Does my dog actually need BOAS surgery?

EMReviewed by Eben Martin, Veterinary Surgeon · Updated August 2026

If your flat faced dog struggles in warmth, tires quickly, sleeps badly or noisily, gags and regurgitates, or has ever collapsed or gone blue, the answer is very likely yes, and sooner beats later. For quiet mild dogs, a functional assessment with a vet who grades airways is the honest way to decide rather than waiting for the first crisis.

Holding a quote or a diagnosis? It costs nothing to ask.

Tell a veterinary surgeon what you have been told. You will know what they can do and what it costs before you pay anything.

Next step: your name and email so the surgeon can reply. No charge to ask.
  • Strong indicators: heat intolerance, exercise cut short by breathing rather than enthusiasm, sleep apnoea like pauses, sleeping with a toy in the mouth to keep the airway open, regurgitation, any collapse episode
  • Worth a formal assessment: constant snoring, snorting with excitement, slow recovery after play, in any frenchie, pug or bulldog even without drama
  • Reasonable to monitor: genuinely quiet breathers with good exercise tolerance, reassessed yearly and before every anaesthetic

The heat wave argument

Australian summers are the forcing function. Dogs that manage in October are in emergency rooms in January, because panting, a dog's whole cooling system, runs through the exact airway that is obstructed. If surgery is going to happen eventually, having it done before summer, in a planned way, at a chosen clinic, is strictly better than having it decided by a 41 degree day.

Still deciding? It costs nothing to ask.

Send the case, hear back from a surgeon with what they can do and what it costs, and only pay if you go ahead.

Send my case
No charge to ask

Wondering if your dog's breathing needs surgery?

Send what your vet said and quoted. A veterinary surgeon reads it and comes back to you with what they can do and what it would cost, before you pay anything. A written second opinion is from $250.

  • If the surgeon can't add anything useful to your case, they'll say so and there's no charge.
  • You hear back from a surgeon within 2 business days.
  • BOAS surgery is quoted from $1,500 to $8,500 in Australia. A surgeon's read on your quote is the cheapest line in this decision.
Read by a veterinary surgeon who does these operations, not a call centre. No charge to send. You know the price before you pay anything.

Common questions

The breeder says this is all normal for the breed.

Common in the breed and healthy are different claims. The airway grading schemes exist precisely because the breed norm includes real obstruction. Get the assessment from a vet, ideally one who sees a lot of brachycephalics, rather than from the person who sold the dog.

My dog is seven. Too old to bother?

Older dogs with established obstruction still gain meaningfully from surgery, though tissues weakened by years of effort, laryngeal collapse especially, cap the ceiling. It becomes a candid risk and benefit conversation rather than an automatic yes or no.

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