I have worked with pets for many years and put in the request needing homes for feral cats. All the veterinarians are costly but I know what you mean about the VCA, corporate owned businesses. I don't know where you live but I will give you several referrals. The one I've used most is Evergreen Veterinary Clinic, check their website, ###-###-####.There are 2 I've used for spay and neuter and since they participate in this program and seem very caring,clean,knowledgeable and efficient, I will refer you to AKAL Animal Hospital on Berryessa Rd, ###-###-####. There's also Animal Medical Center on Hillsdale, ###-###-####. You can let them know that I referred you. P. Skinner I reread your request and you may need to check out a few veterinarians until you find one you can communicate with and let them know your needs and limits. I hope that helps.