This course explains HQHVSN incision placement and length that allow the surgeon to safely complete the surgery using a short incision. Not only is a shorter incision beneficial to the patient, but also for the surgeon and surgical team. Ideal incision placements for dog spays, scrotal neuters, cat spays, cat neuters, and cryptorchid neuters are included. Efficient incision closure techniques are also provided, including a specific closure technique that can be used with smaller incisions (about 2cm long).

The Modified Miller's knot course outlines how to place a Modified Miller's knot, using step-by-step instructions. This course also includes ways you can practice this knot using household or items found in a veterinary hospital. Instructions for both left handed and right handed surgeons are included. Where, how, and how many Modified Miller's knots are used at surgical sites for spays and neuters are also explained - including correct way to place a single Modified Miller's knot on every dog pedicle. Learning the Modified Miller's knot and its uses eliminates the need for circumferential and transfixing knots.

The course demonstrates how to safely and effectively neuter a dog using a scrotal approach. With a scrotal approach, the incision is made over the scrotum as opposed to the pre-scrotal area. The scrotal approach is less fatiguing to the surgeon's hands, is easier to close, and has been shown to reduce the chance of postoperative self-trauma by patients.

Exteriorization and visualization of canine pedicles during a dog spay procedure is drastically improved by manually rupturing the suspensory ligament. This technique is traditionally taught by "strumming" the ligament. However, with small incisions, it is not possible for the surgeon to insert a hand into the abdomen to perform this technique. This course demonstrates how to effectively rupture the suspensory ligament when the ovary is outside of the abdomen. This technique is advantageous because if the ovarian pedicle tears after the suspensory is ruptured, the surgeon can visualize the tear and address it accordingly. This course describes a step-by-step manner to successfully rupture the suspensory ligament during a dog spay.