Last year my dog needed TPLO surgery and Trupanion processed the claim quickly amd with no surprises. This year (as is often the case) she needed the other knee done. The claim was processed, along with another smaller claim, in just a few days. Especially like how they email to let you know they received your claim and what the status is. Got the cheques in the mail quickly enough to pay the Visa bill which was great! Thank you Trupanion!