I can't say enough about how happy I am with Trupanion! My dog needed a major knee surgery and I was able to help him because I had Trupanion insurance for him. It is so worth the monthly payment! Everything went smoothly, they paid the hospital directly so I was able to have the surgery ASAP. I didn't even have to do much- so simple. What a relief to be able to do that because it would've taken me forever to get the money together and I was able to have my dog not hurt any longer then he needed to. I highly recommend Trupanion to everyone who has a beloved furry companion.