It will vary by location, but besides problems with the wellness plan, there are other problems. One location supposedly was using euthasol as an anesthetic which is completely unacceptable. And in their anesthesia manual, they tell their vets not to do two surgeries together (even if that means baby tooth extractions with s/n). Some of their vets may just go ahead and do what they want, etc., but I don't like the company and most of the vets don't seem to be expert... I'd skip it.