Luckily we've only had to go for routine issues but the service is great and the prices are…read morereasonable. English speaking people people don't usually spend a lot of time in Buch but the vet and receptionist speak enough English and are very patient if that's what you need. The vet really knew how to handle our dogs who can get nervous. The facility is clean and modern. It's easy to make appointments in a short time which we appreciate. Also if you need some medicine you can administer yourself (flea/tick or for worms) they will sell it without having to see the vet, which Is really convenient.