
Fear Free is a concept that benefits both animals and the people working with them. This is especially evident when the animal being cared for is of tremendous size and strength, such as the pig patients of Fear Free certified professional Dr. Alicia McLaughlin at The Center for Bird and Exotic Animal Medicine near Seattle, Washington.
“When pigs are stressed, they communicate their stress very clearly, both vocally and with their body language, which can be very upsetting for their family and veterinary staff. When pigs are less stressed, their families are more relaxed, and their veterinarian is able to provide better quality medical care,” says McLaughlin.
Handle With Care
Coercive handling causes increased tension for everyone. Forced handling is also likely to create fear memories and aversions that make the pig more challenging to work with and create a greater safety risk for both pig and people.
“Pigs are very touchy about their bodies. Many don’t like being touched unless they are being scratched in certain areas. If they feel that any handling attempts are coercive, they’re likely to react strongly and negatively,” says McLaughlin. “Most pigs have an extreme dislike for restraint, having their facial area handled, or being picked up. Forcing a pig to remain still with restraint even momentarily for sedation can cause tension for everyone. Many will vocalize in distress when this handling occurs; with squeal decibels rivaling those made by a fighter jet.”
Most pigs who come in are open to the veterinary experience if the staff interacts in a way that signals they are friendly, not threatening. Encouraging the pig’s willing participation during care using treat rewards, setting a soothing care environment, and using calming aids are all approaches resulting in less stress and greater success.
Reading Porcine Body Language
Rewards and food aren’t the only things that work to keep pigs calm during Fear Free care. Carefully observing the pig’s body language for signs of fear, anxiety, and stress (FAS) throughout care is also key for keeping the pig in a calmer, more amenable state and for keeping both pig and humans safe in the process.
Signs of FAS in pigs include muscles tensing, shying away, lowering the head, moving into a corner, or finding security by moving their body next to a wall. In some cases, FAS may be subtle, with one potential indicator being the pig coming up to take treats, but then retreating to a safe distance immediately after the interaction. Loud squeals and excessive vocalizations are audible signs of a pig’s distress.
When in a state of FAS, pigs will attempt to avoid the situation and move away or hide. If pushed, though, pigs on rare occasions may try to bite. Biting is rare, a last-ditch escape effort from pigs who are responding to the situation as if they’re going to die.
Sedation Can Help
It’s far better to note early signs of FAS and make ongoing adjustments to keep the pig calm than it is to risk escalation and the creation of fearful memories of the experience. Sedation isn’t a last resort for pig care, but a protective practice used early and often when it comes to reducing the FAS pigs experience. In many cases, full sedation is recommended to eliminate the distress and ensuing struggle that could otherwise occur if the pig becomes upset. But before jumping immediately to sedation, Dr. McLaughlin is careful to make the sedation itself as non-stressful and Fear Free as possible.
Sedating a pig can be tricky, especially since most pigs are averse to having their faces touched or to being held in place even momentarily. It’s important to Dr. McLaughlin to keep sedation minimally stressful. Oral pre-sedation medication, such as Valium that’s ground up and placed on food, can take the edge off before sedation. With pre-sedation medication on board, the pig is often calm enough to tolerate minimal restraint while a gas mask is placed over the face. No more than a minute later, the pig is out and ready to be cared for.
“Time pressures can result in handling and care being more coercive than we want it to be. There is something to getting it done quick and dirty. But there are long-term effects that go with that and it’s not my preference to do that,” says Dr. McLaughlin.
This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.
Mikkel Becker, CBCC-KA, CPDT-KA, KPA CTP, CDBC, CTC, is lead animal trainer for Fear Free Pets. She is a certified behavior consultant and trainer who specializes in reward-based training that’s partnered closely with the pet’s veterinary team. Mikkel is coauthor of six books, including From Fearful to Fear Free.


