TPLO surgery generally costs between $1,600 and $5,300.3 However, this can vary depending on your dog’s size, breed, and where you have it done. The vet bill may also include diagnostic tests, pain medications, hospitalization costs, and more. The cost of TPLO surgery on your dog adds up fast, but it’s truly the best way to restore a torn CCL and give them a better quality of life. Injuries like this make one of the strongest cases for dog health insurance. MetLife Pet's coverage typically includes CCL ruptures and can help you afford to give your dog the care they need. A MetLife Pet policy can also help with recovery costs such as pain medication and physical therapy.