We have used LAH throughout the years... left for a very brief hiatus, and returned very quickly. Cannot complain about the cost, as they do not nickel and dime you like other places. Dr. Mark and Dr. John are definitely top-notch (not very big on Dr. Missy but she is competent). The other staff are good (you'll always have one or two people that are lacking anywhere you go). They take excellent care of their patients and make sure that you are fully educated on your pets particular needs.