Lucky me, I've had a couple dogs with anal gland "issues". My old Lab/Beagle had constant infections and it took forever, and a lot of trips to the vet, to resolve it. One of my 2 present dogs is "loaded" all the time. He needs it done constantly, and doesn't want me doing it. He doens't seem to mind the vet doing it though. There's no infection, but about once a week, he's loaded. My other dog, his littermate has had her glands expressed about 6 times in the nearly 6 years I've had both of them. Luck of the draw..