Five causes
One mission

PACS is the only facility on Koh Phangan that treats sick and injured stray and temple animals. Animals are admitted, housed in the clinic wards, and cared for under full veterinary supervision. When they have recovered, they return to the area they came from: their territory, their community, their life.

The most common cases are road traffic injuries, bite wounds, skin conditions including mange, tick-borne infections, and eye problems. Some animals need only a few days; others (those with fractures, spinal injuries, or severe infections) stay in-patient for weeks. During that time they receive medication, wound management, IV fluids if needed, and daily nursing.

Animals that cannot safely return to street life (because of lasting disability or because their original territory is no longer accessible) may go on to foster care or adoption.

Neutering is how PACS manages Koh Phangan's stray population humanely. Not through culling, not through cruelty, but through consistent, affordable sterilisation that keeps numbers stable generation by generation. Before PACS opened in 2001, the only population control on the island was government culling.

PACS performs around 80 sterilisations a month, year-round: dogs and cats, strays and community animals. The programme is also open to community pets at low cost: when owned animals are sterilised, fewer unwanted litters are born, and fewer animals end up on the street.

All procedures are carried out at the clinic under anaesthetic, with post-operative monitoring before animals are discharged. If your animal needs neutering, get in touch. Our team will advise on timing and any preparation required.

PACS doesn't do this alone. Other organisations and individuals on the island, including Rob's Dogs and Susa, have run their own successful neutering drives alongside PACS' regular numbers, adding to the island-wide effort.

PACS vaccinates stray and community animals on Koh Phangan against rabies, distemper, parvovirus, and adenovirus. The result: zero confirmed rabies cases on the island since the hospital opened in 2001 — though rabies can still arrive from the mainland at any time, which is exactly why year-round vaccination matters.

Rabies is fatal and transmissible to humans. Keeping the island's stray population vaccinated is one of the most important public health contributions PACS makes, and one of the most cost-effective. A single rabies vaccine protects an animal for a year and contributes to the herd immunity that keeps the entire island safe.

Combined vaccines against potentially debilitating viruses are given to dogs and cats admitted to the clinic as well as during community outreach. If you want your animal vaccinated, contact us. This is available to community pets as well as strays.

Veterinary care heals individual animals. Education changes the conditions that create the problem. PACS has always treated these as equally important: outreach and community teaching have been part of the work since the clinic opened in 2001.

PACS works with local schools, communities and tourism venues. Topics covered include responsible ownership, the vaccination schedule, the benefits of neutering, and how to recognise a sick or injured animal and get help. Many of the most useful conversations happen informally. A question during a clinic visit becomes a teaching moment, and a well-informed owner becomes an advocate for their neighbours.

Learning the traditional relationship between people and animals on this island has been a beautiful example of synergy. Local people have always shared food and water with the animals around them, outside temples, on roadsides, near fishing piers. That warmth and sense of shared responsibility is not a problem to be solved. It is a foundation to build on. It has allowed the island's strays to build their own community alongside the human one, evolving an unmatched charm and intelligence along the way.