How much does acl / tplo knee surgery (dog) cost?
Major orthopedic surgery · Anesthesia: Yes (general)
ACL / TPLO knee surgery (dog) typically costs $3,500–$5,000 in the US, with a rough midpoint around $4,250. Repair of a torn cranial cruciate ligament (the dog equivalent of an ACL tear), most often by a TPLO (tibial-plateau-leveling osteotomy). One of the most common and most expensive orthopedic surgeries in dogs — and a leading reason owners insure large breeds. TPLO and similar cruciate repairs commonly run $3,500–$5,000 per knee at a specialist; simpler techniques on small dogs can be less, complex cases more. This is a typical range — your vet's written estimate is the only firm number.
Source: Aggregated clinic / CareCredit / Pawlicy price surveys. Data as of June 2026.
ACL / TPLO knee surgery (dog) at a glance
| Detail | Value |
|---|---|
| Typical price range | $3,500–$5,000 |
| Rough midpoint | $4,250 |
| Type | Major orthopedic surgery |
| Anesthesia | Yes (general) |
Source: Aggregated clinic / CareCredit / Pawlicy price surveys. Data as of June 2026.
What drives the price
- Specialist surgeon and surgical facility raise the price versus a general practice.
- Priced per knee — many dogs eventually need both.
- Post-op X-rays, rehab and physiotherapy add to the total.
- Larger, heavier dogs cost more.
How to keep the cost down
Compare quotes between clinics, ask whether a low-cost or nonprofit clinic offers the service, and request an itemised written estimate before agreeing. A large bill like this is exactly what accident-and-illness pet insurance is designed to cushion — though it only pays off if you have a major claim. Use the pet cost calculator to factor procedures into your overall budget.
Frequently asked questions
How much does acl / tplo knee surgery (dog) cost?
ACL / TPLO knee surgery (dog) typically costs $3,500–$5,000 in the US, with a rough midpoint around $4,250. TPLO and similar cruciate repairs commonly run $3,500–$5,000 per knee at a specialist; simpler techniques on small dogs can be less, complex cases more. Prices vary by region, clinic type and your pet's size, so get a written estimate from your own vet.
What makes acl / tplo knee surgery (dog) more or less expensive?
Specialist surgeon and surgical facility raise the price versus a general practice. Priced per knee — many dogs eventually need both. Post-op X-rays, rehab and physiotherapy add to the total. Larger, heavier dogs cost more.
Does pet insurance cover acl / tplo knee surgery (dog)?
An accident-and-illness policy usually reimburses a percentage of an eligible acl/tplo surgery bill after your deductible, provided it is not a pre-existing condition. Routine/preventive items may need a wellness add-on. See our insurance overview.
Sources & accuracy
Price ranges are aggregated from published clinic and care-financing surveys and reflect typical full-service US practices; low-cost clinics and your region may differ substantially. This is general information, not veterinary advice or a quote. See our methodology and disclaimer.
Last updated: 2026-06-18