"Initially, I would let them talk so I can understand their thought process and what they know, both about their pet's condition and the treatment options. This puts me in the best position to have an honest conversation with them about my professional opinion. If they want to explore an alternative treatment option that I can't perform or am unfamiliar with, I would be honest with them and continue to educate them on the best course of action. This wouldn't matter if I was considering a surgical treatment or a prescription for the dog. In the end, my job is to educate the pet owner on their pet's diagnosis and then let them make the decision that suits them best. If they opt for an alternate treatment elsewhere, I would respect that decision and welcome them back with open arms down the road if they choose."