The locations and functions of many acupoints in animals have been transposed from humans. Using mirror imagery and altering acupoint locations to achieve symmetry, changes in acupoint locations are suggested. Acupoints LIV-3 and LI-4, the “four gates”, are located in symmetrical mirror locations in humans. To achieve symmetry with LIV-3 in dogs and cats, it is proposed that LI-4 always be located between the 2nd and 3rd metacarpal bones. Acupoints LU-9 and SP-3 are suggested to be located on the medial side of the second metacarpal or metatarsal bone just proximal to the metacarpophalangeal and metatarsophalangeal joints respectively to achieve symmetry and become a balancing pair. It is also proposed that TH-3 function as the Yang-Wei confluent point instead of TH-5, as TH-3 has anatomic symmetry with GB-41, the Dai-Mai confluent point and the two acupoints can be paired together to balance the Extraordinary Vessels. Slight alterations in the locations of BL-65 and SI-3 are suggested to achieve anatomic symmetry, so that they can also be combined as pairs to achieve balance through the Extraordinary Vessels. The acupoint pairs LU-9/SP-3, TH-3/GB-41 and BL-65/SI-3 are all Shu-Stream acupoints and located on the same level Channel (e.g. LU-9/SP-3 Tai Yin Channels; TH-3/ GB-41 Shao Yang Channels; BL-65/SI-3 Tai Yang Channels). Anatomically the suggested changes are rational. However it has been the author’s positive clinical experiences using these new acupoint locations and functions that motivated beginning this dialogue. Successful clinical use by other acupuncturists will determine the validity of these suggested changes.