Objective To evaluate the impact of a virtual pet visit system (“TelePet” System, TPS) on owners and staff of a companion animal ICU. Design Longitudinal interventional study (2010–2013). Setting Companion animal ICU at a university veterinary medical teaching hospital. Study Populations Pet owners, ICU technicians. Interventions The introduction of the TPS, with live video streaming of patient images over the Internet, in a companion animal ICU. Measurements and Main Results Pet owners experienced TPS as a valuable extra service. Most TPS users (72.4%) experienced less anxiety and felt less need (40.4% of TPS users) to visit their hospitalized pet in person. Most users (83.5%) shared TPS access with their family. The introduction of the TPS did not improve overall owner satisfaction, except for the score on “quality of medical treatment.” Seven of 26 indicators of owner satisfaction were awarded higher scores by TPS users than by TPS nonusers in the survey after the introduction of the system. However, the lack of randomization of owners might have influenced findings. The enthusiasm of the ICU technicians for the system was tempered by the negative feedback from a small number of owners. Nevertheless they recognized the value of the system for owners. The system was user friendly and ICU staff and TPS users experienced few technical problems. Conclusions As veterinary healthcare is moving toward a more client-centered approach, a virtual pet visit system, such as TPS, is a relatively simple application that may improve the well-being of most owners during the hospitalization of their pet.