When you choose Sierra Veterinary Specialists & Emergency Center, you gain a partner that is focused on providing you with a trusted source for specialty veterinary medicine. Our operative suite is equipped with state-of-the-art power, electrosurgical, and minimally invasive surgical equipment identical to that found in modern human hospitals. We provide a full range of soft tissue and orthopedic surgical procedures, including:

Laser Therapy

We are proud to offer laser therapy for our patients. Laser procedures allow us to reduce the bleeding and swelling of surgery, making it both safer and less invasive. Laser therapy also reduces pain and recovery time, helping your pet get back to their normal self more quickly.

We are dedicated to utilizing the highest standard of veterinary technology, and laser therapy is one of the ways in which we stay on the cutting edge of our field.

Soft Tissue Surgery

  • Cricoarytenoid laryngoplasty – tie-back procedure for laryngeal paralysis
  • Extraluminal tracheal stenting for tracheal collapse
  • Soft palate resection and stenotic nares correction to treat breathing problems in short nosed dogs
  • Lung lobectomy and removal of intrathoracic tumors and masses
  • Portosystemic shunt attenuation
  • Gastrointestinal surgery including removal of gastrointestinal tumors
  • Adrenalectomy

Minimally Invasive Surgery

  • Laparoscopic ovariohysterectomy – Minimally invasive spay procedure
  • Laparoscopic assisted gastropexy – for prevention of canine gastric dilatation and volvulus
  • Thorascopic pericardial resection – for treatment of pericardial fluid accumulation
  • Thorascopic lung and mass biopsy collection
  • Arthroscopic evaluation and treatments for knees, shoulders, elbows, and other joints
  • Laparoscopic thoracic duct ligation for chylothorax


  • Hemilaminectomy for thoracolumbar intervertebral disc compression
  • Cervical decompression and stabilizations
  • Lumbosacral decompression and stabilization procedures

Oncologic Surgery

  • Removal and reconstructive surgery for large or aggressive tumors
  • Abdominal and thoracic tumor resection – liver, spleen, lung, kidney, and other locations
  • Partial mandibulectomy and maxillectomy for intraoral tumors
  • Cyto reductive surgery prior to planned radiation therapy

Orthopedic Surgery

  • Advanced trauma and fracture management
  • TTA and TPLO
  • Total joint arthroplasty (joint replacement) for hips, elbows and knees
  • Arthroscopic evaluation and treatment for knees, shoulders, elbows, other joints

Internal Medicine

  • The specialty of internal medicine focuses on the diagnosis and treatment of non-surgical conditions
  • This includes gastrointestinal, renal, respiratory, immune and endocrine systems
  • Caring for patients with acute, sometimes life-threatening illnesses and patients with complicated and chronic issues
  • Endoscopic procedures involving the intestinal tract, respiratory tract, urogenital tract and nasal passages as well as retrieval if intestinal foreign objects

Advanced Dental Services

  • Dental prophylaxis (cleaning), including oral examination, circumferential probing of each tooth in the mouth, charting, removal of supragingival and subgingival calculus, intraoral radiographs as indicated, and polishing to delay the return of plaque. Each patient will be set up with an appropriate home care program.
  • Treatment of periodontal disease, the most common disease of ANY KIND in dog, cat and human being. This may include the use of closed root planing, open root planing, and the placement of perioceutic agents or osseoconductive products to combat periodontal bone loss.
  • Extractions. Although we strive to save teeth, some teeth are beyond repair and the patient will benefit greatly from their removal. This includes both simple and surgical extractions.
  • Endodontics. This includes root canal therapy for treatment of fractured or non-vital teeth and vital pulp therapy for fractured teeth or certain malocclusions.
  • Crown fabrication and cementation. This is the ultimate in protection of the tooth after root canal therapy.
  • Oral surgery. Includes fracture repair and diagnosis and surgical treatment of oral masses including benign enlargements and oral cancer.
  • Orthodontics. Orthodontics in the dog and cat are not to create a pretty smile, but to alleviate pain. This may include selective extraction, the intraoral placement of passive or active orthodontic devices, or the use of crown reduction and vital pulp therapy.

Canine and Feline Rehabilitation (Physical Therapy)

For any condition, we conduct an initial consultation and thorough evaluation. Based on the needs of each patient, we then create a treatment plan and recommendations. From this treatment plan, we develop a home exercise plan as well as an in clinic treatment plan that utilizes the most advanced treatments available today. Our in clinic treatments are: Cryotherapy, Thermotherapy, Hydrotherapy, Exercises, Massage, Laser, Ultrasound, and Electrical stimulation.

Goals Of Rehabilitation

  • Provide optimum rehabilitation care
  • Enhance and aid in recovery
  • Reduce and manage pain
  • Promote health and fitness
  • Improve the quality of our pets’ lives

Benefits of Rehabilitation

  • Increase mobility and strength
  • Improve post-operative recovery
  • Provide pain-free exercise for arthritic patients
  • Exercise for overweight dogs
  • Improve endurance
  • Improve quality of life for patient and owner

Helping patients

  • Post-surgical
  • Pre-surgical
  • Hip dysplasia
  • Arthritis
  • Neurologic
  • Overweight
  • Degenerative myelopathy
  • Geriatric animals
  • Sporting dogs
  • Animals in need of adaptive equipment

Check out this video of one of our patients rehabbing on our underwater treadmill!