Our 5-year old Yorkie, Nano, was seriously ill, and it turned out she had a ruptured disc that required back surgery. The Trupanion representatives were very speedy and extremely supportive through the whole process. Nano's serious condition required us to go from initial vet consultation to neurologist to MRI to surgery -- all in a matter of only 3 days. Trupanion did an amazing job of working with us and the vet hospitals, and they got us all the necessary pre-approvals right away so we could proceed with confidence. In the end, I felt that the Trupanion staff was genuinely concerned about us and Nano, and they went above and beyond to take care of us. Thanks, Trupanion! We are already recommending you to all our friends and family!