I'm genuinely shocked by the negative reviews. We have taken our three dogs to VCA for years, and seen several different doctors during that time. No matter who we see, the vets and staff have always been gentle with our dogs, conscientious about their care, and attentive to our many needs as worrywart dog owners. They have also never failed to accommodate us when we have had an emergency, real or imagined. As for the premises, I'm not saying I would eat off the floor (there are a lot of animals there, after all), but it is appropriately clean -- not at all filthy and/or smelly as someone suggested. As for price, there are certainly cheaper vets, but you get what you pay for.