Quality, affordable surgical options for pet owners and veterinarians.

Blue Sky Veterinary Services, owned and operated by Dr. Paul Farrell, has been providing surgical services to veterinary hospitals in San Diego and the surrounding area since 1999. With the opening of our new facility, Animal Outpatient Surgery of San Diego, conveniently located in Kearny Mesa, we now offer surgical options directly to pet owners. Our state of the art center houses sterile surgical suites, a dental/surgery wet table, and both high definition (16 bit) digital radiography and ultrasound for use in the surgical planning and post-operative care.

Pet Surgical Services

We offer a variety of complex, as well as routine surgeries including:

Orthopedics:  Torn ACL / cruciate ligament repair, fracture repair, luxating patella (MPL) repair, Femoral head ostectomy (FHO)

Soft tissue surgery:  Lump removal, anal sac ablation surgery, Ear surgery, Stenotic nares and palate resection

Abdominal surgery:  GI foreign body, splenectomy, hernia, Gastropexy

Cancer surgery:  Mast cell, Liver lobectomy, amputation

Dental surgery:  cleaning and extractions, palate surgery

Eye Surgery:  cherry eye, entropion, ectropion, 3rd eyelid flap

Sterilization surgery:  spay, castration

Cesarean sections

Regenerative Medicine:  we offer PRP as an adjunct to many of our procedures

Meet Us

Meet the Staff

Paul Farrell DVM

Tina James

Chris Rodriguez RVT

Surgical Services for Pet Owners

We provide cutting edge, affordable surgical services directly to the pet owner at our brand new state of the art facility, Animal Outpatient Surgery of San Diego, located centrally in Kearny Mesa on Clairemont Mesa Blvd.

We offer these high quality surgical options as an alternative to the many talented board certified (boarded) surgeons located at the referral and specialty hospitals throughout beautiful San Diego.
Imaging: High Definition digital radiography, and ultrasound are available for surgical planning and post-operative care

Regenerative Medicine: We offer PRP stem cell therapy along with many of our orthopedic procedures, and as a stand-alone treatment. Ask about how regenerative medicine could benefit your pet’s condition.


Below find a listing with explanation of the commonly performed surgeries, along with a link to the appropriate aftercare instructions.

Anterior/Cranial Cruciate Ligament (ACL, CCL)

Cranial cruciate ligament, also called the ACL or CCL, is one of the most common orthopedic diseases in dogs, especially in Labrador retrievers, Staffordshire terriers, Boxers, Bichon Frises and Rottweilers.  There are several acceptable methods of repair with a range of costs and benefits.  We offer the Lateral Suture, TPLO and TTA.  Schedule an appointment to discuss these methods of repair and decide which is best for your pet and family.


Adrenal gland excision for tumors on the gland

Amputation:  digits, tails, limbs

Indicated for trauma, cancer or other problems causing loss of use of a limb, tail or digit

Anal Gland Ablation

We use an electrosurgical method to ablate the tissue which makes the fluid in the anal sac, which results in complete removal of these malodorous glands.

Cesarean section

Offering both planned and emergent cesarean sections

Cherry Eye:  Prolapsed Gland of the Nictitans

This gland is repaired by the pocket technique, embedding it in the tissue of the third eyelid, as it is important in the pet’s tear production.

Cholecystectomy gall bladder removal

Indicated in severe or chronic gall bladder disease


Castration when one or both testes are not in the scrotum, and are in either the inguinal canal or the abdomen


Surgery of the urinary bladder for removal of stones, or to remove or palliate tumors

Dental cleaning and surgery

Oral health is important to the general health of your pet


Electro epilation of distichia, which are hairs growing from the conjunctiva of the eyelid and typically rub on the cornea causing ulcers.


Repair of the eyelid which is turned inward toward the cornea.


Removal of the globe indicated with various end stage ocular diseases


Abdominal exploratory surgery for the purposed of diagnosis and repair of various problems related to the gastrointestinal tract or other abdominal organs.

