I would probably continue to go to a vet who tried to discourage clients from having their pets declawed, and to explain alternatives, but not to one who offered a "spay/neuter and declaw" as a sort of package deal. Luckily, I don't have to deal with the issue, because declawing is illegal in Germany, unless medically necessary for the cat, as in the case of deformed toes, club feet, etc..