Sadly our 4 year old German Shepherd required a second TPLO surgery within 6 months of his first. It was such an emotional challenge to go through this again but with the help of Trupanion we were spared the financial stress. They are such an amazing company and we greatly appreciated the express claim which meant we could proceed with the surgery immediately. Having gone through 2 major surgeries, Trupanion were supportive throughout every step of this process. Thank you!!!!!