Muffin's Pet Connection Discount Female Dog Spay Certificate covers: Examination, *anesthesia (for the first 30 lbs), surgery and stitch removal if needed. The Certificate DOES NOT include: shots, antibiotics or pain management, etc. *If the dog is over 30 lbs the additional charge for more anesthesia is paid directly to the vet. Check with the vet before the appointment and ask about additional fees. Thank you.