The Modified Miller's knot course outlines how to place a Modified Miller's knot, using step-by-step instructions. 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.