In this VETgirl online veterinary CE blog, we demonstrate the importance of an oral exam. When in doubt, it is best to take the time and risk to sedate a patient (once cardiovascular stable) in order to do a more thorough exam. This way, one can more thoroughly evaluate for the presence of foreign bodies (e.g., string, needles, toothpicks, etc.), abscesses, neoplasia, granulomas, etc. When in doubt, the veterinary clinician must be prepared to intubate (or in severe cases, perform an emergency tracheostomy) if the airway is compromised. Here, we demonstrate a rewarding oral exam - the removal of a sewing needle and small amount of thread!