To me all depends if you want to associate yourself with a vet you can trust for the life of your dog, or wing it with each problem. ElinHunter and I go to the same vet...when I was taking care of him when he was so sick and she was overseas, it was good to talk to the vet, who knew me and her , the night before he died. He called me when he heard of his peaceful passing. It's just nice to know your vet cares. I'd be interested to know if any of the Petsmart vets go above and beyond in these cases. If so, I give them Kudos !!!