Manny had been hobbling on three legs (all but his hind right leg) and starting to show signs of pain. We had gone to the Vet 10 days before to get the first set of x-rays which showed weakness in his hip. By standards though, they cannot diagnose Legg Perthes without seeing a similar x-ray two weeks later. Manny had shown signs of quick degradation so we asked the vet if they would see him 10 days later. Sure enough, the x-rays revealed rapid deterioration of his hip.
After confirming it was Legg Perthes Disease, we took Manny into the recommended orthopedic surgeon. They examined Manny and the x-rays and told us that they would gladly take Manny that afternoon. It happened very quickly, but all of our research (and the doctor’s confirmation) is that the sooner the surgery the better – particularly for the rehab period. By waiting too long, the injured leg loses significant amount of muscle – which causes difficulty during rehab.
We left the surgeon on Thursday 4.19.2007 at around 10am and were told we would be able to pick him up the next afternoon.

30 comments
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April 10, 2008 at 6:06 pm
Katie
How much did the surgery cost. My dog has to have this to and I am having a hard time getting an estimate without bringing him in. Our vet who diagnosed him doesnt do orthopedic surgery so I have to look around and if I bring him in to each place it wil cost me $50 just for an estimate.
June 21, 2009 at 12:51 am
CHRIS
I HAVE THE SAME QUESTION. JUST FOUND OUT TODAY THAT MY YORKIE HAS THIS. TRYING TO GET A PICTURE OF WHAT I AM IN FOR.
July 23, 2009 at 1:44 am
anna
Hi,
My dog was just diagnosed with Legg Perthes. Were you successful in finding out the cost ? Any info would be greatly appreciated. Hope your dog is doing better.
Thanks
August 1, 2009 at 9:07 pm
Anik
I am in Canada and my 8 months Westie is currently in at the Vet recovering from the surgery. Here the operation was 800$… Good Luck
September 22, 2009 at 4:07 pm
Jacqueline
My dog is going to have the surgery tomorrow. I am in Charleston, SC and it is going to cost us 880.
September 22, 2009 at 4:50 pm
Ryan
Good luck! Best wishes
December 15, 2009 at 8:24 pm
Shari
Hi all,
My terrier mix just had surgery on Friday for Legg-Perthes. The cost in St. Paul, MN was $1700!!! We just hope her other hip will not be affected as they are suspecting. She seems to be recovering quickly and is already using her leg more.
Shari
December 15, 2009 at 8:33 pm
Ryan
Shari – best of luck you and the terrier! It took a few weeks for Manny, but he is totally healthy and happy now!
February 8, 2010 at 7:09 pm
Madelyn
My Yorkie/Poodle – Cooper was diagnosed this morning and referred to a surgeon.
I believe this is the right thing to do but I am very worried about putting him through this and the subsequent recovery and rehab. Any tips would be appreciated.
February 8, 2010 at 9:01 pm
Shari
Hi Madelyn,
My terrier mix Pepper had surgery on 12/11/09 and is now over 8 weeks post-op and is doing wonderful! The surgery does sound very scary and I had a really hard time with it at first but now looking back, it was a day by day recovery that went fast. Pepper started using her leg just a few days after surgery so I knew it was well worth it and she wasn’t in any pain any more. Please let me know if I can answer specific questions!
Shari & Pepper
July 29, 2010 at 4:42 pm
Anne
Hi Shari,
I am wondering which surgeon and vet you went to have surgery?
I live in Inver Grove Heights MN. I received a estimate of $2000.00 per hip.
I am not sure if I should have both done at the same time or not…
Any thoughts? Thanks
February 11, 2010 at 7:53 pm
Madelyn
Cooper had his surgery yesterday and is doing very well. The surgery was at 3 yesterday afternoon and by evening he was alert and sitting up. I live in Iowa and both my personal vet and the orthopedic surgeron here have been wonderful. My cost will be approximately $1800-$2000 but that includes extra boarding. I decided that as a “single Mom” I needed a little extra help until I could arrange vacation time to help him recuperate.
Because Cooper has not been tolerating the anti-inflamatory or pain meds very well he is able to have a Fentanyl Pain Patch which has been wonderful and I’m hoping he will be back on his normal diet very soon.
