Side by side
Both columns come from the same cost model, so every row is a like for like comparison.
| Measure | Cane Corso | Shih Tzu |
|---|---|---|
| Lifetime cost | $29,657 | $38,107 |
| First year | $7,207 | $5,775 |
| Monthly average | $305 | $248 |
| Puppy price | $1,500 to $4,000 | $1,000 to $2,500 |
| Routine care, yearly | $3,083 | $2,651 |
| Documented conditions | 10 | 28 |
| Median lifespan | 8.1 yrs | 12.8 yrs |
| Adult weight | 88 to 120 lb | 9 to 16 lb |
| Daily food | 5.3 cups | 1.1 cups |
| Grooming, yearly | $250 | $668 |
| Risk profile | High, mid life | Moderate |
| Biggest single risk | Skin disease | 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 |
|---|---|---|
| Skin disease | 36%1-yr clinical | $252–$679 |
| Digestive disease | 30%1-yr clinical | $354–$954 |
| Elbow dysplasia | 21%screened dogs | $3,000–$5,000 |
| Musculoskeletal disease | 15%1-yr clinical | $281–$756 |
| Periodontal disease | 13%1-yr clinical | $246–$663 |
| Ear infection | 7%1-yr clinical | $100–$270 |
| Autoimmune thyroiditis | 7%screened dogs | $169–$455 |
| Anal sac impaction | 7%1-yr clinical | $84–$226 |
| Patellar luxation | 1%screened dogs | $1,000–$5,000 |
| Degenerative myelopathy | 0%screened dogs | not priced |
| Hip dysplasia | n/a | $3,500–$7,000 |
| Bloat | n/a | $3,709–$9,986 |
| Eyelid abnormalities | n/a | $662–$1,782 |
| 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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Both breeds carry surgical risk, and premiums are priced by breed
Expected vet costs are $0 for the Cane Corso 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 Cane Corso or a Shih Tzu more expensive?
The Cane Corso is cheaper by about $8,450 over a lifetime. Cane Corso: $29,657. 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 Cane Corso or a Shih Tzu?
The Shih Tzu has the longer typical lifespan. Cane Corso: 8.1 years. Shih Tzu: 12.8 years.
Which is healthier, a Cane Corso or a Shih Tzu?
Both figures below are what it costs to own the dog, not what it costs if something goes wrong. The Cane Corso's biggest single risk is skin disease, seen in 36% 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.

