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Don’t push it , just remind them that’s it recommended. Especially if this is the 3rd time . Then note it for records .
I would recommend you to let it go since they still have the final say regarding the matter. Just make sure that the problem is indicated in the dog's records. Your heart is in a good place but if they do not want the operation we can never push it on them.
I think you've done enough. They were reminded twice so I guess they don't really want it. Just know that we appreciate your good intentions.
Nah. You should not push it any further. As VS1 said, they still have the final say.