I am appalled to think there is any clinic that has a policy for euthanasia that does not include sedation. Even the VDACS required sedation of companion animals. My friend suffered greatly when her cat was put the death in front of her without sedation. She was traumatized by how he obviously suffered by not being sedated. I encouraged her to file a formal complaint but she said that wouldn't ease her trauma or the nightmares she has suffered ever since. Knowing she has made a difference to prevent this from happening to others might help. Please require that all clinics use sedation prior to euthanasia!