Aside from the surgery costs of 3, 000 Rocco is a big dog and needs pain meds for his condition. Expensive pains meds.. and even more when he is so big. He has successfully gone through a 100ml bottle of Metacam in record time (at the recommendeddosage). We had to pick up a 180ml bottle today for a pocket breaking 180$... YIKES. When we say every penny counts.. it really does!