Cornerstone vs ezyVet

An unusual comparison, because both products are IDEXX. That removes the argument that normally dominates: whether you can keep tight integration with in-house lab and imaging. With that largely off the table, what remains is deployment, usability and cost.

Side by side

The honest read

Reviewers describe Cornerstone as difficult to learn with an interface many do not enjoy, and report both software and support as expensive. ezyVet reviewers report a system they largely enjoy using, provided someone invests the configuration time.

If usability is what is driving the question, the reported gap between these two is real. If working through an internet outage matters to you, Cornerstone keeps that and ezyVet does not.

The caveat about switching

Shared corporate ownership does not mean shared data structures. Assume a full migration with everything that implies, not a simple transfer. Ask specifically for a test migration of your real database.

What actually moves

The part practices underestimate is the data, not the software. Structured records (clients, patients, appointments, invoices, reminders) transfer well. Clinical notes usually transfer but can arrive flattened, with SOAP structure collapsed into plain text. Attachments are the most variable: files rarely vanish, but they can arrive without the link to the right patient.

Ask any vendor for a test migration against a copy of your real database before you sign. What comes back tells you more than every demo combined. We have written the full version of this in what actually transfers when you change practice software.

Ratings and recurring themes from Cornerstone on Capterra, ezyVet on Capterra, checked August 2026. Ratings move; tell us if this is out of date.