We've used Dr. Alexander for years. He's very knowledgeable, is excellent at systematic diagnosis, always good natured (even in the night if you've gotten him up), is willing and glad to answer questions, explains things clearly, and can handle anxious horses. He does all our routine care and everything else too, from a cough or laceration to a fracture and euthanasia. He's kind to the horses and respectful of their owners. He will advise on diet and general horsekeeping if you ask him. He is practical, understands financial constraints, and does not try to sell you something you don't need. I think his charges are fair. In addition, his assistants are always great and his office staff very efficient. Read Less