This is my second dog with issues; thank goodness we have Trupanion! First was Male/Shiloh Shepherd with ACL (both knees) surgeries. Long, tedious recoveries, but, thanks to Trupanion, no worries about the cost. Now our Female Shiloh has been diagnosed with Pannus. She's only 4 and it was really difficult to hear such a diagnosis. Again, thanks to Trupanion, our concerns are only about her health, not financial.