Excellent topic for discussion. I will admit that I am struggling with this right now. 3 weeks ago yesterday, my Olivia died while at the vet. She was 8 yrs old and her teeth were very bad (I only had her 6 months). We did pre-op bloodwork etc. but they said when they gave her the anesthetic, her heart stopped beating. My vet's office has several doctors, I have worked with 2 of them. They are nice enough and seem to know what they are doing...however, in the back of my mind I am accusing myself of not checking around more for a vet that works with tiny breeds. I don't think I've ever seen a tiny dog in there - always bigger ones (which is what my kids always had when they were at home, so this vet was fine for them) and I believe they also do farm vetting. I now have another little one and I will be looking for a vet that regularly sees tiny breeds. I cannot imagine even walking in the same vet's office ever again - not specifically because I think they are inept or aren't trustworthy...but because I feel responsible for taking Olivia there and not investigating their expertise in tiny breeds more ahead of time. Maybe time will change my thinking..I do know that my little 10-month old girl seems to have a baby tooth still there, right in front of a permanent tooth - and seeing that, knowing that it might have to be removed by a vet, literally made me sick to my stomach.