I have been taking my dogs and cats to Amber Leaf for the past 5 years, and my husband for years prior. I have mostly been dealing with Drs. Chernok and Rudigier and would recommend AL without pause (sorry). I have had 2 beloved dogs put down in the past 3 years and each time was afforded the utmost kindness, patience and sympathy, and we were given all the time in the world to say goodbye. We all held our pets as they fell asleep. Later, we received hand-written sympathy cards from the administering doctor. As far as cleanliness, the reception area and the examining rooms are very clean - not hospital sterile, but considering all the creatures walking through the doors (and most dogs marking a corner or two), the place has no offensive odor, and the accidents are cleaned up immediately. They are very accommodating and caring!