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Your cat has vanished from inside the house. He either got outside when you opened the door and you weren't quick enough to catch him, or he
Fortunately, neutering a cat only takes a few minutes. Even cats with heart disease can usually withstand the small amounts of anesthetic necessary for the procedure. If your vet feels there are no clinical problems associated with the enlarged heart and they take precautions with their choice of anesthetic, this can certainly be done safely.
