Hemoabdomen is an acute life-threatening condition often requiring emergent surgical intervention. Historical investigations have documented high perioperative mortality rates in canine patients afflicted with hemoabdomen, potentially dissuading certain pet owners from pursuing treatment and instead opting for euthanasia. However, it is important to note that many of these prior studies are dated and may not accurately depict the current landscape. Given the considerable progress achieved in veterinary medicine over the past two decades, particularly in perioperative care for dogs with hemoabdomen, it is reasonable to infer that mortality rates have significantly decreased compared to earlier findings. This lecture aims to elucidate the advancements in perioperative management specific to canine hemoabdomen, along with recent data underscoring the improved survival outcomes observed within this patient cohort.