Side by side
Both columns come from the same cost model, so every row is a like for like comparison.
| Measure | Bulldog | Shih Tzu |
|---|---|---|
| Lifetime cost | $30,410 | $38,107 |
| First year | $6,979 | $5,775 |
| Monthly average | $259 | $248 |
| Puppy price | $1,500 to $4,500 | $1,000 to $2,500 |
| Routine care, yearly | $2,605 | $2,651 |
| Documented conditions | 21 | 28 |
| Median lifespan | 9.8 yrs | 12.8 yrs |
| Adult weight | 40 to 50 lb | 9 to 16 lb |
| Daily food | 2.8 cups | 1.1 cups |
| Grooming, yearly | $214 | $668 |
| Risk profile | High, early onset | Moderate |
| Biggest single risk | Overweight/obesity | 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 |
|---|---|---|
| Overweight/obesity | 9%1-yr clinical | $168–$452 |
| Otitis externa | 13%1-yr clinical | $100–$270 |
| Elbow dysplasia | 40%screened dogs | $3,000–$5,000 |
| Digestive disease | 30%1-yr clinical | $354–$954 |
| Cutaneous disorder | 29%1-yr clinical | not priced |
| Ophthalmological disorder | 18%1-yr clinical | not priced |
| Musculoskeletal disease | 15%1-yr clinical | $281–$756 |
| Prolapsed third eyelid gland (Cherry eye) | 14%owner survey | $662–$1,782 |
| Aural disorder | 13%1-yr clinical | not priced |
| Periodontal disease | 13%1-yr clinical | $246–$663 |
| Upper respiratory tract disorder | 11%1-yr clinical | not priced |
| Ear infection | 7%1-yr clinical | $100–$270 |
| Anal sac impaction | 7%1-yr clinical | $84–$226 |
| Patellar luxation | 6%screened dogs | $1,000–$5,000 |
| Distichiasis | 5%owner survey | $662–$1,782 |
| Entropion | 4%owner survey | $449–$1,209 |
| Hypersensitivity (allergic) skin disorder | 4%owner survey | $629–$1,694 |
| Skin (cutaneous) cyst | 4%owner survey | not priced |
| Dermatitis | 3%owner survey | $252–$679 |
| Alopecia/Baldness | 3%owner survey | not priced |
| Pyoderma | 3%owner survey | $252–$679 |
| Autoimmune thyroiditis | 1%screened dogs | $169–$455 |
| Degenerative myelopathy | 1%screened dogs | not priced |
| Brachycephalic obstructive airway syndrome | n/a | $1,784–$4,802 |
| Skin fold dermatitis | n/a | $252–$679 |
| Hip dysplasia | n/a | $1,200–$3,500 |
| 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 |
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Expected vet costs are $394 for the Bulldog 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 Bulldog or a Shih Tzu more expensive?
The Bulldog is cheaper by about $7,697 over a lifetime. Bulldog: $30,410. 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 Bulldog or a Shih Tzu?
The Shih Tzu has the longer typical lifespan. Bulldog: 9.8 years. Shih Tzu: 12.8 years.
Which is healthier, a Bulldog or a Shih Tzu?
Both figures below are what it costs to own the dog, not what it costs if something goes wrong. The Bulldog's biggest single risk is overweight/obesity, seen in 9% 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.

