Utility guide

Shih Tzu: Complete Breed Guide

The Shih Tzu is a dog breed covered in this guide for UK owners, with practical notes on everyday care, common health themes and pet insurance points a policy detail to check. When comparing cover for a Shih Tzu, read the policy wording for vet fee limits, dental wording and hereditary condition cover, because those details can make a real difference if treatment is needed.

Last updated: 10 May 2026

Shih Tzu dog breed guide placeholder image
Breed groupUtility
SizeSmall
EnergyLow to moderate
CoatLong, dense and flowing

What is a Shih Tzu like?

Shih Tzus are usually affectionate, sociable dogs that enjoy being close to their families. Many are playful and confident, often enjoying attention while still having a little independent streak.

The breed was developed as a companion dog rather than a working breed. In day-to-day ownership, this usually means a dog that enjoys company, routine and gentle activity, but still needs training, grooming and regular health care.

Shih Tzu temperament

Shih Tzus are often friendly, lively and people-focused. Many respond well to food rewards and short training sessions, although some can be stubborn if routines are inconsistent. Their flat-faced structure and long coat mean owners need to manage heat, grooming and breathing comfort carefully.

Shih Tzu care needs

  • Brush the coat daily if kept long, or arrange regular professional grooming for a shorter trim.
  • Clean around the eyes and face regularly to reduce staining and irritation.
  • Keep exercise gentle in warm weather because flat-faced breeds can overheat more easily.
  • Monitor dental health because small breeds can be prone to tartar build-up.
  • Policy wording sets out ears regularly, especially if the coat is long around the ear area.
  • Maintain a healthy weight to reduce strain on breathing, joints and mobility.

Shih Tzu size and lifespan

Male and female Shih Tzus are usually similar in size, commonly standing around 20 to 28cm at the shoulder and weighing between 4.5 and 8kg. Average lifespan is generally around 10 to 16 years. Dental care, grooming, healthy weight and careful heat management can all influence comfort and quality of life as the dog ages.

Shih Tzu exercise needs

Most adult Shih Tzus need around 30 to 60 minutes of daily exercise, depending on age, fitness and breathing comfort. They often enjoy short walks, gentle play, scent games and basic training rather than long-distance exercise. Puppies should avoid excessive structured exercise while developing, and many owners follow the five-minute rule, meaning around five minutes of structured exercise per month of age up to twice daily.

Coat and grooming

The Shih Tzu has a long, dense coat that can mat quickly if not maintained. Dogs kept in full coat usually need daily brushing, while many pet owners choose a shorter clipped style for easier care. Owners should also keep the face, eyes, ears, nails and teeth clean and well maintained as part of regular grooming.

Temperament and training

Shih Tzus are intelligent companion dogs, but they can be independent and may not enjoy long or repetitive training sessions. Positive reinforcement, short sessions and consistent routines usually work best. Owners should be aware of possible separation-related behaviour, barking, reluctance around grooming and sensitivity to heat or heavy exercise.

Is a Shih Tzu right for me?

Shih Tzus usually suit households wanting a small companion dog with modest exercise needs and a friendly personality. They can adapt well to flats or houses, but grooming, dental care and heat management should not be underestimated. Before comparing policies, it is worth factoring in potential costs linked to breathing, eye, dental, skin and ear conditions.

Shih Tzu health issues and pet insurance checks

This section is not financial advice. It is a plain-English checklist of policy details Shih Tzu owners can use to understand policy wording before purchase.

Vet fee limit

Shih Tzus are small dogs, but breathing, eye, dental and skin treatment can still become expensive if specialist care is needed.

  • Check the annual vet fee limit available per condition or per year
  • Look for diagnostic testing and specialist referral cover
  • Review whether surgery, medication and follow-up appointments are included

Breathing, eye and structural wording

Flat-faced breeds may have policy wording that affects airway, eye or congenital claims.

  • Check whether airway surgery is excluded or restricted
  • Review wording around congenital and hereditary conditions
  • Look for cover for eye referrals, medication and surgery

Ongoing dental and skin cover

Some Shih Tzus may need repeat treatment for skin, ear, eye, breathing or dental issues.

  • Check whether cover renews each year for ongoing conditions
  • Check whether illness-related dental treatment is included
  • Look for exclusions linked to allergies, skin folds or pre-existing irritation

Related dog guides

Continue researching similar breeds and dog insurance topics.

Shih Tzu FAQs

Common questions about Shih Tzus and pet insurance.

Are Shih Tzus expensive to insure?

Shih Tzus can sometimes cost more to insure than some small breeds because of potential breathing, eye, dental, skin and ear-related claims. Prices can also vary depending on age, postcode and the level of cover selected.

What health issues are Shih Tzus known for?

Shih Tzus are commonly associated with brachycephalic breathing issues, eye irritation, dental disease, skin and ear irritation and patella luxation. Not every Shih Tzu will experience these issues, but they are useful themes to understand when researching the breed.

How does lifetime cover apply for a Shih Tzu?

Some owners consider lifetime-style cover because skin, ear, eye, breathing or dental issues may need repeat treatment over time. Limits, exclusions and renewal terms are set out in the policy wording.

Can I insure a Shih Tzu with a pre-existing condition?

Some insurers may still offer cover if a Shih Tzu has a pre-existing condition, although that condition may be excluded or restricted. This can be especially relevant for breathing, eye, dental, skin or ear problems. The insurer's exact wording sets out the terms that apply.