FIGURE 3. The second step during right incisional gastropexy is an incision through the seromuscular layer of the stomach, at the level of the pyloric antrum. The incision can be made longitudinally (depicted) or transversely, taking care to avoid the prominent vasculature along the omental attachment to the stomach. In this image, the cranial aspect of the dog is oriented to the right and the underlying mucosal/submucosal layer of the stomach is differentiated with a forceps.