The choice to not operate on a patient with cranial cruciate ligament disease is being made more frequently than a decade ago. Being aware of these options, their expected results, possible complications and the input required by all involved parties will assist with the decision-making process. Physical rehabilitation plays an integral role in the dog’s recovery, as does the client’s participation. Numerous physiotherapy modalities can be used to improve muscular engagement and to enhance mobility . All are not suitable for every patient. This is a journey; with peaks and valleys, twists and turns, and forks in the road. The destination is return to function.