We did Clayton's with a brace and conservative management. The brace was custom fitted by an Ortho doc and at $600, very pricey. To be honest, I often wonder if the brace did any good, or if it was the severely restricted activity, a WalMart human baby mattress (opted for this instead of an expensive dog Ortho bed....much better support and about 1/3 the price) anti-inflammatories and pain meds. As ardeagold said, he isnt 100%, and if he overdoes it he may limp for a day or so, but he is vastly improved, runs and plays and doesnt appear to be in any pain. I think sometimes surgery is gone into too quickly, and that both owners and vets tend to overlook or downplay the very real risk of serious complications that can come along with surgery. Sometimes surgery is the only option, but I think a lot of the time conservative management is an option that is overlooked.