My six-year-old Pomeranian died after what I believe were serious failures in informed consent, communication, monitoring, and emergency response. He underwent invasive abdominal surgery despite being relatively stable. We were promised a call from Internal Medicine or Anesthesia before surgery, but no one contacted us. Additional tissues were also sampled beyond what we understood we had consented to. Internal Medicine repeatedly raised severe IBD or lymphoma as the reason for biopsy. Yet the jejunal biopsy was normal, and we were never told this while he was alive. After surgery, he developed severe bruising and GI bleeding despite a known bleeding disorder. On his final day, he had pale gums, abnormal breathing, CRP rising to 153, and PCV of 29%, yet we were still told he was stable. When we entered the ICU, he was already in severe distress, and escalation to a doctor was delayed.