Large and giant breed dogs with deep chests, such as Great Danes, Weimerieners, and Irish Wolfhounds are predisposed to developing gastric dilation and torsion (GDV) or “bloat”. GDV is a life threatening condition that requires emergency surgery, and even with surgery, can result in death. Prophylactic gastropexy is a surgery aimed at preventing GDV from occurring by tacking the stomach to the body wall. This is accomplished using minimally invasive techniques (two small incisions and the assistance of cameras that look inside the abdominal cavity) and can be performed at the time of spay or neuter. We recommend this procedure for any large or giant breed dog that may be at risk, particularly those dogs that have a history of “food bloating” and/or have a relative that has had GDV.