Shih Tzu
Trait scores
Health risk profile
Conditions below are ranked by documented prevalence and severity in the Shih Tzu. Risk level drives both veterinary costs and insurance pricing.
| Condition | Risk | What to know |
|---|---|---|
| Dental disease | high | Small, crowded mouths make periodontal disease nearly universal without cleanings. |
| Brachycephalic airway issues | moderate | Short muzzle limits heat and exercise tolerance, though less severely than flat-faced extreme breeds. |
| Eye injuries and ulcers | moderate | Large, prominent eyes scratch easily; keep facial hair trimmed. |
| Patellar luxation | moderate | Slipping kneecaps occur at typical toy-breed rates. |
| Renal dysplasia | low | Inherited kidney malformation appears in some lines; ask breeders about history. |
Pet insurance for a Shih Tzu
Monthly accident-and-illness premiums for a healthy adult Shih Tzu, based on current rate data across major insurers. Enrolling early locks in coverage before breed-linked conditions become pre-existing.
Annual cost of ownership
Excluding insurance, budget $1,400–$2,500 per year for food, routine veterinary care, grooming, and supplies for a Shih Tzu. Chronic conditions from the risk table above can add significantly to that range — one reason breed-matched insurance matters.
About the Shih Tzu
The Shih Tzu was bred in Tibetan monasteries and Chinese palaces for one job — companionship — and it still does exactly that. It is friendly with strangers, patient with children, and comfortable in apartments, needing only short daily walks. The long double coat is the main commitment: either a puppy clip every month or so, or daily brushing for a full coat. Short-nosed anatomy means modest heat intolerance and snoring. An excellent choice for first-time owners, seniors, and anyone wanting a low-exercise, high-affection dog.
Origin: Tibet / China
Temperament
Shih Tzu FAQ
How long do Shih Tzus live?
The typical Shih Tzu lifespan is 10–16 years. Diet, weight management, and screening for the breed's known hereditary conditions have the largest measurable effect on longevity.
How much does pet insurance cost for a Shih Tzu?
Based on current rate data, expect to pay roughly $35–$62 per month for accident-and-illness coverage on a healthy adult Shih Tzu. Premiums rise with age and vary by location and deductible.
Is the Shih Tzu a good apartment dog?
Yes. With an energy level of 2/5 and a small build, the Shih Tzu adapts well to apartment living provided it gets daily walks.
What health problems are Shih Tzus prone to?
The most significant documented risks are Dental disease, Brachycephalic airway issues, Eye injuries and ulcers. Ask breeders for the relevant health clearances and budget for insurance early, before any condition becomes pre-existing.