the most reliable starting point; search engines and review sites don't reflect these qualifications accurately.
When should I switch practices?
When professional questions are fended off instead of answered, when decisions are repeatedly made over your head, or when your dog visibly copes worse with the practice after appointments instead of better. Switching is neither an affront nor final – ask for your records; findings and images belong to your dog's case. If possible, look during a calm period, not in an acute situation.