Hunter, a 2-year-old mixed breed, enjoys looking out the windows in the lobby of our clinic. By starting his visit there, asking his mom questions and listening to his heart and lungs, we can make sure he is comfortable enough to continue his exam in the exam room. But it was a different story when he first came in almost two years ago. Because of a previous frightening experience at another clinic, he was wary of us and the handling and procedures being done. He would bare his teeth, growl, and even try to nip at Dr. Gamble’s hands when she tried to touch him. Through consistent Victory Visits, pre-visit training and medications, and desensitization to areas where vaccines and other needle pokes are typically given, we are now able to provide him and his owner with a comfortable and rewarding experience every time he is in. Now he sits patiently and lets Dr. Gamble examine him—with the help of some cheese and marshmallows, not to mention smears of his favorite treats, peanut butter and canned food. During Hunter’s victory visits, we commonly work on the desensitization process without actually following through with an injection. “Happy visits, along with some training classes and behavior work on our part, have made a world of difference to Hunter,” writes his owner, Beth. “Hunter is now excited to see Emily, Heather, Dr. Gamble, and many other staff members as soon as he walks through the front door. He is a much happier dog at the vet thanks to Gamble Pet Clinic’s Fear Free work.”
Recently, there was an event called Woof Fest held during a downtown pub crawl. Our clinic sponsored “Dog Trivia,” and I focused the questions on a pet’s emotional health, such as “Is this dog’s body language calm or stressed?” and “A dog wagging their tail is always happy. True or False?” Hundreds of people played our trivia game, and it was such a rewarding experience to educate the public on the topic.
Sammy had grown up in a hoarding situation and was fearful at the time of his adoption. Unless he was sedated, the six-year-old dog would bark and lunge or even eliminate from fear during veterinary visits. A prescription for an SSRI helped and the team tried additional medications at different doses, but Sammy would push through the medications and continue to show fear aggression. At first, he was unable to generalize that humans weren’t scary, so it was important for him to see the same person at the hospital on each visit. That wasn’t easy, but eventually the right person came along who was able to take the time and effort for Sammy to become comfortable. It took six months of Victory Visits spent eating chicken, practicing chin rests and lying on his side, and undergoing desensitization to having his leg shaved, the scent of alcohol, application of a topical product for numbness, and the pretend poke of a needle, but in July Sammy underwent his first successful blood draw. Now we are routinely doing happy visits to keep the momentum going.
Bruno is a goofy 8-year-old Bull Arab Cross (a type of Australian working dog). He has always been very friendly at the vet, but once pats stopped and the examination started, he would become suspicious and communicate his discomfort with aggressive behavior. Fortunately, Bruno’s owner has been committed to training. They had private training sessions and attended a Ready, Vet, Go! course. As part of Bruno’s training we incorporated a lot of owner education on subtle body language changes, as well as start and stop cues for Bruno. Bruno was trained with a sustained chin target, using a towel on a chair, as his start cue, meaning “I’m ready for procedure.” If he lifted his head, we immediately stopped the procedure. Bruno was also trained to be comfortable with a Baskerville Ultra Muzzle. We spent time teaching Bruno specific body parts such as tail, ear, and scruff, so that he knew what was about to happen. Over time we were able to pair several good vet clinic experiences (training on a Sunday in clinic) with lots of his fave foods, body scratches, and games. We also introduced veterinary equipment, including syringes, blunt needle, alcohol swabs, and stethoscope. When we weren’t actively training, he was taught a default “chill” behavior and rewarded for relaxed head, tail, and big breaths. He had several socialization visits at the vet, and when he required surgery for a lump removal we did practice runs with pre-visit medication to see what would work best for him. A planned course of action on admission saw him anesthetized as soon as possible to limit buildup of anxiety. Since then Bruno has had further training sessions and socializing vet visits. Recently he had his vaccinations and we were able to give his injection without any restraint by utilizing his muzzle and target training. Bruno is a great example of what teamwork can achieve when you have a committed owner and a Fear Free-trained vet and trainer, not to mention a goofy, food-motivated dog!

As for black cats, Campbell says giving clever names to adoption campaigns works. The shelter has been successful with its “Desperate House Cats Looking for Homes” (a play on the popular television shows named Desperate Housewives) and “Pick Your Price” (a play on long-running game show The Price Is Right). Adopters often receive a free bag of cat food and qualify for a free veterinary visit. Black kittens and cats up for adoption often sport pastel-colored collars to help them stand out.



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My cat Cleo is nearly 17 and receives sub-q fluids regularly at home. She used to grumble and try to get away but once I started Fear Free, I began giving her favorite crunchy treats before, during, and after administering fluids. Now she purrs through the whole procedure, and any time I approach the spot in the house where we do fluids, she walks up for “crunchie time.” I’ve been able to switch back to a larger needle because she doesn’t notice the poke while snacking, which makes administration faster, too.
Chewy had a lot of fear and anxiety at the veterinary clinic, causing her to behave aggressively and making it difficult to give her the care she needed. While training her, I observed various signs of pain, which were most likely adding to her anxiety. I alerted her caregiver to my observations so she could better assess and monitor her dog and update her veterinarian. Chewy and her caregiver had previously had negative and traumatic experiences at a veterinary clinic so I referred them to Keystone Veterinary Clinic, which has Fear Free Certified Professionals who created a handling plan to enable Chewy to have a thorough exam, radiographs, and other diagnostics in a safe and low-stress manner. I also worked with the owner to begin muzzle training. The combination of appropriate scheduling, handling, and sedation, Chewy was able to receive the diagnostics and treatment she needed.
Gus had developed severe resource guarding of his food and water bowls, as well as fear and anxiety regarding being touched and having his gear put on and taken off. As a result, he snapped at and bit a walker. We worked closely with his owners and utilized Fear Free strategies and positive reinforcement training to get Gus comfortable with having strangers in the home. We were eventually able to find a solution that allowed Gus to be comfortable having walkers touch and refill his water bowl and approach his food bowl without any signs of resource guarding or fear, anxiety, and stress. Now Gus happily greets his walker at the door, demands affection, and has no issues on his walk or in his home.