I used Dr. Old for a TPLO surgery on my Australian Cattle Dog. I found his prices VERY reasonable and Dr. Old was extremely knowledgeable and professional. I have no question in my mind that he is a very good surgeon. I received emails with the xrays of the completed surgery within a hour of it being completed. My only complaint was that is was sometimes hard to follow a conversation with Dr. Old because many of his explanations were very technical and I was not familiar with some of the terms. However, he explained everything that happened during the surgery to my satisfaction. He also kept my dog a few days longer than most other surgeons normally do for a TPLO surgery in order to make sure she was on the way to properly healing. I just wish we lived closer to Dr. Old so I could use him again as our girl has just torn her other cruciate ligament and is looking to have another TPLO surgery.