ACVS TPLO and Cruciate Ligament SurgeriesOur board-certified surgeons are at the forefront of surgical technology, techniques and treatments for dogs and cats. Our five-member surgical team is committed to offering cutting-edge orthopedic procedures for your pets to treat many common but debilitating ailments such as hip dysplasia and cruciate ligament injuries in dogs. Procedures include: total joint replacements, knee surgery, tibial plateau leveling osteomtomy (TPLO), tibial tuberosity advancement (TTA), tight rope procedures, arthroscopy and circular ring fixation.

We also specialize in thoracic, abdominal, reconstructive and oncologic surgery. We emphasize a team approach, where we integrate a comprehensive treatment plan so patients receive thorough, high quality care. Pain management is integrated into the preoperative management of all cases to ensure your pet’s comfort.

Our fully-equipped surgical suites have state-of-the-art monitoring and anesthetic equipment. Your dog or cat will be greeted by a compassionate surgery team from the moment of check-in to the time of discharge.


When your dog or cat has fully recovered from surgery, our staff will provide detailed instructions on post surgical care for your beloved pet at home. One surgeon is always on-call for surgical emergencies. Our veterinary surgical department offers morning, afternoon and weekend surgical consult times to better suit your schedule. We pride ourselves on compassion and communication with you and your family veterinarian.

Book a veterinary surgery appointment at Veterinary Specialty Hospital

Surgery Services and Procedures

  • Abdominal
  • Arthroscopy
  • Bone and Joint
  • Canine Cruciate Ligament Repair
  • Cardiovascular
  • Circular Ring Fixation
  • Fracture Repair
  • Hip Dysplasia
  • Microvascular
  • Neurosurgery
  • Oncologic (Cancer)
  • Ophthalmologic
  • Reconstructive
  • Renal Transplantation
  • Thoracic
  • Tibial Plateau Leveling Osteotomy (TPLO)
  • Tibial Tuberosity Advancement
  • Total Hip Replacement
  • Urologic
Sean Aiken, DVM, MS, DACVS


A Diplomate of the American College of Veterinary Surgeons, Dr. Sean Aiken served as staff surgeon at the Animal Medical Center (AMC) in New York City, an internationally distinguished veterinary teaching hospital, from 1995-2005. As an enthusiastic advocate in the advancement of veterinary medicine for the benefit of patients and their families, he was voted Teacher of the Year. He also acted as Associate Director of the Bobst Hospital of the Animal Medical Center for three years. While on staff at AMC, Dr. Aiken served as a Visiting Investigator at Memorial Sloan Kettering Cancer Center, collaborating on several investigations with the orthopedic service. He is an author on more than 15 published scientific articles and book chapters.

Dr. Sean Aiken, a native Californian, is a graduate of the University of California, Davis School of Veterinary Medicine (1988). He completed his internship and small animal surgical residency at Purdue University in 1992, becoming board certified by the ACVS in 1995. An invited national and international lecturer, Dr. Aiken’s areas of special interest include surgical oncology and reconstruction, arthroscopy, joint replacement, minimally invasive fracture repair and TPLO surgeries. Dr. Aiken has served as a Wildlife Conservation Associate for the Wildlife Conservation Society of the Bronx Zoo. He is currently a reviewer for several veterinary journals.

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Mauricio Dujowich, DVM, DACVS


A Diplomate of the American College of Veterinary Surgeons, Dr. Mauricio Dujowich grew up in San Diego and attended veterinary school at the University of California, Davis. After graduating in 2004 he completed a rotating internship with us, here at the VSH. He then accepted a one year position as a surgical intern at Alameda East Veterinary Hospital in Denver, CO. Following his second internship Dr. Dujowich began his surgical residency at Iowa State University. During his residency, Dr. Dujowich pioneered a new technique for prevention of gastric dilatation volvulus in dogs by use of minimally invasive surgical techniques. Dr. Dujowich has been extensively trained in orthopedic, soft tissue, and neurological surgery. His particular interests include minimally invasive surgery, oncologic surgery, thoracic surgery, fracture repair, and cruciate disease. He is trained in both the Tibial Plateau Leveling Osteotomy (TPLO) and Tibial Tuberosity Advancement (TTA). Dr. Dujowich has authored papers in surgical techniques of gastric dilatation volvulus, thoracic wall reconstructive surgery, and more recently a book chapter in mandibular and maxillary fractures.

While pursuing his career goals, Dr. Dujowich’s strong interests in improving veterinary education led to the founding of, the veterinary field’s leading online veterinary board examination preparation resource for veterinary students. Dr. Dujowich is proud of helping over 12,000 veterinarians (and counting) pass their licensing examination. In addition, Dr. Dujowich has published peer-reviewed articles in several species including horses and California condors. Dr. Dujowich’s broad interests also resulted in his serving as surgeon for the Iowa State University Wildlife Care Center as well as a visiting surgeon for the Blank Park Zoo in Iowa.

