Management Plan- Canine Hip Dysplasia With consideration for the patient’s condition and the owner’s financial status, we have decided to treat Jocelyn’s hip displasia conservatively for the present. Weight control, exercise and pain management are integral to the success of Jocelyn’s treatment. Diet- We recommend feeding an appropriate large breed puppy (under 1 yr) food in two amount- restricted feedings per day. Jocelyn should be eating about 4 cups of food a day. The free choice feedings may lead to the possibility of her becoming overweight. Exercise- Jocelyn should have controlled exercise like leash walking, swimming, and climbing hills in order to keep her joints moving and her muscles strong. I would suggest short periods of exercise (no more than ½ hour) once or twice a day. Pain management- Even though Jocelyn did not respond to the few doses of Rimadyl she received, we are going to try long-term Rimadyl (carprofen-BID) or, as a second option, Etogesic (etodolac- qd), for analgesia. We will recheck Jocelyn in 6-8 weeks to see how she is doing. We will also suggest semi-annual bloodwork to the owner to check for liver and kidney damage. Surgery- this is also a viable option for Jocelyn. Because of the owner’s financial status, we will try conservative management first. However, if this treatment does not work, surgery may become necessary. A bilateral total hip replacement is the best option, but is very expensive. The owners could put aside some money for the surgery by the time Jocelyn is old enough to have it (at least 9 months from now). A more financially practical option may be a bilateral femoral head and neck excision, or one total hip replacement and one femoral head and neck excision. It is also possible that the owners could elect to perform surgery on just the more painful hip.