<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019ecc35-5404-7309-958e-117107252595,g:6c835456-a189-46b7-a42b-cfbd83aa56ca-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.trupanion.com/role/CoverPageDocument" xlink:type="simple" xlink:href="trup-20260610.xsd#CoverPageDocument"/>
  <link:presentationLink xlink:role="http://www.trupanion.com/role/CoverPageDocument" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019ecc35-5404-7dfc-a6a3-a1adaa0f340d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_DocumentType_019ecc35-5404-7dfc-a6a3-a1adaa0f340d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019ecc35-5404-761f-9858-d38a2b5902c6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_DocumentPeriodEndDate_019ecc35-5404-761f-9858-d38a2b5902c6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019ecc35-5404-7520-84b3-9b4d10cdd8c1" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityRegistrantName_019ecc35-5404-7520-84b3-9b4d10cdd8c1" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019ecc35-5404-7d49-a256-2deeb263e425" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019ecc35-5404-7d49-a256-2deeb263e425" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019ecc35-5404-700f-a089-b7ab77dd6d12" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityFileNumber_019ecc35-5404-700f-a089-b7ab77dd6d12" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019ecc35-5404-7483-a70c-766ef7e5356f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityTaxIdentificationNumber_019ecc35-5404-7483-a70c-766ef7e5356f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019ecc35-5405-7eed-a6c5-8a3d23f2a888" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityAddressAddressLine1_019ecc35-5405-7eed-a6c5-8a3d23f2a888" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019ecc35-5405-719a-b3b7-017f86bac493" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityAddressCityOrTown_019ecc35-5405-719a-b3b7-017f86bac493" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019ecc35-5405-7a59-a797-6a5f2f625e2f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityAddressStateOrProvince_019ecc35-5405-7a59-a797-6a5f2f625e2f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019ecc35-5405-721c-9182-2f522f53099d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityAddressPostalZipCode_019ecc35-5405-721c-9182-2f522f53099d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019ecc35-5405-7bb9-afb7-b4fa2931d957" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_CityAreaCode_019ecc35-5405-7bb9-afb7-b4fa2931d957" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019ecc35-5405-7290-a736-a1f77ff1c0fe" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_LocalPhoneNumber_019ecc35-5405-7290-a736-a1f77ff1c0fe" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019ecc35-5405-7669-bf63-989348bea5b1" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_WrittenCommunications_019ecc35-5405-7669-bf63-989348bea5b1" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019ecc35-5405-7e79-9098-3c19de3896af" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_SolicitingMaterial_019ecc35-5405-7e79-9098-3c19de3896af" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019ecc35-5405-7510-ae92-bf7ce3bcb94f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_PreCommencementTenderOffer_019ecc35-5405-7510-ae92-bf7ce3bcb94f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019ecc35-5405-7d53-be27-0574ee0c12ec" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019ecc35-5405-7d53-be27-0574ee0c12ec" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019ecc35-5405-7688-8f5c-8002a76303d9" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_AmendmentFlag_019ecc35-5405-7688-8f5c-8002a76303d9" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019ecc35-5405-769b-af1a-e847aa27d6a9" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityCentralIndexKey_019ecc35-5405-769b-af1a-e847aa27d6a9" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019ecc35-5405-7b41-9629-f742e8ec78fb" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_Security12bTitle_019ecc35-5405-7b41-9629-f742e8ec78fb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019ecc35-5405-7c73-9d0c-27b8b7a4b370" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_TradingSymbol_019ecc35-5405-7c73-9d0c-27b8b7a4b370" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019ecc35-5405-78be-90b6-5973504310dd" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_SecurityExchangeName_019ecc35-5405-78be-90b6-5973504310dd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019ecc35-5405-7e6f-9a8e-ef37af823396" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ecc35-5404-7c5f-b76e-6f0cb3707e86" xlink:to="loc_dei_EntityEmergingGrowthCompany_019ecc35-5405-7e6f-9a8e-ef37af823396" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
