Flat-Faced Dog Owners - A Paradox of Perception (Survey of Brachycephalic Breed Owners in Italy)

Over ninety-four percent of flat-faced dog owners rated their pet’s health as “good” or “very good,” even though many dogs had frequent health problems. In plain terms, most owners saw their dog as healthy, despite ongoing medical issues. You settle onto the couch after dinner, your French Bulldog wheezing softly beside you, snoring even before the movie starts.

Journal: Animals (MDPI)
Sample Size: 2,168 dog owners (382 of brachycephalic breeds)
Study Type: Nationwide owner survey (questionnaire study)
Published: 2025
Species:

Key Findings

  • Over 94% rated their flat-faced dog's health as "good" or "very good" despite frequent health problems
  • Owners normalized chronic ailments like snoring and breathing difficulty as "normal for the breed"
  • Dogs less trainable on average than non-brachycephalic breeds, yet owners remained pleased
  • Demonstrates "health paradox" - breed love blindness to medical issues

Introduction

You settle onto the couch after dinner, your French Bulldog wheezing softly beside you, snoring even before the movie starts. Across town, another owner laughs as her Pug struggles up the stairs, assuming it’s just part of the breed’s quirky charm. Many people believe these traits are simply “normal” for flat-faced dogs—cute, harmless, and nothing to worry about.

Research Background

This study set out to examine a widespread assumption: that owners of brachycephalic dogs—breeds with short, flat faces like Pugs and French Bulldogs—are fully aware of, and concerned about, their pets’ health problems. The research explored whether owner perceptions matched the actual health and behavior challenges these dogs often face.

Study Details

  • Researchers surveyed 2,168 dog owners across Italy, including 382 with flat-faced breeds.
  • They asked owners to rate their dog’s health, describe common symptoms, and compare trainability.
  • The study included behavioral assessments using the C-BARQ questionnaire, which measures trainability and other traits.
  • The aim was to uncover how owner satisfaction and breed affection may influence recognition of medical issues.

Key Findings

Primary Results

Over ninety-four percent of flat-faced dog owners rated their pet’s health as “good” or “very good,” even though many dogs had frequent health problems. In plain terms, most owners saw their dog as healthy, despite ongoing medical issues. Owners often described chronic symptoms like snoring and breathing difficulty as “normal for the breed.” This means many people viewed signs of airway compromise—such as noisy breathing or fatigue—as harmless quirks rather than medical concerns. Dogs from these breeds were less trainable on average compared to non-brachycephalic breeds. In plain terms, flat-faced dogs struggled more with learning commands and routines, but this did not affect owner satisfaction. Owners remained pleased with their dogs regardless of these challenges. Practically, this suggests breed affection may overshadow practical difficulties.

Secondary Findings

The survey highlighted a “health paradox”—owners’ love for their pets seemed to blind them to medical realities. In plain terms, emotional attachment led many to dismiss or normalize serious health issues. Many owners delayed seeking veterinary care because they believed chronic symptoms were typical for the breed. This means your pet could suffer longer before getting help. Owners often felt high satisfaction, even when their dog’s health or behavior was objectively compromised. In plain terms, happiness with the dog did not always reflect true wellbeing.

Implications for Pet Owners

At home

Imagine your Pug snoring loudly every night, or your Bulldog tiring quickly during play. Instead of seeing these as “just breed traits,” recognize them as possible signals of underlying health problems. This means you should stay alert to changes in your dog’s breathing, energy level, and ability to exercise. If your flat-faced dog struggles with simple activities or snores so loudly it wakes you, don’t dismiss these signs. They may indicate airway compromise or other chronic conditions common in brachycephalic breeds. Practically, this suggests you should monitor your dog’s comfort and well-being closely. Love your pet’s quirks, but be ready to act if something seems off. Take note of patterns—gagging, noisy breathing, or unusual fatigue—and write them down. This helps you notice when symptoms worsen or new ones appear. Remember, “normal for the breed” does not always mean “healthy for your dog.” Caring for a flat-faced breed means advocating for their unique needs, not just accepting them as inevitable.

With your veterinarian

When you visit your veterinarian, bring a list of any chronic symptoms, even those you think are “just normal.” Discuss breathing patterns, exercise tolerance, and any difficulties with feeding or sleeping. Ask your vet whether interventions—such as weight management or surgical procedures to improve airflow—could enhance your dog’s quality of life. If your dog’s snoring gets louder, or they seem to struggle more during walks, these are escalation triggers that should prompt a conversation. Don’t be afraid to question assumptions or seek a second opinion if you feel your pet’s comfort is declining. Start the dialogue with, “I know snoring is common, but could it signal something more serious?” This opens the door for your vet to explain what is typical and what might need treatment. Knowledge helps you work with your veterinarian as a team, making decisions that prioritize your dog’s long-term health and happiness.

Study Limitations

  • The study used self-reported surveys, which may be influenced by owner bias.
  • Owners who responded were often highly satisfied, possibly skewing results.
  • Cultural attitudes in Italy may not reflect those in other countries.
  • What we don’t know yet: Whether similar perceptions exist in other regions or cultures.

Bottom Line

Loving your flat-faced dog means recognizing their health needs, not just their charm. Your awareness can make all the difference for their well-being.

Quick Action Checklist

Caring for a brachycephalic dog starts with informed, everyday choices. Watch for signs like loud snoring, breathing struggles, or fatigue and record changes. Schedule regular vet visits and share all symptoms, even if you think they’re “just normal.” Maintain a healthy weight—extra pounds can worsen breathing problems. Ask your veterinarian about airway health and possible interventions. Avoid strenuous exercise in hot weather; flat-faced dogs overheat easily. Use harnesses rather than collars to reduce airway pressure. Learn about breed-specific risks and stay proactive. Most importantly, love your dog by being their health advocate—small steps can lead to a happier, more comfortable life.

Disclaimer

This brief is for educational purposes only and does not replace veterinary advice. Always consult your veterinarian if you have concerns about your pet’s health or behavior.

Reference

Multiple researchers. "Flat-Faced Dog Owners - A Paradox of Perception (Survey of Brachycephalic Breed Owners in Italy)". Animals (MDPI). 2025. DOI: 10.3390/ani15101496