As I understand it, spay/neuter is not standard in Europe.. so for sure I would think about a gastropexy more if I were in your shoes. In the states, most people besides breeders or others involved in show or performance events will generally spay or neuter their dogs, so, again, it is an operation nonetheless but usually we combine the spaying/neutering and the gastropexy if we decide to have one. And in that way, here it is used as a preventative many times.
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