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Environmental littering and public health concerns about rabies disease and an increase in dog bite incidence were among the negative impacts from the large number of free roaming dogs. In addition, tourism - one of Bhutan's largest income sections, were affected by continuous barking at night. Over the years, the government initiated several approaches to control the free roaming dog population. In 2009, they accepted a proposal from Humane Society International to implement a pilot sterilization program. This project was a success so the government contracted with HSI to implement a national dog sterilization program. This report outlines the impact of this program over the six years from 2009 to 2015.