I am very impressed with the contemporary concept of performing it while the patient is under a general anesthesia. This gives the surgeon a better opportunity to dissect away any tissue and accessory branches to the nerve which may decrease the chances of success. I have though, seen many horses pain free for years after the surgery was performed in a box stall or back yard using a local anesthetic. There seems to be a broad range of fees charged for these surgeries. I am certainly in favor of professional compensation for quality services.
Some veterinary surgeons charge exorbitant fees for performing a neurectomy.
As the surgery does not invade muscle tissue or expose vital organs, I can't see why it should ever be priced to the point of dissuading the owner from electing to having it performed. Certainly, there is the decision the owner must make as to whether the horse is monetarily worth the cost of surgery. Unfortunately, this choice can't always come from the heart, but must sometimes defer to the pocketbook. Never at any time prior to a neurectomy is the shoeing more important than after it has been performed. I am convinced that the success and longevity of a Posterior Digital Neurectomy is enhanced by meticulous attention to the principles of balanced, supportive horseshoeing.