Castration (gelding) is one of the most common surgical procedures in horses, and pain management standards before, during, and after the procedure significantly impact welfare outcomes.
Castration without adequate analgesia causes significant acute pain. The procedure involves tissue trauma that would be treated as requiring comprehensive pain management in any surgical context for other species. The common practice of field castration under sedation and local anesthesia only, without post-operative analgesic prescription, leaves horses experiencing substantial pain in the 24-72 hours after the procedure. Welfare-centered practice includes pre-operative sedation, local anesthesia, and a minimum of 3-5 days of NSAID treatment post-operatively as standard rather than optional care.