Anterior cruciate ligament (ACL) or cranial cruciate ligament (CCL) is one of the most common orthopedic surgeries performed in dogs. A study even found that CCL makes up almost 85% of all dog orthopedic surgeries every year.(2) Luckily, pet insurance can help cover the cost of it. Pre-existing conditions are not covered.
Let’s start with what this surgery is and why is it needed in the first place.
Note: Injuries leading to ACL surgery are rarely caused by accidents.
How Much Does ACL Surgery in Dogs Cost?
ACL surgery is an invasive surgery and can be pretty expensive. The total cost will depend on several factors like the type of surgery, complexity of the case, type of facility, location, etc. You can expect the total cost to be anywhere between $1500-$7000. (1)
The dog may need post-surgery care, usually up to 2-3 months. The vet may even prescribe calming medications for pain relief and sedatives to avoid further injuries. X-rays will be needed during the follow-up visits to check if the bones are healing properly or not and if the implants are working fine.
Alternate therapies like laser therapy, aqua therapy, etc., may be prescribed to help speed up the healing process. The dog may even need prescription diets to help manage the weight to avoid obesity in the future. All of these can add another couple of hundred dollars to the total care bill.
Not if you have pet insurance, though.
What is ACL in Dogs?
ACL basically is the knee joint which consists of 6 main ligaments. (1)
Cranial and caudal cruciate ligament – These cross the joint and help in the forward and backward movements.
Medial and lateral collateral ligaments – These go on the sides and help with the sideways movement.
Meniscus – These are like C-shaped discs that absorb the shocks and distribute the dog’s weight. They are the ones that damage when the cruciate ligament is torn.
What a sophisticated piece of engineering, isn’t it?
What are the symptoms of a ligament tear in dogs?
It is not very difficult to spot a dog with knee problems. Below are some signs to look out for – (3)
Symptom | Description |
Limping | Difficulty walking normally due to pain or injury. |
Shifting the weight away from the injured leg | Avoiding pressure on the affected leg. |
Avoiding or having difficulty jumping | Hesitation or inability to jump onto surfaces. |
Sitting with the injured leg on the side | Adjusting posture to avoid discomfort. |
Swollen knee | Noticeable swelling in the knee area. |
A popping sound when the dog moves | Clicking or popping noises during movement. |
Reduced activity levels | Less movement, playfulness, or willingness to exercise. |
When Does a Dog Need ACL Surgery?
When the CCL is damaged or torn, surgery is needed to repair it. It is usually caused by the following factors –
Risk Factor | Description |
Overweight | Excess weight increases stress on joints, making movements riskier. |
Degeneration | Genetic, conformational, or immune-mediated processes can weaken the ligament over time. |
An unstable cruciate ligament can cause immense pain, inflammation, lameness, and even arthritis in dogs. Over time, stiffness can affect the quality of life as it can make activities like getting up, climbing stairs, jumping, etc. very difficult.
Read More: How Much is Dog ACL Surgery?
What are the Benefits of ACL Surgery in Dogs?
Unfortunately, a torn cruciate ligament doesn’t regenerate. Hence, the surgery involves either mimicking the ligament or altering the functionality of a dog’s joint. Surgery can be the best chance for your dog to help minimize pain and inflammation and return back to almost the same levels of activity as before.
Surgery is recommended even for dogs with partial tears as they can eventually grow into full tears. The vet will consider the dog’s size, weight and activity levels before moving forward with the surgery. It is estimated that this surgery has a success rate of as high as 85%-90%. Having said that, the surgery cannot prevent the development of arthritis. (2)
Are There Any Risks of ACL Surgery in Dogs?
While the success rate is very high for ACL surgery in dogs, there can be certain risks associated with it. Here are some of the possible ones – (1)
Potential Complication | Description |
Anesthesia complications | Adverse reactions to anesthesia, such as breathing difficulties or allergic responses. |
Joint infection | Bacterial infection in the joint, leading to pain, swelling, and possible long-term damage. |
Bone fracture | Accidental breakage of the bone during or after surgery. |
Excessive bleeding | Uncontrolled bleeding during or after the procedure. |
Breakage of the implant device | The surgical implant may crack, loosen, or fail over time. |
Implant infection | Infection at the implant site, which may require removal or additional treatment. |
Post-operation complications | Issues such as infection or inflammation that arise after surgery. |
Can ACL Surgery be Avoided in Dogs?
Yes, a dog can recover from a ligament tear without surgery. It depends on the complexity of the case, but some dogs can recover using alternatives like orthopedic braces and supplements. It is highly recommended to consult a vet before deciding to go for alternatives as some cases may require surgery. (3)
What does Pet Insurance Cover?
Most pet insurance providers will help cover the cost of an ACL surgery if it is not a pre-existing condition at the time of enrollment. There may be a waiting period as well after enrollment during which claims may not be covered by the policy.
With Spot Pet Insurance, you’ll be able to get reimbursed up to 90% on not only eligible surgery costs but also all costs related to prescription diets, alternate therapies, follow-up vet visits, medications and more.
More about Spot Pet Insurance
Dog Insurance can help provide financial assistance for eligible veterinary care in case of unexpected accidents, illnesses, or injuries. Our plans can help pet parents manage the eligible costs of covered veterinary care and help ensure that their pets can receive the best treatment possible. Here are some ways that Spot pet insurance plans can help:
Covers Unexpected Veterinary Costs: Spot pet insurance plans help cover the eligible costs of unexpected veterinary treatments, such as emergency surgeries, X-rays, and prescription medications for covered conditions.
Customizable Plans: Choose your annual limit, reimbursement rate, and deductible from a range of options, and create the plan that will fit the needs of your pet and your budget.
Peace of Mind: With Spot pet insurance plans, pet parents can know that they can provide the best care for their pet with less worry about the cost.
To learn more about Spot Plans or to get a free quote, click here.

With 10 years of experience as a pet parent, I aim to empower pet owners with insights into pet insurance and maintaining their pet's well-being. I aspire to be a trusted source, combining knowledge with a commitment to the welfare of our beloved pets.

With 15 years as a dog and cat parent, my pet articles are a mix of humor and firsthand experience - proof that the best stories often come with paws and purrs.