FHO Femoral Head Ostectomy

Removal of the head and neck of the femur, resulting in a functional rear limb, indicated for problems with the head of the femur, including hip dysplasia, Legge-Calve-Perthes disease (vascular necrosis of the femoral head), and fractures of the head or neck.

Fracture repair

We concentrate on fractures that can be well managed with either pinning and wiring, or plating the broken bone.  We can review radiographs to help decide the best method of repair for the pet


This is an incisional pyloropexy, whereby one section of the stomach is sutured to the body wall, which is a surgery meant to prevent gastric torsion, or gastric dilation and volvulus, often performed in large and giant breed, deep chested dogs.

GDV Gastric Dilatation Volvulus

Surgical resolution of stomach torsion


Repair of hernia:  umbilical, inguinal, perineal, diaphragmatic or traumatic

Laceration repair

Proper treatment of lacerations, before they become a problem!

Lateral Ear Canal resection

Indicated in dogs whose vertical ear canal is narrowed from disease, and whose horizontal canal is still open.  Early use of this technique in on dogs with chronic ear disease can help with long term management of otitis.

Liver Lobectomy

Removal of a liver lobe, most commonly performed for a solitary tumor in one liver lobe, this surgery can add years of life to middle aged and geriatric dogs

Luxation reduction

Hip or elbow luxation reduction, and placement of appropriate sling


Removal of part of the lower jaw, usually indicated for cancer treatment

Mass Removal

Removal of masses in most locations, both benign and malignant, with evaluation of the surgical margin and of the mass itself


Stenotic nares are common in brachycephalic breeds such as bulldogs and pugs.  Opening of the nares can result in better airflow and better quality of life for these pets


Kidney removal, indicated in the case of cancer, and some forms of kidney cysts, or a ureteral blockage.


Castration of dogs and cats

Osteochondritis desicans (OCD)

Surgical resolution of a soft spot in the bone under the articular cartilage, often found in knee or shoulder of dogs


Elongated soft palate, everted laryngeal saccules, and stenotic nares are common in brachycephalic breeds such as bulldogs and pugs.  Surgical revision of all three areas to increase airflow can often lead to substantial change in quality and quantity of life for these breeds.

Patellar Luxation (MPL)

Repair of a luxating (sliding) knee cap.  This condition causes substantial lameness, and surgery will return the limb to function, and prevent progression of degenerative joint disease.

Prostatic cyst

This problem in older male dogs can cause urinary blockage and urinary tract infections.  Omentalization is the method used to resolve the cyst.

Perineal urethrostomy (PU)

Performed in male cats, this surgery is indicated for repeat or non-resolving blockage of the urethra


Female dogs that are not spayed, can develop this life threatening disease where the uterus is infected and filled with purulent fluid.  Complete removal of the uterus, and typically the ovaries, is indicated here.

Salivary mucocele

Surgical removal of the salivary gland, indicated when the duct delivering saliva to the oral cavity has become compromised, resulting in a large buildup of saliva under the tongue and in the tissues of the neck.

Scrolled cartilage

Repair of a rolled third eyelid

Portosystemic Shunt

Repair of the aberrant flow of blood bypassing the liver, typically diagnosed in young dogs.  Yorkshire terriers are a common breed example


Ovariohysterectomy in dogs and cats


Removal of the spleen, commonly indicated for tumor or torsion of the spleen

Stifle exploratory

Surgical exploration of the knee

Tibial crest avulsion repair

Common in immature dogs, repair of the tibial crest fracture by cross pinning

Tooth Extraction

Removal of diseased teeth


Ultrasonic scan of the abdomen, neck, or extremities for diagnosis of disease and surgical planning

Urethral prolapse

This problem occurs most often in male dogs that have not been castrated.  Surgical resolution includes revision of the urethra and neutering the pet.


Most commonly performed in female dogs with recurrent urinary tract infections, this surgery removes redundant skin in the perineal area, normalizing the exposure of the vulva, and thereby reducing local pyoderma which can lead to UTI.

Contact Us

Blue Sky Veterinary Services

Paul B Farrell DVM

Phone: (619) 892-7400

Email blueskyvet@yahoo.com