Exhibit

We consent to the reference to our firm under the caption “Experts” in the Registration Statement (Form S-3) and related Prospectus of Trupanion, Inc. for the registration of 303,030 shares of its common stock and to the incorporation by reference therein of our report dated February 13, 2018, with respect to the consolidated financial statements and schedule of Trupanion, Inc. included in its Annual Report (Form 10-K) for the year ended December 31, 2017, filed with the Securities and Exchange Commission.