Is it okay to decline a treatment my vet recommends?

You can decline a recommended treatment, but that doesn’t always mean you will have to say “no” to your veterinarian. Openly sharing your needs and concerns helps you understand the trade-offs, consider alternatives together and know what to watch for at home.

Your veterinarian provides a medical perspective. You can weigh their recommendations against the things they can’t see, including your budget, home environment, your pet’s temperament and your family’s circumstances. Together, you can make an informed decision that is right for your pet.

Do vets expect people to decline their recommendations?

It's more common than you think and is a routine part of their practice. Most vets respond with a plan B, and will work with you to find a path forward. Our PetSmart Charities of Canada–Gallup research found that 87% of veterinarians say they often or always recommend an alternative treatment plan when care is declined due to cost, and 96% say clients' financial considerations sometimes or often limit the care they can provide. In other words: declining a recommendation usually starts a conversation, not a conflict.

How do I say "no" without damaging the relationship with my vet?

You can decline treatment without declining the partnership you have with your vet. The key is to frame your response in a way that is honest, shows that you value your vet's advice, and asks for options. Say something like: 

"I don't think we can manage the cost of this right now. Can you help me understand the risk of waiting, and whether there's a lower-cost alternative that's still reasonable for [pet's name]?"

Most vets will be able to work on another plan that better suits your situation in a way that will maintain your relationship. And, the outcome would likely be better than if you silently nodded, left, and never scheduled the follow-up. 

Find more exact words you can say to your vet when navigating cost conversations here. 

What should I understand before I decline?

Here are three things to consider before you decline care. Ask these questions to help you understand the trade-offs before making a decision. 

1. Understand the risk of waiting by asking "What's likely to happen if we monitor instead of treat? What should I watch for?"
2. Ask if there are any alternative options. "Is there a version of this plan that is somewhere between doing everything and doing nothing? Can we consider generic medications, a phased plan, or a recheck later?"
3. When the situation becomes critical. "Is there a point where this becomes urgent or untreatable? How would I know?"

Saying no with these answers in mind will help you make an informed decision, so you have a better understanding of what you may be saying no to. 

What if I'm saying no because of money, not because I disagree with the treatment?

Be clear about why you're declining care so that your vet can help with alternative suggestions. Saying "I don't want to do this" and "I can't afford to do this" lead to different outcomes. If cost is the barrier, your vet may suggest phasing treatment, a payment plan, a lower-cost alternative, or a nonprofit clinic nearby.

Frequently Asked Questions