Like any assist product for mobility-impaired pets, you have to adapt the equipment as the pet’s needs change/progress. I added carabiners to the rear-end to attach the RW Knot-a-Coupler leash to help with rear support and not have to bend over. I also adjusted the rear leg loops a little as she lost muscle mass. Then add fake sheepskin padding to the leg loops to accommodate the muscle mass loss and prevent chafing/cutting … of which RuffWear had expressed some concerns about this with longer-term wear. Eventually, we stopped using the leg loops when muscle loss was highly advanced, but the front-end of the harness was still quite useful (like a RuffWear Webmaster Harness).

Again, making adjustments in the RWDBH as her body progressed through disease stages was critical. I was very pleased with the RWDBH for this usage and have recommended it to others with the caveats. Thanks for a GREAT product…I plan to pay her DBH forward to another deserving dog as mine has her Angel Wings now.