Visiting animal hospitals can induce significant stress in dogs, potentially adversely affecting their long-term health and behavior. This study systematically analyzed stress responses in dogs during veterinary visits and identified effective mitigation strategies through a comprehensive literature review. We selected using the keywords ‘animal hospital’, ‘veterinary examination’, ‘stress’, ‘handling’, ‘low stress’ and ‘dog’ from the PubMed database, during June 1 to July 31, 2024. A total of 19 studies were included and analyzed. An analysis of the literature showed that the presence of an owner played an important role in alleviating stress levels in dogs. Moreover, the owner's active participation in the inspection process was associated with a significant reduction in the stress response, especially during routine procedures that can cause anxiety. In addition, the implementation of low-stress processing techniques is recommended in order to minimize unnecessary stress, and these tools promote a more positive experience for the dog during the veterinary visit. Thus, the administration of pharmacological interventions such as trazodone and gabapentin prior to veterinary visits was shown to effectively reduce anxiety and stress, contributing to a more favorable overall experience for the animals. The results suggested that the importance of owner involvement, the systematic application of low-stress handling techniques, and careful use of pharmacological agents. Through this study, we believe that veterinary practices can develop a positive relationship with the clinical environment, which can ultimately improve health outcomes and increase well-being for canine patients.