Jersey had TPLO surgery last September she was doing really good but once we got to full activity we noticed her start limping on and off again at first we thought it was just the muscle rebuilding process like how we get ache after a workout. After about a month I noticed she was managing to many things without using the leg and we noticed her muscle mass was not improving. So back we went to the surgeon for a recheck making sure that no screw were loose and that there was no infections. Everything with the previous surgery was good everything in place and healed well but now she has a tear in the meniscus. Now all is repaired and I can not say enough good things about Trupanion I recommend them to all my friends. I have never een hassled by any of the claims I have had to submit and it is great because the clinics I use can direct bill so I only pay my portion of the bill. It is great piece of mind knowing I don't have to base my decisions on her health based upon whether I can afford it or not. Thank you Trupanion!