The options
The Animal Medical Center in New York describes three common surgeries:
- TPLO (tibial plateau leveling osteotomy): the shin bone is cut and rotated so the muscles take over the ligament's job. It is the most common procedure.
- TTA (tibial tuberosity advancement): a section of the shin bone is moved and held with a plate.
- Lateral suture: the knee is stabilized from the outside.
Some dogs do well with rehabilitation alone, especially dogs who cannot have surgery for other medical reasons. The AMC says surgical repair returns 80 to 90% of dogs to full function.
What is on the bill
- Exam and x-rays to plan the surgery
- Anesthesia, the surgery and any implant
- A hospital stay
- Rechecks and follow-up x-rays
- Rehabilitation or physical therapy, if recommended
Plan for the other knee
The AMC notes that about half of dogs who tear one ligament later tear the other, so it is worth asking about the long-term plan.
Ask for a written estimate
An estimate lists each line, so you can compare two clinics fairly. Ask what is included, what could be added once your dog is under anesthesia or examined, and whether there is a lower-cost option the vet is comfortable with.
What other owners paid
Loading what owners paid…
How we put this page together
We do not publish estimates. The figures above come only from readers, and we show a typical price once at least five people have reported one. Medical facts are from:
- Animal Medical Center (New York), Cranial Cruciate Ligament Disease in Dogs. Checked October 25, 2026.
Prices change by region and clinic, so use these as a guide and ask your vet for an estimate.