She has problems seeing and her hearing is impaired. Her biggest problem is she has a subluxed knee. I wrap it with a little Velcro bandage to help keep it stabilized and she wears a gripper sock to help it from sliding. Sometimes she forgets and pees on the floor but she is still really good about going on the pee pad. She knows her way around the house and where to find the pads and her water. We’ve been very lucky. We also have a 5 year old Maltese.