Like with a regular spay, the dog will first have to have its blood work run to ensure that it is a good surgical candidate and that it will be able to handle general anesthesia. If the dog is deemed suitable, the surgery will be booked. A larger incision will be made than with a traditional spay, so that the uterus can be fully visualized throughout the operation.
It is pulled to the surface so that the entire uterus can be tied off and removed right at the cervix, generally between the ovaries and the uterine horn. It is paramount that the whole of the uterus is removed to prevent stump pyometra from developing. The procedure may take slightly more time than a full spay due to the fact that it is not performed as often and the incision will take longer to close, as it is bigger. Either sutures or staples may be used to the surgical incision.