| # | Concept | Culture | Statement | Freq. |
|---|---|---|---|---|
| 1 | spaying and neutering | Germany | Mandatory for pet registration and highly promoted by animal welfare organizations | 1 |
| 2 | spaying and neutering pets | Germany | Integrated into pet insurance policies as a standard procedure for responsible pet care | 1 |
| 3 | spaying/neutering | Germany | Widely accepted and recommended to prevent overpopulation and improve animal welfare | 1 |
| 4 | spaying/neutering pets | Germany | Highly encouraged to spay/neuter pets to ensure responsible pet ownership and prevent unwanted litters | 1 |