Restraint procedures are necessary for horse veterinary care and management but can cause significant stress and injury if not performed appropriately.
Restraint for veterinary procedures involves acute welfare harm from the restraint itself that must be justified by the welfare benefit of the procedure being performed. Effective restraint that is minimally aversive, reduces procedure duration, and is combined with appropriate sedation and analgesia produces better welfare outcomes than restraint alone or inadequate chemical sedation that fails to reduce procedure-related stress. The welfare failure mode is performing painful or prolonged procedures in horses that are insufficiently sedated because of concerns about anesthetic cost or risk, causing unnecessary stress and pain. Appropriate chemical sedation combined with skilled low-stress handling is both safer and more welfare-positive than force-based restraint.