By
W. Marvin Mackie, D.V.M.
To many, the movement toward the routine early (prepubertal)
surgical sterilization is well accepted; however, there are still a
lot of people who ‘have never heard of such a thing.’ These people
repeat the phrase with a tone of disbelief and sometimes with a tone
of incredulousness. The disbelief is more a reflection of astonishment
that we, the veterinarians, can safely operate on patients so small
while anticipating no negative health or development issues. The
incredulous response is more likely to stem from those deeply
sensitive souls whose first visceral response is that any surgery
involving the very young is hurtful, unkind or somehow even ghoulish.
In fact, the youthful patient’s response is almost a non-response.
Upon awakening, these tiny, active creatures seem unaware that a
surgery has even taken place and are most often eager for a bite to
eat!
Performing surgery on three-month-old dog and
cat patients is well within any veterinarian’s ability. Every
colleague I have talked to who performs the early procedure wonders
why it is taking so long for our other colleagues to catch on. The
procedure is simply easier and cleaner with less surgery time and half
the recovery time of an adult. The young patient’s safety is equal to
or better than the adult’s. Their utilization and elimination of
anesthetic agents is amazingly tolerant and rapid.
The real wake-up article on early age neutering
was published in the September 1, 1987 issue of the Journal of the
American Veterinary Medical Association (JAVMA). Following the
publication of this article, questions abounded within the profession.
All but a handful of veterinarians were suspect
of such a radical
change in our standard procedure; some were dead-set against it for
all manner of unfounded reasons while others predicted dire negative
consequences. Studies began on the effects of early age sterilization
in 1989 with first results published in the April 1, 1991 issue of JAVMA. The studies raised no red flags indicating difficulties; in
fact, collectively, the results were so favorable that in July 1993
the Executive Board of American Veterinary Medical Association issued
the following position statement: Resolved, that the AVMA supports the
concept of early (prepubertal, 8-10 weeks of age) gonadectomy in dogs
and cats, in an effort to reduce the number of unwanted animals of
these species.
Studies continued and pockets of acceptance
grew, especially in the shelters, humane societies and adoption groups
who are confronted daily with the plight of unwanted pets. Veterinary
schools have become supportive and some even teach the concept. At
Texas A&M, the senior program provides every student with a two week
spay/neuter rotation and they conduct surgery on all ages for two
local shelters and the University’s small animal clinic. They
documented the long-term outcomes of their early age gonadectomys and
reported their strongly positive results in the December 1, 2000 issue
of JAVMA (cats) and the January 15, 2001 issue of JAVMA (dogs).
In last month’s article, I mentioned the
California Vincent Assembly Bill 1856 that requires all pets adopted
from public or private agencies be sterilized before release. This
took effect January 1, 2000 and it was the studies and training done
in the 1990s that laid the groundwork to make this requirement
possible. With no option but to accept a neutered pet at adoption,
discussion and explanation of the procedure is minimal. At Animal
Birth Control, we observe that the new pet owner presenting their
puppy or kitten for vaccines who has been told the advantages of early
sterilization is quite accepting of the suggestion and readily makes
the appointment for their pet’s surgery with the last vaccine of the
series or with the rabies.
Amazingly, there are still some veterinarians
who are reluctant to embrace the progression to early age
sterilization. They seem to be ignoring the wealth of scientific data
supporting the procedure or are simply uncomfortable performing the
surgery. As with any profession, veterinarians have their areas of
expertise. You, as the consumer, have every right to insist that “now”
is the right time for the sterilization and to find a practitioner
qualified and willing to perform the surgery.

Possibly the biggest advantage of the early age
procedure is the avoidance of “oops” litters. Estrous has a habit of
appearing when you least expect it and when you are totally unprepared
to deal with your pet’s determination to mate. Not surprisingly, your
first experience with the cleverness of your pet in escaping your
control to accomplish its goal, will be to remark “Oops” upon first
recognizing their pregnancy. While there are still options at this
stage, most pet owners are more comfortable with the prevention than
the ‘fix.’ As a responsible and informed pet owner, you can make a
difference – for you, for your pet and for the pet overpopulation
predicament.
Reprint from The Pet Press, Los Angeles, CA.,
Vol.2, Issue 7, April 200l.
Dr. Mackie, the owner/director of two Animal
Birth Control clinics in Los Angeles, has been a spay/neuter
specialist since 1976 and is nationally recognized for his work in
early age sterilization. He offers an extensive surgical training
program and a widely distributed video on his procedure. E-mail:
Spaydvm@aol.com.