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Cruciate ligament rupture in dogs: cost

cruciate cost 2 - Petplan

Operating on a dog’s cruciate ligament rupture in Spain costs between €900 and €2,000 per knee (2026), and can exceed €3,000 if the other knee tears too. Petplan Spain (Petplan Ibérica, S.L.) reimburses 100% of that veterinary bill up to €3,100 per year, with a €45 excess and free choice of vet.

In summary:

  • Cost of the operation: €900 – €2,000 per knee (the TPLO/TTA techniques, for large dogs, at the top of the range).
  • Both knees (30–60% of cases): can exceed €3,000 in total.
  • Frequency: it is the most common orthopaedic injury in dogs.
  • Breeds most at risk: Labrador Retriever, Golden Retriever, Rottweiler, Boxer and German Shepherd.
  • Recovery: 8 to 12 weeks, with physiotherapy.
  • Petplan cover: 100% up to €3,100/year, €45 excess, any vet, from €20/month.
Infografía: coste de operar la rotura de ligamento cruzado en un perro en España

Few injuries sum up the dilemma of veterinary health as well as a cruciate ligament rupture. It is common, it often appears without a clear knock, and its treatment usually means surgery. When it happens to your dog, the conversation with the vet stops being theoretical: you have to decide on surgery, weigh up rehabilitation and, almost always, face a bill that was not in the month’s budget.

This article explains what this injury is, why it is so common in certain breeds, how much it costs to operate on in Spain and how veterinary insurance changes the way you deal with it.

What is a cruciate ligament rupture?

The cranial cruciate ligament stabilises a dog’s knee. When it tears —partially or completely—, the joint loses stability, lameness appears and, over time, arthritis if left untreated. Unlike in people, many canine ruptures do not come from a one-off trauma, but from progressive degeneration of the ligament. That is why it can appear after an apparently harmless movement.

It is one of the most common orthopaedic injuries in dogs, and one of the biggest contributors to veterinary claims of a certain size. There is a fact worth knowing in advance: in a high percentage of cases, between 30% and 60%, the dog ends up also tearing the ligament in the other knee in the following years. In other words, the expense can come twice over.

Which breeds are most at risk of a cruciate ligament rupture?

Although it can affect any dog, cruciate ligament rupture is especially common in large, active dogs prone to being overweight, since the knee bears more load. Among the breeds with the greatest predisposition are the Labrador Retriever, the Golden Retriever, the Rottweiler, the Boxer and the German Shepherd.

Lifestyle also has an influence. A dog that runs, jumps and changes direction frequently puts more strain on the joint. And being overweight, which often goes unnoticed, multiplies the risk. Looking after your dog’s weight is, in fact, one of the few things within your control to reduce the likelihood of this injury.

How much does it cost to operate on a dog’s cruciate ligament in Spain?

Operating on a dog’s cruciate ligament rupture in Spain costs between €900 and €2,000 per knee in 2026. There is no single price, because it depends on the surgical technique, the size of the dog, the prior tests and the subsequent rehabilitation. These are the reference ranges:

Item Reference cost
Surgery per knee (by technique: TPLO / TTA) €900 – €2,000
If the other knee also tears (happens in 30–60% of cases) can exceed €3,000 in total
Emergency consultation €80 – €100
X-ray €36 – €43

In large, active dogs —precisely the higher-risk breeds— the more advanced techniques are usually recommended, such as TPLO (tibial plateau levelling osteotomy) or TTA, which sit at the top of the range. On top of the surgery you have to add what surrounds it: the initial consultation, the X-rays, the pre-anaesthetic blood work, the anaesthesia, the hospitalisation, the medication and the check-ups. And one chapter that greatly shapes the final outcome: physiotherapy, key to a complete recovery.

The usual recovery time runs from 8 to 12 weeks, with controlled rest and a gradual return to activity. It is not a quick process, and that is another reason to plan it calmly and not under the pressure of the bill.

What does the price of the operation include?

When weighing up the cost of this operation, it is best to look at the whole and not just the surgical act. Typically it involves the consultation, the X-rays, the prior blood work, the surgery itself, the hospitalisation, the medication, the check-ups and the rehabilitation. Each of those items adds up, which is why two quotes can look very different depending on what they include. When comparing clinics, always ask what is included in the price.

Does veterinary insurance cover cruciate ligament rupture?

Yes. Petplan Spain covers cruciate ligament rupture and reimburses 100% of the vet’s bill up to €3,100 per year, with a €45 excess, provided it is not a pre-existing condition. This is where insurance changes the experience: the policy reimburses 100% of the bill up to €3,100 per year, with a €45 excess per claim, and lets you go to any vet, with no closed medical network. With an injury like this, that means two concrete things: you can stay with the orthopaedic specialist or clinic you trust, and physiotherapy —so important in recovery— is also included in the cover.

The model is simple: you take your dog to the vet you choose, pay the bill and then claim reimbursement according to the policy conditions. Faced with a cruciate ligament surgery of, say, €1,800, having cover lets you decide on treatment by medical judgement and not by what fits in that month’s budget. Petplan’s policies start from around €20 a month, depending on species, breed and age.

As always, it is best to take out cover before the problem appears: pre-existing conditions and waiting periods are part of the conditions, so the best time to have a dog insured is while it is still healthy. The full detail of cover and exclusions is set out in the policy terms.

Frequently asked questions

How much does it cost to operate on a dog’s cruciate ligament in Spain?
Between €900 and €2,000 per knee, depending on the surgical technique (the TPLO and TTA techniques, common in large dogs, sit at the top of the range). If the other knee also tears —something common—, the total expense can exceed €3,000.

Which breeds are most at risk of a cruciate ligament rupture?
It is more common in large, active dogs: Labrador Retriever, Golden Retriever, Rottweiler, Boxer and German Shepherd, especially if there is excess weight.

Does veterinary insurance cover cruciate ligament rupture?
Petplan reimburses 100% of the treatment up to €3,100 per year (with a €45 excess), including physiotherapy, provided it is not a pre-existing condition. Check the policy terms.

How long does a dog take to recover from the operation?
The usual recovery runs from 8 to 12 weeks, with controlled rest and progressive rehabilitation.

Methodology: reference cost ranges compiled from public sources in the Spanish veterinary sector (2026). Prices vary according to the clinic, the city, the size of the dog and the severity of the case.