The Hidden Health Crisis: Flat-Faced Dogs and Their Struggle for Breath
The iconic “squished” faces of many beloved dog breeds, often lauded for their cuteness, are a stark indicator of a serious health crisis. Researchers from the University of Cambridge have identified a comprehensive list of dog breeds at significant risk of developing Brachycephalic Obstructive Airway Syndrome (BOAS), a debilitating condition that can lead to a lifetime of breathing difficulties and suffering.
While previous attention has largely focused on the most popular flat-faced breeds like the Bulldog, French Bulldog, and Pug, this new research expands the scope, highlighting an additional 12 breeds that are susceptible to this welfare issue. The study underscores a critical truth: the aesthetic appeal of a shortened skull, known as brachycephaly, often comes at a severe cost to the animal’s well-being.
Understanding Brachycephaly and BOAS
Brachycephaly, an artificially selected trait resulting in a shortened skull and flattened face, is the primary anatomical characteristic that predisposes dogs to BOAS. This condition isn’t a simple inconvenience; it’s a spectrum of respiratory distress.
- BOAS Explained: The shortened snout often means that the dog’s airways are significantly compromised. This can include narrow nostrils, an elongated soft palate that obstructs the airway, and a narrowed trachea. These anatomical abnormalities make normal breathing a challenge, leading to a range of symptoms.
- Symptoms: Beyond the obvious wheezing and difficulty breathing, BOAS can manifest as loud snoring and snorting, a reduced tolerance to heat, and an inability to cope with even mild exercise. In severe cases, affected dogs may experience collapse and, tragically, even death.
The Comprehensive List of At-Risk Breeds
The Cambridge University study involved a rigorous assessment of 898 dogs across 14 distinct breeds. Researchers meticulously measured skull and nose lengths, body and neck circumference, and then subjected the dogs to a three-minute exercise test to evaluate their breathing. The loudness and difficulty of their respiration were key indicators.
The findings reveal a tiered risk assessment:
High Risk Breeds
These breeds are most likely to experience severe symptoms of BOAS:
- Bulldog
- French Bulldog
- Pug
- Pekingese
- Japanese Chin
Moderate Risk Breeds
These breeds have a significant chance of developing moderate to severe BOAS:
- King Charles Spaniel
- Shih Tzu
- Griffon Bruxellois
- Boston Terrier
- Dogue de Bordeaux
Mild Risk Breeds
While considered “mild,” these breeds can still suffer from noticeable breathing issues:
- Staffordshire Bull Terrier
- Cavalier King Charles Spaniel
- Chihuahua
- Boxer
- Affenpinscher
Encouragingly, the study identified two breeds that did not show clinical signs of BOAS in their sample: the Pomeranian and the Maltese. However, the remaining 12 breeds all exhibited some level of respiratory compromise, officially placing them on the comprehensive list of breeds at risk.
Factors Influencing Severity
The study also highlighted that the severity of BOAS can vary considerably even within the same breed. Certain physical characteristics were found to significantly increase a dog’s risk:
- Extreme Facial Flattening: The flatter the face, the higher the likelihood of airway obstruction.
- Collapsed Nostrils: Narrowed or malformed nostrils severely restrict airflow.
- “Plump Physique”: Excess weight can exacerbate breathing difficulties by putting additional pressure on the respiratory system.

Beyond Breathing: The Wider Health Implications
The consequences of brachycephaly extend beyond respiratory issues. These anatomical extremes can lead to a cascade of other health problems:
- Eye Conditions: The shallow eye sockets common in flat-faced breeds make them more susceptible to corneal ulcers, injuries, and even prolapse.
- Skin Infections: Deep skin folds can trap moisture and debris, leading to chronic infections and dermatitis.
- Dental Problems: The shortened jaw often results in overcrowded or misaligned teeth.
- Reproductive Challenges: Many brachycephalic breeds require caesarean sections due to the disproportionate size of puppy heads compared to the mother’s pelvis.
- Thermoregulation Issues: Their compromised breathing makes them highly intolerant to heat, increasing the risk of heatstroke.

A Call for Responsible Breeding and Ownership
The researchers are hopeful that their findings will prompt greater awareness and action. Dr. Fran Tomlinson, a co-lead author, stated, “BOAS exists on a spectrum. Some dogs are only mildly affected, but for those at the more severe end, it can significantly reduce quality of life and become a serious welfare issue.”
Dr. Jane Ladlow, who also co-led the study, emphasised the importance of this knowledge for both breeders and prospective owners. “Being aware of risk factors can be useful for both breeders and prospective owners in selecting dogs which are less likely to be affected by BOAS,” she noted. “Knowledge of these risk factors can also help to inform judges in deciding which features are detrimental to health so that factors associated with BOAS are not rewarded in the show ring.”
The most accurate method for assessing BOAS risk remains a thorough breathing assessment, which can guide decisions about breeding selections and identify dogs that would benefit from veterinary intervention. While surgical procedures, weight management, and other treatments can offer some relief, the hereditary nature of BOAS means that addressing the root cause through responsible breeding is paramount.
The Heartbreaking Reality of Abandonment
The welfare implications of these extreme conformations are becoming tragically apparent in animal shelters. Reports indicate a “heartbreaking” rise in abandonments of flat-faced breeds, with some shelters experiencing a staggering 500% increase in such cases since 2017.
Sarah Roser, head of operations at Hope Rescue in South Wales, described the distressing situation: “We’re looking at a dog where nothing is functioning as it should be, and sadly, those are the animals that sometimes we have to make a euthanasia decision for. No matter what we do medically, we’re never going to get them to a point where they’re free of pain.”

Animal welfare experts are increasingly urging prospective owners to avoid dogs with extreme physical traits that compromise their ability to live a normal life. These traits, often amplified by social media trends and celebrity endorsements, include:
- Merle colouration
- Excessive skin folds
- Very short muzzles
- Eyelids that roll inwards or outwards
- Bulging eyes
- Underbites or overbites
- Excessively short tails
- Bowed or curved legs
- Inflexible spines
- Very short legs
Dr. Dan O’Neil from The Royal Veterinary College succinctly stated, “Extreme conformation means that we have crossed a boundary, and that the conformation is preventing the animal from living its life as a dog. This is so basic, but dogs that are incapable of doing this are suffering.”
Ultimately, the pursuit of a specific aesthetic in dog breeds has led to a widespread health crisis. Understanding the risks associated with brachycephaly and making informed choices as owners and breeders is crucial to ensuring the well-being of these beloved animals.






