Shih Tzus are generally a healthy breed but face specific challenges mainly due to their brachycephalic, or flat-faced, structure. They are prone to respiratory issues such as Brachycephalic Obstructive Airway Syndrome (BOAS), which can lead to breathing difficulties caused by narrow nostrils, elongated soft palates, and extra throat tissue. In serious cases, surgery might be necessary to improve airflow.
Eye problems are also common since their prominent eyes can develop conditions like dry eye (keratoconjunctivitis sicca) and entropion, where the eyelids roll inward, both requiring veterinary attention. Dental health is crucial because their crowded teeth make them susceptible to gum disease, so regular brushing and dental checkups are a must.
Joint issues such as hip dysplasia and luxating patella can cause mobility problems and sometimes require surgical intervention. A less common but serious hereditary condition is a liver shunt, affecting toxin filtration, which often appears before age three and may call for surgery and dietary changes. Lastly, obesity is a widespread concern that aggravates many health problems, including diabetes, arthritis, and cardiovascular issues, so balanced exercise and portion control are very important.
For example, in states with hot climates like Arizona or Florida, Shih Tzus may be particularly vulnerable to heat-related breathing troubles and should be monitored closely during warmer months.
In the US, the cost of a Shih Tzu puppy can range broadly from approximately $800 to $2,000, depending on the reputation of the breeder, lineage, and whether the puppy is registered with recognized dog clubs like the American Kennel Club (AKC). These prices are higher compared to some other small breeds, partly due to the common need for cesarean sections during birth because of their unique anatomy, which adds to veterinary bills.
Beyond the initial purchase price, prospective owners should budget for routine veterinary care—vaccinations, flea and tick prevention, dental cleanings—as well as monthly grooming services that are often necessary because of the breed's coat needs.
The typical lifespan of a Shih Tzu in the US generally falls between 10 and 16 years, with 12 to 13 years being the average expectancy. Many Shih Tzus live into their mid-teens when given appropriate care involving a nutritious diet, routine veterinary exams, and daily physical activity. Factors such as maintaining a healthy weight and early detection of breed-specific health concerns play vital roles in extending their years.
Shih Tzus are known for their long, flowing, hair-like coat, which sheds very little compared to furred breeds, making them popular among those who suffer from pet allergies, although it’s important to note no dog is completely hypoallergenic. Their coat requires diligent daily brushing to prevent tangles and mats, along with professional grooming every 4 to 6 weeks to keep their coat clean and manageable. Regular cleaning of tear stains and ear health maintenance also helps prevent infections common in this breed.
In places like New York or other high-humidity regions, humidity can worsen matting, so more frequent grooming may be necessary.
Shih Tzus are intelligent dogs who often enjoy learning new commands; however, they can exhibit a stubborn streak. Training methods grounded in patience, consistency, and positive reinforcement yield the best outcomes. Their intelligence also means they can perform well in canine activities such as agility and obedience competitions when trained correctly.
It's important for owners to avoid indulging small dogs excessively, a habit sometimes called "Small Dog Syndrome," which may lead to behavioral issues.
Because of their size and temperament, housebreaking a Shih Tzu often takes longer than many other breeds—up to eight months in some cases. Consistent, early potty training with a calm approach during accidents helps build good habits. These dogs can be prone to frequent barking, but with early training, they can learn to control it. Their sociable nature means they do not like extended periods alone, often developing separation anxiety that can lead to destructive behaviors and excessive barking.
Shih Tzus make affectionate and generally gentle family pets. They thrive on regular human interaction and adapt well to households with older children. However, families with very young toddlers should supervise interactions carefully, as unpredictable behavior from little kids can sometimes provoke nipping. When socialized properly from puppyhood, Shih Tzus often live peacefully with cats and other pets but introductions should always be gradual to prevent difficulties due to their high prey drive.
Prospective owners seeking a Shih Tzu breeder in the United States should prioritize those registered with the American Kennel Club or other respected organizations. Ethical breeders conduct comprehensive health testing for common hereditary conditions and ensure puppies are well-socialized and healthy before sale. Visiting the breeder’s facilities, requesting references, and reading reviews remain crucial steps for responsible buying.
Keeping your Shih Tzu healthy involves routine veterinary checkups, a high-quality diet, and regular exercise. Early socialization and ongoing positive training will help develop a well-rounded, happy companion that will bring years of joy to your family. Grooming is a significant commitment, so planning for professional grooming and daily maintenance is essential.
For American residents interested in exploring options further, find Shih Tzu puppies available in the USA at Lancaster Puppies’ extensive listings.