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Shih Tzu Health Testing: What AKC Requires vs. What Exceptional Breeders Actually Do

AKC registration is a starting point, not a health guarantee. Here’s what rigorous health testing looks like — and the questions every buyer should ask.

Shih Tzu Health Testing: What AKC Requires vs. What Exceptional Breeders Actually Do

What AKC registration actually means

AKC registration is a record of lineage — it confirms that your puppy’s parents were registered, and their parents before them. It does not evaluate the dogs themselves for health, structure, or temperament. A puppy can be AKC registered and come from parents who have never had a single health screening performed. Registration tracks the paperwork. It does not certify the dog. Understanding this distinction is the single most important thing a Shih Tzu buyer can know before starting their search.

The CHIC program and Shih Tzu-specific health requirements

The CHIC program and Shih Tzu-specific health requirements

  • The OFA’s Canine Health Information Center (CHIC) sets breed-specific health testing standards that go beyond AKC registration.
  • For Shih Tzus, CHIC certification requires an OFA evaluation for patellar luxation (kneecap) and an annual CAER eye examination performed by a board-certified veterinary ophthalmologist.
  • A puppy whose parents both hold CHIC numbers has a documented health baseline that a registered-only puppy does not.
  • You can look up any breeding dog’s OFA health results by their registered name at ofa.org — this database is public and free.
  • Ask for the OFA numbers for both parents, then verify them yourself. A breeder who has done the testing will actively encourage you to look.
What exceptional breeders test beyond the minimum

What exceptional breeders test beyond the minimum

  • BAER hearing test — particularly valuable for dogs with significant white in the coat, as bilateral deafness can occur in heavily white-marked individuals.
  • Cardiac evaluation by a board-certified cardiologist — not just a regular vet listen at a routine exam.
  • Brachycephalic airway assessment — Shih Tzus are a flat-faced breed, and evaluating airway structure before breeding helps reduce the incidence of severe breathing issues in offspring.
  • DNA panel for hereditary conditions including progressive retinal atrophy (PRA), degenerative myelopathy, and other breed-relevant genetic variants.
  • Hip and elbow OFA ratings — not required for the breed, but used by some breeders as an additional data point on structural soundness.
  • None of this testing is required. The breeders who do it anyway are the ones who lose sleep over their dogs.

How to read a health guarantee — and the red flags

  • A strong guarantee covers congenital and hereditary conditions for a minimum of two years — ideally for the life of the dog.
  • Replacement-only policies (no refund, only another puppy) are common but offer limited real-world protection for families who have bonded with a dog.
  • Red flag: any guarantee that requires you to return the puppy to receive any benefit. Most families cannot and will not do this emotionally.
  • Red flag: guarantees written in vague language with no specific conditions listed — these are difficult or impossible to enforce.
  • Green flag: a breeder who openly discusses what the guarantee covers, what it does not, and what they will do for you beyond the written terms.
  • The best health guarantee is a breeder who answers the phone five years after your puppy goes home.
Five questions to ask every Shih Tzu breeder

Five questions to ask every Shih Tzu breeder

  • “Can I see the OFA health certificates for both parents?” — a breeder who has done the testing will send them before you finish asking.
  • “How many litters does your female produce per year?” — more than two litters annually raises welfare concerns for the dam.
  • “Where are the puppies raised?” — in the home, around normal family activity, is the answer that produces well-socialized Shih Tzus.
  • “Will you take the puppy back if my life situation changes?” — a responsible breeder always says yes, without hesitation.
  • “What support do you offer after the puppy comes home?” — the relationship should not end at the pickup handshake. Ask what that looks like in practice.
Ready to meet your match?

See our available hand-raised AKC Shih Tzu puppies, or start your application.