Surgical Procedure Information

From complex procedures to fracture repair, our surgeons are able to ensure your pet will get the best surgical and post-operative care.  Attention to detail is taken pre and post operatively with advanced pain control and diligent nursing care.

Various days of the month, Fresno Veterinary Specialty and Emergency Center offers surgical services by our board certified surgeons. Surgical patients are referred to our team by the referring veterinarian or our emergency services.

If your pet is referred to our surgical services, your pet’s medical record, laboratory work, radiographs, and previous history will be beneficial to our surgical staff when consulting with you. Please have your referring veterinarian prepare the needed materials before your appointment.

For the safety of all hospital patients, all dogs and cats must be leashed, crated or carried at all times. Retractable leashes must be locked at all times.

Questions about your pet’s upcoming surgery? Here is some helpful information.


Once you have consulted with your primary care veterinarian and they have referred your pet to our surgical team, you can call Monday through Friday 8am-5pm to schedule an appointment. If our surgical coordinator is unavailable at those times, you may be asked to leave your name and phone number so we can schedule an appointment for you when she is available.

Appointments/consultations are approximately 20-30 minutes, depending on the severity of the case. Our surgeon will review the medical record and radiographs prior to examination of your pet, and at that time will develop a surgical plan.

We will present you with a surgical treatment plan that will outline your pet’s surgical and post-operative care. If the surgical plan is agreed on, surgery can be performed the same day, or later if the owner requests.

Associated Fees

The cost of consultation with our surgical team is $175.00 for the initial examination. The initial examination includes a recheck at the recommended recheck date. Payment can be made by cash, check, Visa/MasterCard/Discover/American Express, Scratch Pay, or CareCredit. We do not extend lines of credit.  All payment is due at time of services.

Proposed Treatment Plan

All clients are presented with proposed treatment plans for medical care for their pet.  After examination by our doctor, a treatment plan will be generated based on the medical needs of the pet. A pre-payment of the high end of the treatment plan is required for treatment.

Our Surgeons

Justin Greco, DVM, DACVS

Justin J. Greco, DVM, Diplomate, ACVS (Board certified veterinary surgeon), a native of southern California founded Precision Veterinary Surgery in 2016. His vision is to offer veterinarians and their patients the best referral/university level surgical service possible by an experienced, board
certified surgeon, and making the experience as pleasant as possible for the client and the patient!

Dr. Greco has been board certified in veterinary surgery since 2007. He is a 2002 Phi Zeta graduate of the School of Veterinary Medicine at the University of California, Davis. Upon graduation, he completed a rotating internship at the University of Pennsylvania, School of Veterinary Medicine. He received his formal surgical training at the Animal Medical Center, in New York City, the oldest and most established post graduate veterinary training program in the country. After completing his surgical residency he went on to become a lecturer in surgery at the University of Pennsylvania’s School of Veterinary Medicine and stayed on as a staff orthopedic surgeon and then adjunct assistant professor for 4 years.


Peter Walsh, DVM, DACVS

Dr. Walsh is a 1994 graduate of Colorado State University’s School of Veterinary Medicine. He also has a Masters in Veterinary Science. He completed an internship in small animal surgery and medicine and a surgical residency at the Western College of Veterinary Medicine in Saskatoon, Saskatchewan, Canada. Dr. Walsh joined the faculty at the University of California, Davis where he rotated coverage for all three of the small animal surgical services, and ultimately was instrumental in developing and running the small animal surgical oncology service. He is now in private practice and started Veterinary Specialists Group (VSG) which provides both orthopedic and soft tissue surgical service in the Northern California area. Dr. Walsh is board certified with the American College of Veterinary Surgeons and has a particular interest in surgical oncology and reconstructive surgery. He is considered one of the leading authorities on limb-spare procedures in dogs with bone tumors.