Annual vet cost
£350–£700
Lifespan
10–16 years
Size
Small
Health risk
Medium
Species
Dogs
Shih Tzus are affectionate, adaptable companion dogs that suit many lifestyles, but their distinctive features bring specific health considerations. Their flat faces (brachycephalic anatomy) can cause breathing difficulties, particularly in hot weather or during exercise. Large, slightly protruding eyes are vulnerable to injury, corneal ulcers, and dry eye, so owners should be vigilant about any signs of squinting or discharge. Dental disease is almost inevitable without proactive home care and professional cleaning. Their long, dense coat requires regular grooming to prevent matting and skin irritation. Insurance premiums are moderate for a small breed, though chronic conditions like skin allergies can generate frequent claims over many years.
Typical vet costs for a Shih Tzu
| Treatment | Average cost | Notes |
|---|---|---|
| Annual Health Check | £35–£65 | Eyes, ears, and teeth should all be assessed |
| Flea Worm Treatment | £60–£120 per year | Monthly preventive |
| Dog Dental Cleaning | £150–£300 | Essential due to overcrowded small jaw |
| Allergy Treatment | £200–£1,000 per year | Skin allergies are common; ongoing management often needed |
| Eye Surgery | £400–£2,000 | May be needed for corneal ulcers, dry eye, or cherry eye |
Costs vary by location, practice, and your dog's individual needs. London and the South East are typically 20–40% higher.
Common health problems in Shih Tzus
Shih Tzus have small, crowded jaws that make them extremely prone to plaque build-up, gum disease, and tooth decay. Annual dental cleaning and home care are essential.
Typical treatment cost: £200–£800
Their long, hairy ears restrict airflow to the ear canal, creating ideal conditions for bacterial and yeast infections. Regular ear cleaning and hair removal from the ear canal are recommended.
Typical treatment cost: £100–£300
Shih Tzus frequently develop atopic dermatitis, often presenting as itchy, irritated skin. Long-term management with medication such as Apoquel or Cytopoint is commonly required.
Typical treatment cost: £300–£1,200 per year
Their prominent eyes make Shih Tzus susceptible to cherry eye and other ocular problems including dry eye and corneal ulcers. Prompt treatment is important to preserve vision.
Typical treatment cost: £400–£1,200
Lifetime vet cost estimate
Estimated lifetime vet spend for a Shih Tzu
£6,500–£16,000
Based on a 10–16 year lifespan, including routine care and common breed-specific conditions.
How to save on vet costs for your Shih Tzu
- 1. Compare prices. Vet costs for the same procedure can vary by 100%+ between practices. When Pawlee launches, you'll be able to compare prices near you instantly.
- 2. Consider insurance. For Shih Tzus, a lifetime policy is worth considering given the breed's predisposition to periodontal disease dogs. Expect premiums of around £25–£60/month.
- 3. Stay on top of preventive care. Annual check-ups, vaccinations, and flea/worm treatments cost far less than treating conditions that develop from neglect.
- 4. Ask about payment plans. Many practices offer interest-free payment plans for larger bills. Always ask before assuming you must pay everything upfront.
