Not sure where you are but in New Westminster the kitty sees the vet and gets tested for known diseases including Aids. Then the kitty is spayed/neutered and either given to the shelter or to a foster home. By the time they reach Petsmart they are ready to go! Those who wish to adopt our kittens receive a certificate so either way, the adoption fee includes spay/neuter. We also have the prospective parent to sign an agreement that if ever they decide the kitty is not a good fit, they must return kitty to us rather than it give away. The Royal City Humane Society is no-kill so if a kitty can't find a forever home he/she lives out a natural life in a foster home. Fortunately, this rarely happens.