Our 18 month old English bulldog had sudden lameness in her left leg. It was decided that she required TPLO surgery to correct the problem, given her young age. When we were told how much the surgery would cost, I almost fainted! Who could possibly afford this?! So kept our fingers crossed while we waited for our preapproval to be completed and were so relieved to discover most of the surgery was covered by our policy:) very happy with Trupanion and their prompt and friendly service!!