We wanted our Maddie to be spayed. Taking her into the Vet we didn't want to take any chances as she was the runt of the litter. We asked for a blood test first. To our amazement she had very high liver enzymes. That meant no spaying unless she went to a specialist. Plus there was a question of whether she had inside or outside shunts. After two vets looked at her we drove her to a specialist about two hours away. He was able to spay her and check out the liver issues. Thank goodness for Pet Plan knowing we would have this amazing help to get her well, and fixed also. Maddie is doing much better with her enzyme readings and is on a liver diet. Pet Plan helped us make her well and I recommend the plan to everyone I meet.