Recently, more and more friends want to raise Shih Tzu, and I’ve been asked quite a few questions about this breed. To be honest, although they look super adorable, you really need to understand Shih Tzu health problems before bringing one home, so you can be fully prepared.

First of all, the classic flat face of the Shih Tzu is actually a double-edged sword. Their short face and big eyes are irresistibly cute, but these features also bring a series of health risks. This breed is a brachycephalic breed, prone to respiratory issues. I’ve seen many Shih Tzu owners complain in communities about their dogs snoring loudly, which might actually be caused by brachycephalic obstructive airway syndrome. Simply put, it’s due to narrow nostrils and an overly long soft palate, which can affect breathing. In severe cases, dogs may show signs of exercise intolerance, heat sensitivity, and may even require surgery.

Besides breathing problems, Shih Tzu health problems also include hip dysplasia. Although this issue is more common in large breeds, small breeds can also be affected. When a dog has this condition, it will feel uncomfortable after exercise, and in serious cases, may show lameness or difficulty climbing stairs. I have a friend whose Shih Tzu underwent hip replacement surgery because of this problem.

Patellar luxation is also quite common in Shih Tzus. You might notice your dog sometimes walking on three legs or hopping strangely with the back legs—that’s a sign. Mild cases don’t require treatment, but severe cases may need surgery.

Eye problems are among the most overlooked Shih Tzu health issues. Their large, expressive eyes look very lively, but because they protrude, they are especially prone to issues. Conditions like dry eye, tear duct blockage causing tear stains, lens dislocation, and progressive retinal atrophy can all occur. I’ve seen some Shih Tzus with eye problems eventually lose their vision, and owners often regret not paying attention earlier. Regularly wiping the eyes with a damp cloth and maintaining good eye hygiene are really important daily care routines.

If you’re considering raising a Shih Tzu, you should know that their average lifespan is around 13 to 14 years, with some living up to 18 years. Regular check-ups, maintaining a healthy weight, and avoiding excessive exercise—especially in hot weather—can help prevent or delay Shih Tzu health problems. Pet insurance is also worth considering; although hereditary diseases are usually not covered, other sudden issues can be.

Overall, the Shih Tzu is a great companion dog, especially suitable for apartment living. But because of their unique appearance, understanding potential Shih Tzu health problems is a must for responsible owners. Do your homework, see the vet regularly, and keep up with daily care, and your little fluff ball can stay healthy and accompany you longer.