I know we have a long road ahead but the worst is behind us and we will keep plugging awaywith his rehab. I’m looking forward to spring and I am very happy with my decision to have this surgery.
This blog really helped prepare me for Cooper’s surgery – THANK YOU!
The water bottle tip was great.
March 2, 2010 at 7:35 pm
deb
I live in Dallas/Fort Worth and the cost of the surgery will be $1400. But my Bichon Friese, Morgan, is only 11 months old. I can’t conceive of her living a life of pain and lameness, and putting her down is just out of the question.
The price of the surgery is not too much to pay for her health and happiness. There are payment plans, so if you possibly can, get the surgery. You will be a hero to your dog and to everyone else as well.
March 2, 2010 at 8:44 pm
Madelyn
“Cooper” Update -
He is doing great and is only 3 weeks post-surgery. He is back to being his happy, energetic self and is allowed to go on short walks again. My biggest problem was keeping him relatively quiet for the first 10 days or so because he felt so much better and was free of pain. He was ready to play.
I would not hesitate to have this surgery for my dog. Cooper was using his leg 1 week after surgery. By April 1st he will be able to return to all of his favorite activities.
July 15, 2010 at 8:03 am
Julie
Hi there, well done on putting in the time and effort to this website. It has been so beneficial for me. My 10 month old shih-tzu/yorkie cross – Chi Chi is now on Day 6 after the surgery. I brought her out to the garden this morning and the cheeky pup attempted to take off after a cat! She is in good form. Eating, pooing and peeing as normal from day one. I remove her lampshade collar (or bonnet as we call it!) when she is supervised and she knows not to go at her stitches. Her first x-ray was Wed 7th July and surgery was 9th July. Her stitches are due to come out in 4 days. However we haven’t been advised of any rehab or phsio or icing or anything like that from our vet. Just total confinement. I see from most of the comments here, you were all advised about a rehab period. All together it cost us €500. We live in Ireland.
July 17, 2010 at 12:43 am
Paul
This website is awsome! It has helped me understand this disease much more and I want to thank you for that. Our little 8 month old Maltese Max, who has a very animated personality and is extremely active was favoring one of his hind legs and I noticed if I tried to move it back he would yelp so I knew something was wrong. I thought it was dislocated, x-rays were done yesterday and sure enough it was Legg Perthes Disease. The vet did not tell us anything about needing to x-ray him a second time 10 days later, he just told us that this is Legg Perthes disease and he would need surgury to walk properly. We are scheduled to take him in this Wednesday morning for the surgury. We were quoted $1200 and they will allow payments with no interest but would require $500 up front. Right now we have him crated until so he doesn’t make anything worse. I will post updates you on his progress. Any tips or advice will be greatly appreciated.
July 17, 2010 at 4:26 pm
deb
Our 10-pound Bichon Frise Morgan had surgery in April, when she was 1 year old. It cost $1400 and was done by an orthopedic surgeon. (Apparently an osteotomy, removing the ball of the femur, is a fairly simple operation and regular vets will do it, possibly cheaper, so I learned.) We did have the ball biopsied, and the report came back that most likey Morgan had Legg-Perthes disease. It didn’t look bad; it was this tiny white smoothe ball but it had several white flat wart-like growths on it. The biopsy was about $200 extra, but Morgan was a show dog so it was important to know.
Her recovery was easy. She needed some pain medication, but not much. She should have been crated, because she was too fast for us to keep still, but that is not in her personality. We kept her on leash, which helped. We gave her rehabilitation exersizes at home, which the physical therapists at the doctor’s office taught us (free).
Morgan is now 15 1/2 months old and she rarely favors her leg. She runs everywhere, preferring to “blitz,” as they call it in Bichon vernacular, which means to rocket around as fast as she can and it’s a wonder how she manages to stop in time when an obstacle, such as a closed door, get in her way. The muscle in her rear left leg was noticeably smaller in her left rear leg than in her right before the surgery, but now the legs look much more alike in mass, especially to the casual observer. I’m sure when the hair grows back fully no one will notice any difference.
