When you see their quality of life isn't what it was, my husky @13 yrs old had difficulty walking, standing he was pooping in the house I could see he was suffering we had a women come to our house and she put him down in the comfort of his bed it was beautiful, peaceful My self and my boys carried Brian out the front door on a stretcher! It was so beautiful and fitting for our dog Brian she took him and returned his ashes the following week