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.