An integrative approach that combines narcotic anesthesia with acupuncture in minor surgical procedures can have numerous benefits for the health of veterinary patients. These include reduction of both intra- and post-surgical anesthesia and pain medications, improved cardiopulmonary function, fewer adverse effects on the gastrointestinal tract and immune function, and faster recovery times. High-risk patients particularly benefit from lower doses of anesthetic agents. The use of electroacupuncture combined with adequate premedication protocols for common minor surgical procedures (dentistry, castration, ovariohysterectomy, skin masses) are reviewed along with benefits, challenges, and guidelines for improved results from this integrative approach.