Not to overkill, but have a look at the threads below, and decide which to send your sister. If she is a nurse - and her friend is for sure - the description of the surgery should help educate them.
The first link, I believe, has a list of alternatives.
http://www.declawing.com/htmls/declawing.htm
http://www.declawing.com/htmls/outlawed.htm Countries that have outlawed declawing. US and Canada are two of the few holdouts.
http://www.softpaws.com/
http://petoftheday.com/talk/showthre...ight=declawing
http://petoftheday.com/talk/showthre...ight=declawing
http://petoftheday.com/talk/showthread.php?t=31808 (poll)
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