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BOTTOM LINE • There is no clear evidence that a flank incision is more or less painful than a midline incision when spaying cats. However, the surgeon's preference and individual patient circumstances should be considered when choosing which approach to take. Clinical scenario Dr Perry brings her five-month-old female domestic shorthair kitten, Kylie, in to be spayed. She has read on the internet that cats can be spayed using either a midline or a flank incision. She is very concerned aboutdoi:10.1136/vr.m2008 pmid:32482820 fatcat:oghsh4iamff5hj5s2uvb3z3wmq