Gastric-dilatation volvulus (GDV) is a life-threatening emergency seen in large and giant breed dogs. Immediate stabilization includes IV access, aggressive fluid resuscitation, and gastric decompression. The question is, what's the best way to decompress the stomach? This veterinary podcast weighs the pros and cons of trocharization versus orogastric tube placement. After all, trocharization is way easier... but does it work?