Brachycephalic dog breeds, characterised by their short muzzles and flattened faces, such as Bulldogs, Pugs, and French Bulldogs, have surged in popularity in recent years. While these breeds often capture hearts with their adorable looks and charming personalities, they are also prone to a range of health issues, including brachycephalic obstructive airway syndrome (BOAS). BOAS can severely impact a dog’s quality of life, leading many owners to seek solutions such as surgical intervention. Here’s what you need to know about BOAS surgery and its role in improving the well-being of brachycephalic dogs:

Understanding BOAS:

BOAS is a complex condition resulting from anatomical abnormalities in the upper airway, including narrowed nostrils (stenotic nares), an elongated soft palate, and a hypoplastic trachea. These abnormalities restrict airflow, making it difficult for affected dogs to breathe properly, especially during exercise or in hot weather. Symptoms of BOAS can range from snorting, snoring, and excessive panting to more severe signs such as exercise intolerance, collapse, and respiratory distress.

The Role of Surgery:

Surgical intervention is often recommended for brachycephalic dogs with moderate to severe BOAS that do not respond adequately to conservative management, such as weight management, environmental modifications, and medical therapy. The primary goals of BOAS surgery are to alleviate airway obstruction, improve airflow, and enhance the overall quality of life for affected dogs.

Types of BOAS Surgery:

1. Nasal Surgery: Stenotic nares, or narrowed nostrils, can be surgically corrected by removing a wedge-shaped section of tissue to widen the nasal openings, allowing for improved airflow.

2. Soft Palate Resection: An elongated soft palate, a common feature in brachycephalic breeds, can obstruct the airway, leading to breathing difficulties. Soft palate resection involves trimming and repositioning the excess tissue to shorten the palate and reduce airway obstruction.

3. Tracheal Surgery: In some cases, brachycephalic dogs may also have a hypoplastic or narrowed trachea, exacerbating respiratory issues. Tracheal surgery may be performed to widen the tracheal lumen and improve airflow.

Benefits of BOAS Surgery:

– Improved Breathing: By addressing anatomical abnormalities that contribute to airway obstruction, BOAS surgery can significantly improve a dog’s ability to breathe comfortably and efficiently.

– Enhanced Quality of Life: Dogs that undergo successful BOAS surgery often experience reduced respiratory symptoms, increased exercise tolerance, and overall improvement in their well-being.

– Long-term Health: BOAS surgery can help prevent or mitigate secondary health issues associated with chronic airway obstruction, such as heat intolerance, respiratory infections, and cardiac strain

Considerations for Owners:

While BOAS surgery can offer significant benefits for brachycephalic dogs, it’s essential for owners to understand that surgery carries inherent risks, and not all dogs may be suitable candidates. Pre-operative evaluation, including thorough clinical assessment, diagnostic imaging, and consultation with a veterinary surgeon, is crucial to determine the appropriateness of surgery for individual patients.


BOAS surgery plays a vital role in improving the quality of life for brachycephalic dogs affected by airway obstruction. By addressing anatomical abnormalities and restoring normal airflow, surgery can help alleviate respiratory symptoms and enhance overall well-being, allowing these beloved companions to lead happier, healthier lives.

If you suspect your brachycephalic dog may be suffering from BOAS, consult with your veterinarian to discuss diagnostic and treatment options, including the possibility of surgical intervention. With proper care and intervention, brachycephalic dogs can thrive and continue to bring joy to their families for years to come.