Dr. Audrey DeClue, Dr. Brandy Ashman, and Dr. Ellen Hillyer discuss the top reasons sport horse owners jump between vets. This includes a lack of agreed answers, poor pain recognition, and failure to link behavior with pain/rideability. They cite Sue Dyson's pain ethogram and note axial lameness is complex, non-limb, and often pelvic dysfunction. Education gaps persist as well, including only one hour of axial lameness in vet school and overlooking saddle fit issues. They emphasize collaboration (vet–owner–trainer–farrier), realistic expectations, and 2026 as a pivotal year for change.