It is important to use Fear Free practices throughout all aspects of veterinary medicine but we believe especially within the dermatology environment. Many dermatologic conditions mean long term or lifelong therapy by pet owners and with the help of veterinary professionals. Also as part of dermatology care, recurrent follow ups in clinic are necessary in order to diagnose certain conditions through a process of elimination and to continue to manage chronic skin and ear disease. Without using Fear Free practices these visits as well as treatments at home can become increasingly more difficult for pets, pet parents, and veterinary staff. The escalation of patient fear, anxiety, and stress may lead us to having to perform sedated examinations and a decreased ability to provide the best medical care, which then negatively impacts client compliance, trust, and satisfaction.