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Just as with humans, your regular vet should make the referral to an ortho for you. Our vet made the referrals to neuros for our previous dogs - and should our Eskimo have a need to see a specialist, she will make the referral. I am constantly on watch in case those long legs of his should start to show signs of Patellar Luxation or ACL - that would mean the ortho - or back problems - that would mean the neuro (I used to have mini Dachshunds - I know all about back problems). So far so good. I hope things work out for you. Costs vary widely depending on your location. An exam at my vet's Toronto clinic costs about $75.00. Dachshund disc surgery (full body) - used to cost around $6,000 - now we are looking at about $8,000 - and this would include only 4 nights hospitalization. The specialized X-Rays are very expensive - and included in the cost - or they were. The ortho might take the X-Ray and then tell you that your pup does not need surgery - and I expect said X-Ray to cost more than $500 - but maybe less than $1,000 - and then you would go from there.
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 :king: 
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