Therefore, I will recommend surgery only if the risk associated with surgery is less than the risk of continuing with medical management. There is always a small risk the dog may not make it through anesthesia/surgery, is permanently worse, or never improves.
1 The blood tests most frequently used for liver disease are the aminotransferases (alanine aminotransferase or ALT and aspartate aminotransferase or AST). 2  Normal levels of ALT ranges from about 7-56 units/liter, and 10-40units/liters for AST.
Liver function tests are used to measure specific enzymes and proteins in your blood. Depending on the test, either higher- or lower-than-normal levels of these enzymes or proteins can indicate a problem with your liver. Some common liver function tests include: Alanine transaminase (ALT) test