In 2000, I took my 12 y.o. brittany spaniel to a board certified surgeon for a tie-back for laryngeal paralysis. This surgeon was supposed to be the top one in the state for this procedure. Two vets told me she was in great shape for a dog half her age and would fly through the recovery. The surgeon then recommended another procedure where the excess laryngeal tissue would be trimmed back. He said it would be as effective with fewer complications. Dogs are more prone to aspiration and pneumonia after the tie back. I agreed to it because I wanted to maintain her quality of life. If I had any idea of the hell I would be putting my sweet baby girl through, I never would have let her leave the house. She had major complications from the surgery: infections, dehydration, possible acute renal failure. She lost major weight because she couldn't eat. We spent $$$ on the surgery and $$$$$ on emergency vet care. Most importantly, she was never as good after the surgery as she was before. The laryngeal tissue developed a lot of scar tissue. I will never forget watching while she turned blue and gasped for air when stressed. When she finally crossed the bridge, I couldn't decide which emotion was strongest for me: guilt that I put her through it, relief it was finally over, or sadness that my girl was gone.