Side by side
Both columns come from the same cost model, so every row is a like for like comparison.
| Measure | Boxer | Shih Tzu |
|---|---|---|
| Lifetime cost | $35,927 | $38,107 |
| First year | $6,245 | $5,775 |
| Monthly average | $265 | $248 |
| Puppy price | $1,200 to $3,000 | $1,000 to $2,500 |
| Routine care, yearly | $2,771 | $2,651 |
| Documented conditions | 33 | 28 |
| Median lifespan | 11.3 yrs | 12.8 yrs |
| Adult weight | 50 to 80 lb | 9 to 16 lb |
| Daily food | 3.7 cups | 1.1 cups |
| Grooming, yearly | $250 | $668 |
| Risk profile | High, late onset | Moderate |
| Biggest single risk | Otitis externa | Periodontal disease |
Health risks compared
What tends to go wrong in each breed, how often, and what it costs to treat.
| Condition | Measured result | Treatment cost |
|---|---|---|
| Otitis externa | 7%1-yr clinical | $100–$270 |
| Epulis | 6%1-yr clinical | $400–$1,800 |
| Corneal ulceration | 5%1-yr clinical | $469–$1,264 |
| Degenerative myelopathy | 50%screened dogs | not priced |
| Skin disease | 36%1-yr clinical | $252–$679 |
| Digestive disease | 30%1-yr clinical | $354–$954 |
| Skin disorder | 18%1-yr clinical | not priced |
| Musculoskeletal disease | 15%1-yr clinical | $281–$756 |
| Neoplasia | 14%1-yr clinical | not priced |
| Extracted teeth (US) | 14%lifetime, owner | not priced |
| Hip dysplasia | 13%screened dogs | $3,500–$7,000 |
| Periodontal disease | 13%1-yr clinical | $246–$663 |
| Dog bite (US) | 12%lifetime, owner | not priced |
| Autoimmune thyroiditis | 11%screened dogs | $169–$455 |
| Ear disorder | 10%1-yr clinical | not priced |
| Torn or broken toenail (US) | 9%lifetime, owner | not priced |
| Bordetella and/or parainfluenza (US) | 8%lifetime, owner | not priced |
| Ear infection | 7%1-yr clinical | $100–$270 |
| Anal sac impaction | 7%1-yr clinical | $84–$226 |
| Seasonal allergies (US) | 7%lifetime, owner | not priced |
| Murmur (US) | 7%lifetime, owner | not priced |
| Skin cancer/tumor | 6%owner survey | $3,415–$9,194 |
| Skin (cutaneous) cyst | 6%owner survey | not priced |
| Ear Infection (US) | 6%lifetime, owner | not priced |
| Giardia (US) | 6%lifetime, owner | not priced |
| Osteoarthritis (US) | 6%lifetime, owner | not priced |
| Dental calculus (US) | 6%lifetime, owner | not priced |
| Hypersensitivity (allergic) skin disorder | 5%owner survey | $629–$1,694 |
| Lipoma | 5%owner survey | not priced |
| Corneal Ulcer | 5%owner survey | $469–$1,264 |
| Skin lump | 5%owner survey | not priced |
| Arthritis | 4%owner survey | $281–$756 |
| Colitis | 4%owner survey | $354–$954 |
| Elbow dysplasia | 1%screened dogs | $3,000–$5,000 |
| Congenital heart disease | 1%screened dogs | $534–$1,438 |
| Patellar luxation | 1%screened dogs | $1,000–$5,000 |
| Cancer | n/a | $3,415–$9,194 |
| Aortic stenosis | n/a | $534–$1,438 |
| Brachycephalic airway signs | n/a | $1,784–$4,802 |
| Condition | Measured result | Treatment cost |
|---|---|---|
| Periodontal disease | 10%1-yr clinical | $246–$663 |
| Anal sac impaction | 7%1-yr clinical | $84–$226 |
| Skin disease | 36%1-yr clinical | $252–$679 |
| Digestive disease | 30%1-yr clinical | $354–$954 |
| Extracted teeth (US) | 27%lifetime, owner | not priced |
| Hip dysplasia | 22%screened dogs | $1,200–$3,500 |
| Dental calculus (US) | 18%lifetime, owner | not priced |
| Cutaneous disorder | 17%1-yr clinical | not priced |
| Keratoconjunctivitis sicca (KCS) (US) | 16%lifetime, owner | not priced |
| Musculoskeletal disease | 15%1-yr clinical | $281–$756 |
| Cataracts (US) | 14%lifetime, owner | not priced |
| Dental disorder | 13%1-yr clinical | not priced |
| Ear Infection (US) | 13%lifetime, owner | not priced |
| Seasonal allergies (US) | 12%lifetime, owner | not priced |
| Corneal ulcer (US) | 12%lifetime, owner | not priced |
| Umbilical hernia | 12%owner survey | $621–$1,671 |
| Murmur (US) | 12%lifetime, owner | not priced |
| Ophthalmological disorder | 12%1-yr clinical | not priced |
| Elbow dysplasia | 11%screened dogs | $3,000–$5,000 |
| Pruritis (US) | 10%lifetime, owner | not priced |
| Underbite (US) | 8%lifetime, owner | not priced |
| Ear disease | 6%1-yr clinical | $100–$270 |
| Skin (cutaneous) cyst | 5%owner survey | not priced |
| Anal gland/sac impaction/blockage | 3%owner survey | $84–$226 |
| Hypersensitivity (allergic) skin disorder | 3%owner survey | $629–$1,694 |
| Lipoma | 2%owner survey | not priced |
| Patellar luxation | 2%screened dogs | $1,000–$5,000 |
| Chronic Itching | 2%owner survey | $629–$1,694 |
| Unspecified Eye | 2%owner survey | $224–$604 |
| Intervertebral disc disorder | 2%owner survey | $3,776–$10,168 |
Advertisement
Both breeds carry surgical risk, and premiums are priced by breed
Expected vet costs are $231 for the Boxer and $590 for the Shih Tzu. Every policy excludes anything already diagnosed, so this is worth sorting out before you pick either dog.
Common questions
Is a Boxer or a Shih Tzu more expensive?
The Boxer is cheaper by about $2,180 over a lifetime. Boxer: $35,927. Shih Tzu: $38,107. Health costs are not inside either figure. They are documented separately below, in the units each study used.
Which lives longer, a Boxer or a Shih Tzu?
The Shih Tzu has the longer typical lifespan. Boxer: 11.3 years. Shih Tzu: 12.8 years.
Which is healthier, a Boxer or a Shih Tzu?
Both figures below are what it costs to own the dog, not what it costs if something goes wrong. The Boxer's biggest single risk is otitis externa, seen in 7% of the breed. For the Shih Tzu it is periodontal disease, at 10%.
How we calculated this
Both breeds run through one model, so the comparison is like for like. Full method.
Prices are US national averages from a 50-state cost study. Not veterinary advice.