Q: How can I decide whether to put my pony through a big operation, like colic surgery?

A: This is a big decision that it is best to make in advance of your pony becoming sick, so that you know the decisions you are going to make ahead of the stressful situation. Making the decision in advance will also speed up the process, as any delay can reduce the chances of a successful recovery.

Colic surgery is a big undertaking and may not be the best option in every case. Many ponies go on from surgery to have successful competitive careers, but some never return to their previous level of fitness, and others have complications after surgery that can be life-threatening.

It is also worth bearing in mind that your pony will require a general anaesthetic, which in itself has a number of risks. Overweight or older ponies can be at higher risk of problems following general anaesthetic, so this needs to be conisdered as well.

Older ponies without any health concerns do equally well as younger ponies following colic surgery so age is less of an issue. However, very overweight ponies have a higher risk of problems under anaesthetic and their wound is often difficult to heal after the operation. Similarly, ponies with conditions such as arthritis may struggle to get up after the anaesthesia. They will also become stiff during the post-operative box rest, which is usually at least four weeks in the case of colic surgery.

The temperament of your pony is also worth considering. Recovery from surgery is usually slow, and anxious ponies can find the process unbearable. In particular, some ponies will struggle to cope with the box rest, and their anxiety may cause another colic episode. Whilst most ponies will ultimately adapt, getting your pony prepared in advance to equip him to handle stressful situations will be a big advantage if ever he does require surgery.