I love Dr. Scott! He got down on the floor with my sweet baby and made him feel so comfortable. He is so approachable and kind.

Linda S

What Our Clients Say...

Dr. Corrina is the best! She is very knowledgeable and compassionate and was great with my kitties!

Beth R

Mon - Fri: 8:30 - 5:30 

What Our Clients Say...

"Incredibly caring and attentive! I am blown away by their care and performance and all at a portion of the cost it would have been anywhere else! Our dog recently tore her CCL ansld we were disheartened to learn the costs of surgery. Thankfully, someone suggested Highland Animal Hospital and I am so glad they did! The vet called and spoke with me for about 20 minutes before we even scheduled anything and the care continued to impress us from that point forward. They immediately squeezed us in for surgery and she's doing great! We have to drive almost 2 hours to get here but we don't care - it's worth it!" 

- Jamie M.

Advanced CCL & TPLO Surgical Care You Can Trust

Cranial cruciate ligament (CCL) tears are one of the most common orthopedic injuries in dogs, and early recognition is key to getting your pet the care they need. Signs may include sudden limping or toe-touching, difficulty rising, sitting with the leg extended to the side (often called a “lazy sit”), worsening lameness after activity, clicking or popping in the knee, or an inability to bear weight after running or jumping. If you notice any of these symptoms, our team is here to help. During your surgical consultation, your dog will receive a thorough orthopedic examination to confirm the injury and assess joint stability. We’ll review any existing X-rays and bloodwork—or perform them on-site if needed—and create a personalized surgical plan tailored to your pet’s condition and lifestyle. You’ll also receive clear, transparent pricing for the procedure, anesthesia, and medications, so you can make informed decisions with confidence. In many cases, families are able to move forward and schedule surgery the very same day, helping your pet start their path to recovery as soon as possible.

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Our Doctors

 Mon - Fri: 8:30AM - 5:30PM  

"Dr Barkman was recommended highly by a family friend. And we are not disappointed in any way. The front staff are so professional and helpful. And I can’t say enough about Dr Barkman and the other staff that were involved with the care of my two pups. One ACL/CCL repair and one dental cleaning. Both dogs have done well. The after care is top notch. Thank You" 

- Treva S.

"My 4 year-old pit bull tore her CCL (ACL in humans), and needed surgery. My husband and I were in a panic, as there are only 3 places in NC that will do this kind of surgery. Dr. Josh and his staff were incredibly helpful and kind during this whole process. Whenever we had a question, problem or concern, Dr. Josh called us back ASAP. I've NEVER had such quality care from a vet before. The concern for us and our dog superseded all expectations. I cannot recommend this vet hospital enough; especially if you are seriously concerned about your pets health. Kudos to Dr. Josh!!!" 

- Sindy S.

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Welcome to Highland Animal Hospital

Leading TPLO Surgery Experts Dedicated To Restoring Your Pet’s Mobility 

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Expert Pet Orthopedic Surgeons

When your pet needs advanced orthopedic care, you want a team you can trust to deliver both exceptional skill and genuine compassion. At Highland Animal Hospital, our experienced veterinary team is highly trained in diagnosing and treating complex orthopedic conditions, including cranial cruciate ligament (CCL) injuries requiring TPLO surgery. We combine advanced surgical techniques with a personalized approach, carefully evaluating your pet’s condition and tailoring treatment to support the best possible outcome. From the initial consultation through surgery and recovery, our team is dedicated to ensuring your pet’s comfort, safety, and long-term mobility—so they can get back to the active, happy life they deserve.

How TPLO Surgery Works

Tibial Plateau Leveling Osteotomy (TPLO) is an advanced surgical procedure used to stabilize the knee after a cranial cruciate ligament (CCL) tear—one of the most common orthopedic injuries in dogs. Instead of replacing the damaged ligament, TPLO works by changing the angle of the tibia (shin bone) so that the knee can function properly without relying on the ligament for stability. During the procedure, the bone is carefully cut, rotated, and secured with a specialized plate and screws to create a more stable joint. This technique allows your pet to bear weight more comfortably, reduces pain, and supports a smoother, more reliable recovery compared to traditional repair methods.

