What IS High-Volume, High-Quality, Low-Cost Spay/Neuter, Anyway? And Why Does It Matter?

When we ask you to support our planned “high-volume, high-quality, low-cost spay/neuter clinic” (HVHQSN), what – exactly – are we talking about?

Vet in surgery

Vet in surgery


“High-volume spay/neuter clinics  . . . are defined as those whose surgeons each perform 30-40 sterilizations per day.”  http://www.target-zero.org/our-mission/high-volume-and-other-targeted-spay-neuter.

We are often asked if the target number of daily surgeries is achieved through simply working faster. The answer is “no.” Most experienced high-volume veterinarians easily achieve these numbers through a combination of time-saving techniques, and partnering with a team of assistants functioning within a highly-efficient system in which they have all been well trained.


AAGS has signed a Memo of Understanding (MOU) with the Humane Alliance in NC, with whom we will train, guaranteeing that our clinic will follow The Association of Shelter Veterinarians, Veterinary Medical Care Guidelines for Spay-Neuter Programs printed in JAVMA on July 1, 2008 (“Guidelines for S/N Programs”). The safety of our patients must be our first priority.


We will work with those citizens from traditionally low-income areas or those who can verify their low-income status through a variety of means. These pet owners are unlikely to have any other access to services for their pets either due to price or lack of transportation.

Services on a sliding scale will be provided to shelters and rescues, which need our capacity to provide appointments for large numbers of animals without long wait times.

Why Does It Matter?

It matters because animals are dying each and every day. The greater our capacity, the more animals we can alter in a day or in a year, and the sooner we can stop their suffering.


“High‐quality, high‐volume spay/neuter programs are efficient surgical initiatives that meet or exceed veterinary medical standards of care in providing accessible, targeted sterilization of large numbers of dogs and cats in order to reduce their overpopulation and subsequent euthanasia,” according to the ASPCA.


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