This monthly report from the Darwin Animal Doctors on the Galapagos Islands summarizes veterinary work from November 2014. A total of 197 cases were seen, including 68 surgeries, with the majority being neuters or parasite treatments. The most common conditions treated were skin disease, ear disease, trauma, and tick disease. Of the surgeries performed, 35% were neuters while dogs slightly outnumbered cats for total patients and neuters. The majority of work was conducted in Puerto Ayora on the main island.