Three Notch is fantastic. I don't have to use them often these days with a single, healthy adult cat, but I'm willing to drive the distance when I do. I almost switched to All Kinds when they rebuilt since they're 2 mins away, but after hearing the mess my neighbor's been going thru with them I'll stay with VCA/Three Notch. They do tend to be very busy, but when I've had serious concerns in the past they did their best to help me. My cat used to have some stomach issues and they spent a lot of time trying to narrow down why, and then how they could fix it - he's been 100% ever since. And they were extremely accommodating and so very kind when my dog Maggie had to cross the rainbow bridge. Dr. Yasuda cried right along side of me.