How We Can Help

At Highland Animal Hospital, we specialize in treating cranial cruciate ligament (CCL) injuries with advanced surgical solutions like TPLO, helping dogs regain strength and return to normal activity as quickly as possible. Our experienced surgical team performs these procedures routinely, using proven, evidence-based techniques that deliver consistently strong outcomes. From your first consultation through recovery, we provide a clear, personalized plan—including diagnostics, surgical recommendations, and transparent pricing—so you feel confident every step of the way. With fast scheduling, comprehensive aftercare support, and a commitment to both quality and affordability, we make it easier for your pet to get the expert orthopedic care they need without unnecessary delays.

"Updating with a new review just because we feel this truly is the best Vet office in town. One of our special needs dogs had to have CCL surgery yesterday. It was such a relief being able to have her primary care vet, Dr. Josh Barkman do the procedure rather than having to be referred out to a specialist. The care she received was unmatchable. Piper is Blind and hearing impaired so leaving her in an unfamiliar environmental can be stressful, but we knew she was in great hands. We also had an emergency situation with one of our other dogs a couple of months ago and again received the best care and attention. The Doctors and staff are amazing (Jen at the front desk is the best!) and we can't say thank you enough!♥️" 

- Pickett S.

"My personal experience with Highland Animal Hospital was fantastic! From booking to surgery day, everyone had been so responsive and so helpful with all my questions. When I met Dr. Barkman, I knew my dog was in the best hands and best care. The entire team was so careful to ensure that she was in a good condition to be receiving anesthesia and handle the surgery. I picked her up the same day, and the at home care process has been straightforward and easy. The staff are very approachable and have been so communicative. I drove about 2 1/2 hours For the surgery, and it was worth it!" 

- Ana D.

"The staff here is wonderful and very friendly. They are very patient when explaining any procedures or when going over a cost breakdown. Drove all the way from Raleigh, NC because the price of my pets surgery was significantly less than many others in my area but did not have to sacrifice the quality of it!" 

- Hannah R.

Dr. Josh Barkman

Dr. Kelly Totten

Dr. Japheth Barkman 

 Dr. Amy Nevens

Top-Rated Animal Hospital in Fayetteville, NC

At Highland Animal Hospital, your pet is cared for by a team that combines decades of veterinary expertise with a genuinely compassionate approach. As a family-run practice serving the community since 1956, their experienced veterinarians bring advanced knowledge in areas like surgery, preventative care, and diagnostics, while always taking the time to treat each pet with kindness, patience, and respect. We are committed not only to delivering high-quality medical care, but also to building lasting relationships with pet owners—ensuring every visit feels supportive, personal, and centered around your pet’s well-being.

Over 900 Successful CCL Surgeries Completed • Thousands $ Less Than Specialty Hospitals • Immediate Appointments • Second-Generation ACL Surgeon

Skilled, Affordable CCL Surgery To Get Your Dog Moving Again

At Highland Animal Hospital, we make expert CCL surgery both accessible and effective. Dr. Josh Barkman performs these procedures regularly, helping dogs return to normal mobility with strong, consistent outcomes. While referral centers often charge $6,500–$8,000, our procedures typically range from $2,275–$4,000 depending on your dog’s needs, with clear, upfront pricing and no surprises. We also offer fast scheduling—often within 24–48 hours—and same-day phone consultations for diagnosed cases, so your dog can begin recovery as quickly as possible.

Request A Quote

If your dog or cat has a diagnosis requiring surgery, get a second opinion quote to work with our experienced surgeons at Highland Animal Hospital. Our Surgery Concierge or a surgeon will respond as soon as possible.