Dr. Dujowich’s passion for veterinary medicine has led to multiple awards and recognitions such as the California Veterinary Medical Association’s award for Practice Excellence, Favorite Clinician at Iowa State University, and the VetPrep Lifetime Achievement Award.  An avid outdoorsman, during his free time you will likely find him surfing, skiing, hiking, running, or biking.

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Seth Ganz, DVM, DACVS


Dr. Seth Ganz obtained his doctorate of veterinary medicine from Tufts University School of Veterinary Medicine, North Grafton, Massachusetts, in 2005.In 2005-2006, he completed an internship in general medicine and surgery here at the Veterinary Specialty Hospital. He stayed with VSH for an additional year, completing a surgery internship. Dr. Ganz then went on to complete a 3-year small animal surgical residency at Fox Valley Animal Referral Center in Appleton, WI and became board-certified by the American College of Veterinary Surgeons in 2011.

Dr. Ganz has special interests in all aspects of orthopedic surgery including treatment of cranial cruciate ligament disease and joint replacement. Interests in soft tissue surgery include oncologic, abdominal, and reconstructive surgery. He also has training in neurosurgery. Dr. Ganz's research interests have included lower respiratory tract trauma, urinary tract disease, and complications of total hip arthroplasty. Dr. Ganz is passionate about small animal surgery and is rewarded by the opportunity to benefit the lives of his patients and their human companions.

In his free time, he enjoys surfing, running, hiking, crocheting, working on his VW van, and spending time with his wife Sara, their twin sons Beau and Alder and their dog Winter.

Fred Pike, DVM, DACVS


A Diplomate of the American College of Veterinary Surgeons, Dr. Fred Pike has undergone broad training leading to clinical interests in both orthopedic and soft tissue surgery. His special interests include trauma surgery and surgery of critically-ill patients. His soft tissue interests include reconstructive surgery and surgical management of diseases of the extrahepatic biliary system. Dr. Pike is trained in both the Tibial Plateau Leveling Osteotomy (TPLO) and the Tibial Tuberosity Advancement (TTA) for the surgical management of cruciate disease. He has an avid interest in arthroscopy, total hip replacement and diseases of the immature skeleton. He is a member of the Veterinary Orthopedic Society (VOS) and the Society of Veterinary Soft Tissue Surgery (SVSTS).

Dr. Pike is a graduate of the Atlantic Veterinary College, University of Prince Edward Island, Canada (1996). Following completion of his DVM degree, Dr. Pike was an associate in a small animal practice in Portland, Oregon. Following two years of general practice, Dr. Pike completed internships in medicine and surgery at the Veterinary Medical and Surgical Group, Ventura, California (1999) and anesthesia and critical care at Tufts University School of Veterinary Medicine, North Grafton, Massachusetts (2000). Dr. Pike completed his residency in small animal surgery at the combined Tufts University/Angell Memorial Animal Hospital program in Boston, Massachusetts (2003) and became board-certified in 2004.

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Joshua Jackson, DVM, DACVS


Diplomate of the American College of Veterinary Surgery, Dr. Josh Jackson has extensive clinical interests in the field of veterinary surgery. His special interests include total hip replacement, arthroscopic surgery, and cruciate ligament tears in dogs (Tibial Plateau Leveling Osteotomy or TPLO).  

Dr. Jackson served as a clinical instructor in orthopedics while at the University of California, Davis and gained experience in all aspects of veterinary orthopedics. His interests in soft tissue surgery include thoracic and abdominal procedures, such as oncologic/portal-systemic shunts and microvascular surgery. While at UC Davis, Dr. Jackson worked on several research projects with the comparative tissue transplantation laboratory. He also performed renal transplantation on clinical patients at the Veterinary Teaching Hospital.

Led by Dr. Jackson, companion animal transplantation facility has been launched at Veterinary Specialty Hospital. Dr. Jackson has authored scientific articles on thoracoscopy, liver shunt surgery and stifle surgery. Recently, the doctor co-authored a textbook chapter on osteochondrosis.  

Dr. Jackson is a graduate of Colorado State University, College of Veterinary Medicine and Biomedical Sciences. He completed an internship in small animal medicine and surgery here at the Veterinary Specialty Hospital in Rancho Santa Fe. Following his internship, Dr. Jackson completed his residency in small animal surgery at the University of California, Davis.

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The Renal Transplant Program has currently been placed on hold; updates will be available in the coming months.

Surgery Updates

Video: Post TPLO Rehabilitation