Took George to get his ear looked at today. He is 15 ish and hasn't been to the vets for 3 years as he hasn't been poorly and as largely an indoor cat now I don't have him vaccinated.
Vet gave him a thorough checking over and said he's in very good nick for his age. 
Then looked at his teeth and said he needed dental extractions and she would get me a quote for that. Quote was £333 for the work, plus the options of a pre op blood test which was £99. 
She showed me his gums at the back and they were red and looked sore. He has not showed any signs of discomfort and still eats too well.
When I got back my v experienced cat lady neighbour came and said to ask for antiobiotics for the redness and to not consider operating unless he shows sign of discomfort.
Just looking for advice really - wwyd. I'm shocked at how much it is, but in her words 'he has a few more years in him yet all being well', so he's absolutely worth the money if it's necessary.