The First Two Weeks After TPLO Surgery: What To Expect

Dr Jessica, BSci DVM CCRP MANZCVS (Canine Sports Medicine & Rehab) - 8th September 2026

The first two weeks after TPLO surgery are about strict rest, not exercise. Short lead walks for toileting only, no jumping, no stairs unless supervised, and no off-lead time in the yard is the standard for this stage. Most of the complications we see in cruciate recovery come from a dog doing too much too soon, not too little.

What's actually happening in the knee right now?

The plate and screws are holding the bone in the new position while it heals, but the bone itself hasn't fully set yet. Nothing about the repair is at full strength in these first two weeks, which is exactly why the restrictions feel so much stricter than the visible wound would suggest.

What "normal" looks like day to day

  • Mild swelling around the incision for the first few days, easing gradually rather than all at once

  • Some reluctance to bear full weight early on, improving little by little as the days go on

  • Tiring more quickly than usual, even from a short walk to the toilet spot

  • Needing a hand or a ramp to get onto the couch or into the car

When to call us instead of waiting

  • Any discharge from the incision, especially if it's cloudy or smells

  • The wound looking like it's gaping open rather than closed and clean

  • Pain or swelling that's getting worse after the first few days, rather than better

  • Not putting any weight on the leg at all once the first week has passed

  • Lethargy, or not eating, beyond the first quiet day home

What comes after the first two weeks?

Once we've checked the incision and you're both past this initial stage, the actual rehabilitation plan starts.

This may include:

  • Manual therapy

  • Laser therapy

  • Controlled strengthening exercises, building up to hydrotherapy over the following weeks.

Frequently asked questions

Can my dog be off lead in the backyard during these two weeks?
No. Even a familiar yard has enough temptation (a bird, the neighbour's cat) to trigger a sudden jump or turn that a healing repair isn't ready for. Lead walks only, even at home.

Is some limping normal right now?
Yes, to a point. A dog favouring the leg for the first couple of weeks is expected. What's not expected is limping that's getting worse rather than better, which is worth a call.

When does hydrotherapy usually start?
Generally once the incision has fully healed and we've had a chance to check progress in person, often a few weeks in rather than during this initial two-week stage.

If anything about your dog's recovery doesn't match what's described above, get in touch rather than waiting to see. We'd always rather have a quick look than have you second-guessing it at home.