As a large animal ambulatory veterinarian, we have been told for decades to make clients come to us so that we can see more clients in a day without all the travel time. The small ruminent clients have been especially receptive to this because it saves them a trip charge and the patients are small enough to travel in a car. Having the ability to do this increases the amount of patients we can see in a day dramatically. In our area, there is an extreme shortage of veterinarians willing to do anything large animal related. If we have to drive to every call the number of clients we see in a day will be cut in half or worse. In the past 5 years more large animal veterinarians have left the area, creating a huge practice radius that we are now responsible for. Most clients with emergencies that can be hauled safely will transport to us because it saves them wait time and the animal gets seen quicker. There is no difference in pulling blood for EIA testing or floating teeth or suturing a laceration on the farm or at the clinic. It is still considered an ambulatory procedure no matter where its done. Laying a horse down for routine castration on the farm or in the yard again does not matter where its completed. Trying to maintain a catheter on the farm for a calf with diarrhea is very difficult for the owners to do, maintaining a catheter in a haul in facility allows trained staff and veterinarians to treat the animal appropriately with the correct amount of fluids. Working cattle in a chute with an alley way and tub makes a huge difference than trying to do it on a farm with 2 gates and a wooden head gate. The clients appreciate the time and money it saves them to be able to bring it to a maintained facility for veterinarians to complete castrations, dehorning, pregnancy checks, prolapses and routine vaccinations as well as the massive amount of cattle foot work that is required to keep our clients herds healthy.