Reviewers consistently praise the veterinary expertise and emergency care at Fifth Avenue, with particular admiration for Dr. Appel's surgical skills and willingness to treat complex cases including exotic pets. However, some pet owners express frustration with pricing transparency and communication style, noting concerns about recommended procedures and upfront cost disclosure.

• Expert emergency surgery and critical care; Dr. Appel credited with life-saving procedures
• Experienced with exotic pets (rabbits) and geriatric animals; thorough explanations of options
• Concerns about pricing transparency and cost of recommended diagnostics
• Communication style perceived as blunt by some; questions about test necessity occasionally dismissed
• Reasonable wait times and fair pricing overall; open late for emergencies