Orthopedic surgery in Reno — cruciate repair, hip dysplasia surgery, or fracture repair — often reaches the multi-thousand-dollar range once diagnostics, anesthesia, implants, and aftercare are itemized, which is why a high quote for an older dog can feel like pay-or-euthanasia. Get a written estimate that separates imaging from the surgery itself, then use a second opinion on non-emergencies before you decide.