The next step is to teach your dog to ring the bell for a treat. Your dog has to be motivated to ring the bell, and in the beginning going outside isn’t enough to motivate him. But, if you teach him to ring the bell for a treat, he will quickly learn to ring the bell. You’ll want your dog to ring the bell with his nose, so make sure you hang the bell so it is nose level.
Even if you try to transition to the outdoors, your puppy will be confused because you will likely have items resembling potty pads lying around the house. Do you have pillows? Blankets? Sheets? Rugs? It’s not a stretch to think that your puppy, or an older dog, even, may confuse one or more of these items with plushy, soft potty pads and decide it would rather go there than outdoors. Just save yourself the headache and don’t use puppy pads.
There also behavioral issues that can interfere with successful training. Urine marking is a normal dog behavior in which the animal will hike their leg and mark a certain area or object. With separation anxiety, the puppy may have accidents inside when you leave them at home alone. Some puppies become nervous or upset when their owners are away. Other puppies have a submissive or excitement urination problem. This causes them to spontaneously urinate during certain activities. Discuss these possibilities with your veterinarian or trainer if you're not getting positive results.
In October 2012, Millan appeared on The Alan Titchmarsh Show. Titchmarsh called his methods "cruel" and "unnecessary", citing a video in which, Titchmarsh said, Millan punched a dog in the throat. Millan called it a touch, not a punch. Titchmarsh read out an RSPCA statement saying that "Adverse training techniques which have been seen to be used by Cesar Millan can cause pain and fear for dogs and may worsen their behavioural problems." Writing in the British newspaper Metro, features writer, Andrew Williams, described the interview as the first time that Titchmarsh has "deviated from his usual interview strategy – which runs the gamut from mild to wild sycophancy" and described him as "probably the only celeb Millan has failed to win over..."