Cat urinating outside litter box


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Randomly, over the past 5 yrs Snickers (9yo female neutered tabby) has been voiding (urine)out of her box. Usually on my bed, in the same spot. Tried all the enzyme cleaners, but to no avail---still happening.Been to the vet--urinalysis has come always come back OK. They said it was behaviorial& wanted to try meds(elavil, or the like).I didnt want to try meds as first line b/c it was always so random---would happen for a few days in spurts ,then be fine for awhile. 6mos. ago I had my daughter & Snicks' was less that pleased--didnt really come out of my bedroom except to eat & use litterbox.She finally returned to her normal-pre-baby-self personality wise , but then she started again w/ the peeing on the bed. Took her to vet---once again urine OK. I put up a gate to prevent Snicks from going in the bedroom& all was well---for about a month. Then she started peeing on my couch,but not always.Would go in box , then later in the day--pee on the couch .We had the couch commercially cleaned & enzymed. Didnt matter. Then one day she peed where my daughter was sitting & I had had it...back to vet---"run tests & I want meds NOW!!!" Took blood to run panel to see what meds to use (she is also overweight)& vet was conferring w/ behaviorist.She decides to take an x-ray of the bladder & BOOM---there are bladder stones--very,very small, but theyre there--I saw them myself. Now they want to do surgery & remove & analyze stones.I know a diet chabge will probably be in order & that will be determined by what "kind" of stone it is What do you think of the reccomendation about the surgery??Do you suggest I take her for a second opinion (in person) , or does this sound like symptoms of stones & is surgey always the only option(w/o trying meds 1st)??? Also, I should tell you that she hasnt peed outside the box in about 1 1/2 week, but she has been pooping on the rug that is outside her box ( again...randomly) We scoop her box 2xs a day & have tried adding another box.I've never heard her cry or moan when she goes in box & all her other tests (ie. thyroid are normal)What do you think??

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