TPLO Surgery Recovery: What to Expect as Your Pet Heals
Supporting Your Pet Through Healing
Weeks 1-2: Initial Home Care
During this early phase, your goal is to keep activity minimal while helping your pet stay comfortable.
- Keep your dog on strict rest; no running, jumping, or stairs
- Short, leash-only potty breaks
- Give all medications exactly as prescribed
- Apply ice packs for 10-15 minutes, 3-4 times a day, but never directly on the skin; always wrap the ice pack in a clean, dry cloth before applying
- Monitor the incision daily and keep the E-collar on at all times; if you notice any redness or discharge, contact your veterinarian for guidance
- Use a sling for outdoor walks if needed

Weeks 3-4: Controlled Activity
If your pet is healing well, your veterinarian may allow very gentle activity.
- Begin short, controlled leash walks if your dog is comfortable and your veterinarian approves it
- Continue confinement when unsupervised
- Use traction aids like rugs or yoga mats in high-traffic areas to prevent slipping
- Start gentle rehab exercises only if approved by your veterinarian

Weeks 5-6: Gradual Progress
Your pet should be more comfortable, but activity still needs to stay limited.
- Increase leash walks as directed by your veterinarian
- Avoid stairs, furniture, and any jumping
- Keep nails trimmed for better traction

Around 8 Weeks: Recheck Appointment
Your veterinarian will take x‑rays to confirm that bone healing is progressing as expected before activity increases are recommended.

Weeks 9-12+: Returning to Normal
Once your veterinarian clears your pet for more activity:
- Slowly reintroduce off-leash activity once cleared by your veterinarian
- Avoid high-impact play like fetch until your veterinarian says it’s safe

Outcomes and Expectations for TPLO Surgery

TPLO FAQs
Tibial plateau leveling osteotomy (TPLO) is a surgical procedure that stabilizes the knee when a pet has a cranial cruciate ligament (CCL) injury. During the surgery, the veterinarian carefully adjusts the angle of the shinbone by making a precise cut and moving the bone into a new position. A plate and screws are then used to hold the bone in place as it heals. This improved alignment helps create a more stable knee,2 which can reduce pain and restore your pet’s mobility so they can move more comfortably again.1
Before surgery, follow your veterinarian’s instructions on food and medications. Prepare a quiet recovery space with nonslip flooring, block stairs, and arrange for help during the first few weeks. Having an E-collar, traction rugs, and a support sling ready will make recovery easier.
TPLO is associated with over 90% good or excellent results when recovery guidelines are followed.3 While some osteoarthritis may still develop, stabilizing the knee helps slow its progression and improves long-term comfort.
TPLO is one of the most trusted and effective1,2,4 options for repairing CCL injuries in dogs, especially medium, large, and giant breeds, as well as active pets. It provides strong, lasting support to help stabilize the knee. Studies show TPLO offers excellent outcomes and helps minimize osteoarthritis compared to other techniques like tibial tuberosity advancement (TTA) or extracapsular repair.2,5
TPLO is most commonly used for medium-, large-, and giant-breed dogs, but many small dogs may also benefit. Your veterinarian will evaluate your pet’s size, activity level, and overall health to recommend the best option. In some cases, your veterinarian may also consider InternalBrace™ repair (which provides extra support when used with TPLO) or TightRope® fixation (an alternative to TPLO).
Signs of a CCL tear include limping, stiffness after play, thickening around the knee, or reluctance to bear weight on the back leg. Your veterinarian will confirm the diagnosis with an exam and x‑rays. In a small number of cases, rest and medication may be enough to keep your dog comfortable after a CCL injury. However, most dogs do better with surgery, such as TPLO, to help stabilize the knee. If your dog’s comfort does not improve over time with nonsurgical care, surgery may be the next step.
Most TPLO procedures take about 1 to 2 hours. The exact time depends on your dog’s size, the severity of the injury, and whether additional techniques like InternalBrace™ repair are used.
Most dogs stay in the hospital overnight so their recovery can be monitored, but some may go home the same day. Your veterinarian will provide detailed home-care instructions for incision care, medications, and activity restrictions.
The exact time depends on your dog’s size, the severity of the injury, and whether additional techniques like InternalBrace™ repair are used or if your dog has a meniscal injury that requires treatment.
Every surgical procedure carries some degree of risk, and your veterinarian will review the potential concerns that are most relevant to your pet. They will talk through what to expect before and after surgery and answer any questions you may have. Following your veterinarian’s instructions and attending all recommended recheck appointments are the best ways to support a smooth recovery and help identify any issues early.
About half of dogs will go on to injure the opposite knee, and many already have a tear in the other knee at the time of the initial diagnosis. Your veterinarian can help monitor for early signs.
