This research seeks to expand the in-depth knowledge on the ethical dilemmas veterinary doctors face while providing care for homeless animals, brought to clinics by volunteers. Fifteen semi-structured interviews were conducted with veterinary doctors in Latvia. The study reveals the complex emotions involved in the interactions between veterinarians and volunteers, as well as the factors affecting a veterinarian’s decision made about homeless animals. The results show a positive attitude towards the altruism of volunteers, but significant concerns around financial matters and the use of animals for fundraising. Debates about charging for stray care highlight potential disagreements between veterinarians and activists. Veterinarians prioritise education and advocacy, providing compassionate assistance to pet owners. Societal expectations strongly shape how they perceive their role, emphasising the reduction of animal suffering and the improvement of animal welfare.