I use my vet, he does the "swiss" float, which is a power float (grider attached to a drill) and he does sedate them. I find the power floats last longer and seem to get to the teeth better, especially the ones in the back. He then finishes off with the hand tools as needed. I love the way he lets me feel the before and after result...horses teeth can really get quite sharp. I have just started adding this to my annual vacination visits. My farm call fee is normally 60 and the float ranges from 100-200 depending upon how much sedation is required for the horse. My neighbors horse took 3 shots (a mustang) to get her doped enough to work on, and she wouldnt deal with the drill, so he ended up doing hers all by hand. Now my TWH got his float ,sheath cleaned, shots, coggins, for 253. I just dont see my horses standing there thru teeth floating without sedation, but I have heard of some horses that will.