Pain recognition and management in fish, reptiles, and invertebrates lags far behind mammalian veterinary medicine, leaving many animals undertreated for conditions that cause genuine suffering.
The gap in veterinary pain management across taxa reflects historical assumptions about which animals matter, not the current state of scientific evidence. Fish show nociceptive responses, learn to avoid painful stimuli, and benefit from analgesic treatment — yet most aquatic veterinary procedures are performed without pain management. Reptiles stoically mask pain in ways that mislead even experienced owners and vets. As the science of animal sentience expands, veterinary education and practice standards need to catch up. Every undertreated painful procedure represents preventable suffering that better training and updated guidelines could address.