I scheduled my dog to get neutered today and the vet tech said that pre surgical lab work was optional since it cost 40 dollars an many people do not get it, however it helps determine if the dog is healthy enough for anesthesia/surgery. She then said that pain meds after surgery were optional as well. I looked at her surprised. I guess I could understand forgoing the labs because the most horrific think that could happen is the pet dies while asleep. (I'm getting labs done though) but seriously, people refuse to get their dogs pain medication after surgery :-( How absolutely positively horrible!!!