Gaining insights into the opinions and attitudes of veterinarians is essential for enhancing the sterilization rate, given their influential role in guiding pet owners. This study investigated the attitudes and practices of Thai veterinarians concerning surgical sterilization in dogs and cats. The survey was conducted from August 2022 to December 2022 and distributed through online and on-site questionnaires across all regions of Thailand. Seven hundred twenty-four veterinarians participated. A strong inclination toward sterilization for population control with a notable preference for female animals was revealed. The factors related to the necessity of sterilization in the opinion of Thai veterinarians were gender, age of veterinarians, and animal sex (P<0.05). Male veterinarians tended to assign less importance to sterilization, especially for male dogs (OR = 0.824), compared to their female counterparts. Older veterinarians tended to prioritize sterilization less than younger ones (OR = 0.985). Regarding animal’s sex, a preference for sterilizing females over males in both dogs and cats (OR = 0.291) was observed. Encouraging sterilization should be promoted equally among veterinarians of both genders, with particular emphasis on older male veterinary practitioners. Most veterinarians recommended sterilization between 4 and 6 months for female cats and 7–10 months for male cats, male dogs and female dogs. Overall, mean agreement scores for prepubertal gonadectomy were significantly higher (P<0.05) for female dogs and cats, and the only significant factor associated with these scores was the animal's sex. Veterinarians expressed more disagreement with prepubertal sterilization in males compared to females, with an OR of 0.33. There were some concerns in prepubertal sterilization such as growth and development problems, anesthesia risks, and urinary tract disorders. These insights observed in Thailand hold potential implications for other countries facing similar challenges in effectively managing pet overpopulation.