The remarkable result of Morgan’s recovery was unexpected. We got Morgan from her breeder at 9 month of age. The breeder said she wasn’t thriving with her littermates. She was very loving and funny with us, and she played and ran, but she was a little reserved. We thought she was just a diva. However, after she recoved from the surgery, we found a new puppy in her. She plays all day and night, demanding that we play with her! She will run up to us, barking all the way, and jump into our arms. She chases her ball and brings it back and pushes it back to us with her paw, over and over. She is full of energy and joy. Her personality has blossomed. She is so full of energy and love and joy. We had no idea how much pain she was in before. She was a wonderful puppy before the operation but she is 10 times more wonderful now. And we are so happy we could help her live a joyous, painfree life. I say to anyone considering this operation, don’t hesitate. It’s the best thing you can do for your baby.
July 30, 2010 at 2:02 pm
Shari
Hi Anne,
We go to Banfield in Woodbury but they brought in an outside surgeon, Dr. Stephen Levine, to perform Pepper’s surgery. I’ve heard nothing but the best about him and he specializes in orthopedic surgery. He is with Inver Grove Heights Animal Hospital (very close to you!) and the number is 651-451-4404. Pepper only had one hip affected by Legg Perthes so I really don’t know much about having both hips done. Dr. Levine is great and came highly recommended by Banfield. Please keep me posted! Good luck!
Thanks,
Shari
August 10, 2010 at 1:13 pm
renata
Thank you all so very much for your imput regarding Westies and Legg Perthes disease. My little LuLu is 7 months old and what a shock it was find out that she needed the operation. The first vet I went to was completely offhand, almost to the point of rudeness, and would not discuss the problem, I was not offered any other solution to the problem. The second vet did explain the operation but just told me of a cat who had got up and walked the next day. I still felt I was being fobbed off and asked that he call me which he did and explained that there really was no alternative.
You have all given me hope that she will start running around again soon. Luckily she loves swimming in the sea so I can see we will be able to enjoy lots of day trips to the coast ( we are in the Centre on England ) just like the videos of Manny – they look so much like.
Wish us luck – her op is on Thursday.
Thanks to all
Renata
August 10, 2010 at 8:05 pm
deb
I’m sure the operation will go very well. It’s pretty simple, actually. Try to keep Lulu quiet during the first part of her recovery, but as she feels better, she probably get frisky. Our physical therapist showed us how to gently stretch Morgan’s leg out and down, then up into the hip after about three weeks of recuperating. She also could have water therapy, where we supported her while she swam. All of the therapy is very gentle, so there should be no chance of hurting Lulu. Be sure to ask your veteranarian about the excersizes first. Good luck to you and Lulu!
August 14, 2010 at 5:49 am
renata
Hi to all and thank you Deb for your kind thoughts. Lulu came home last night and has wanted to act as though all is normal which is quite disconcerting as she can only just put her foot the floor. She has eaten but nothing else. Reading all blogs I have not been offered or advised of ice, heat or water therapy’s but have been told to manipulate the knee gently back and forth. Practices are obviously different here in the UK. It is a frightening time for an owner, as I am sure you will all agree, we do not hear what is said to us as we are just happy to see out beloved pet – perhaps vets couldlearnby giving us written advise – like question and answers.
By the way here in the UK I had an estimate of £640 but the bill for the operation was £540.
September 23, 2010 at 4:12 am
Carolyn
I totally agree, Renata. I have to admit that I’m still worrying myse;f sick abut the double joint op, even though my JR was diagnosed 2 days ago. I’m off to the vets this afternoon to discuss it and to see how soon they can do it. (it was diagnosed when he was being neutered and chipped and I’d asked for an X Ray, so he has to heal before the hip ops)
It’s the rehab that’s scaring me. I live on my own and am not in the greatest of health ( I have a dog walker for the long daily walk I do the shorter morning and late afternoon ones). I also have a 7year old JR who suffers drom epilepsy and skin problems!! Reading through this blog is helping me calm down (It’s 5am, and although I had an early night, that’s how much I am worrying.)
Alfie is insured so I’m hoping most of the op will be covered by that, but hydrotherapy etc seems to be the way to go.
I’m hoping they’ll do the op asap, as it’s probably much worse than worrying about the whay ifs I think I’ll take someone with me wjen je’s had the op to be my “ears” as to how I can cope.
September 23, 2010 at 4:15 am
Carolyn
Oh, forgot to add that I hope that 8 weeks on Lulu is doing well. I’m going to quiz my bet over icing and complementary therapy. But they frown on that here in the UK, domt they?
