On our third dog now, first lab no issues minimum vet bill, second lab two knee surgeries ( at 1 yr and 5 yr), third dog labradoodle two knee surgeries ( at 4 yr and 5 yr). So we are in for approx. $17k over 30 years with no insurance. Clearly with our run of luck insurance will be discussed if there is another pup in our future although we are getting real good at the post op care