I've been considering having my male's anal gland removed for a while now, but all the vets in my area aren't recommending it (maybe their just not experienced enough). The vets have mentioned potential nerve damage (which freaked my wife out) as a complication to the surgery.I work at a vet clinic where one of our doctors does do this type of surgery. I know in my area, it is not a common surgery, and our vet is the only one locally that does it. You want to find a vet that is experienced because it can be risky and result in you having an incontinent dog if done incorrectly. In all the instances where I have seen it done, it has turned out great and the owners are always so relieved not to have to deal with anymore anal gland issues.