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Pre-purchase examinations should be an integral part of the well informed decision when buying a horse. While most examinations are performed by the ambulatory service, complex lameness examinations requiring multiple attempts at diagnostic anesthesia to further define the lameness and specific diagnostic imaging are performed in the hospital. Additionally, some pre-purchase exams are electively performed in the hospital in order to facilitate scheduling or if image results are needed immediately. The indoor ring provides a convenient place for us to examine horses in motion.