In a field castration of a horse under general anesthesia, which testicle is removed first?

Lower testicle

In field castration under general anesthesia, the practical aim is to remove the testicle that can be exteriorized most easily and quickly. The lower testicle typically hangs lower in the scrotum, so gravity helps bring it into the incision and allows the surgeon to grasp and control the spermatic cord more readily. Removing this one first shortens anesthesia time, minimizes tissue handling, and makes it easier to deal with the second testicle afterward.

The upper testicle sits higher and is more likely to be tethered by surrounding tissues and the cremaster muscle, making exteriorization more difficult. Left versus right doesn’t have a consistent anatomical advantage in this scenario, so the choice is driven by which testicle is easier to bring out—usually the lower one.

Left testicle

Upper testicle

Right testicle

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