August 22, 2010 at 11:26 pm
Debi
My Maltese Bella was just diagnosed after one xray. She had trouble with her left back leg and started limping and holding it up for the past two weeks. The vet wants her to see an orthopedic surgeon and have the surgery done right away. They said that they would take the head of the femur off and replace it with a prothesis. Is this normal? I have read that they take the head of the femur off and don’t replace it with anything. A friend had said that the cost is over $5000.
August 23, 2010 at 2:16 pm
Madelyn
Good Morning Debi -
After consults with both my vet and the orthopedic surgeon, I was told that in smaller dogs, they do much better without replacing with a prothesis because the prothesis can cause bigger problems if it would move or detach. It is important to watch their weight as they grow.
Cooper is now 1 1/2 years old and came through beautifully (he weighs 9 lbs). He runs, jumps and plays just like his normal happy self. There are times when he is playing with other dogs and pretty wound up, I actually have to have a little time out because he doesn’t know when to quit.
I live in Des Moines, Iowa and the surgery cost $2000 but that included an extra day of nursing care until I could arrange to be home with him. I would not hesitate to have the surgery – I have my happy little dog again.
This is a great website – keep us posted.
September 12, 2010 at 2:09 pm
Charlee
My 11 month old Jack Russel Terrier started favoring his leg at about 4 months old. We thought he had an injury while playing with other dogs. An x ray at our vet showed that his femoral head was almost completely squared off. The vet, who is also a top orthopedic surgeon, suggested a waiting period with anti inflammatory drugs administered daily. Buddy hardly ever uses his leg, and now that he is finally close to a year old we are having his surgery on Tuesday. It will cost around 800 dollars here in upstate NY. Wish him luck. It will be hard keeping a jack down!!
September 12, 2010 at 9:40 pm
deb
Charlee, if you think your Buddy is all Jack Russell now, just wait till he heals! He will probably be double the dog you have known, and a very happy one at that. My Bichon Friese Morgan ran like the wind before and played all the time, but since the operation her personality has bloomed. She runs everywhere, eats everything, talks to us to tell us what she wants. She’s pretty noisy about it, but she’s so much fun. She demands a special dress to wear, a certain toy, and every night, her herbal snack, which you know is weird because no dog ever willingly ate something that was good for it! She was adorable before the surgery, but her release from pain let her blossom into the fully loving, funny dog she is! And it’s a pretty simple operation, just removing the ball of the hip. Try to rehab him as much as possible to make his leg strong. You’re doing the best thing for him. Please keep us updated!
September 15, 2010 at 9:27 pm
Charlee
Buddy underwent his surgery on the 15th of September. I don’t know who was more upset, me or little man. I droppped him at Dr. Meyer’s office at 7:30 in the morning on the 14th so that they could do some pre surgery testing and another x-ray. The surgery was on the 15th and it was about 1 hour long.All went well and Buddy man spent another long night at the hospital. Today I picked him up at a little after 2:00 and boy was he ever happy. Sutures and all he led me to the truck. Then we arrived home and after saying hello to all the family he went into his kennel. Well,,,,, I should say we PUT him in his kennel. So far that has been the hardest part. I honestly don’t think that he knows why he is in there and the looks that I am getting are sad. I am trying to take him for a leash walk every 2-3 hours and so far he has done good. Earlier he ate a whole chicken breast to himself. Later at 7:00 there will be meds, he is good with meds so that’s no biggy. He is wired to go and I don’t know how long we will be able to keep him down. Surgery only cost 650.00 and my vet is a renowned ortho so that’s coooool. More money we can spend at Petco. Chewys are keeping Bud busy and he is 14 days out from having his sutures removed.
September 15, 2010 at 10:01 pm
deb
Charlee, I’m so happy for you and Buddy! Good luck keeping him cooped up, that is the hardest part. You got a really good price on the surgery, too. Please keep us updated on his progress. I just love a happy ending!
August 28, 2011 at 8:13 pm
Jan
Hi all, my wee Tibetan Spaniel, Bichon, Silky Sydney Cross (Allie) has just been diagnosed with Perthes and this blog has been great to read for all the stories, tips and information. I was wondering about trying a sling and pain relief but am now going to ask for the surgery. Thanks again for the Blog.