According to BBC News, a man from Norfolk, England recently paid £300 (about $540 Cdn) to have his sick goldfish treated a local veterinarian’s office.

Vet Faye Bethell of Toll Barn Veterinary Centre in North Walsham, England, examined the fish when it was brought it in and determined that constipation was the problem.

After consulting with the pet’s owner to be sure he wanted to shell out for the procedure, Bethell performed an hour-long surgery on the fish to remove “a lump blocking its bottom” with the help of two veterinary nurses.