Conditions to know about
- Brachycephalic obstructive airway syndrome (BOAS)
BOAS was the second most common specific diagnosis in French Bulldogs in a 2016 UK sample, and the breed had about 31 times the odds of other dogs. Narrowed nostrils, one of its main features, carried about 42 times the odds.[1]
Health at a glance
The French Bulldog became popular in the UK very quickly. Kennel Club registrations rose from 2,771 in 2011 to 39,266 in 2020[3]. That means most French Bulldogs seen by UK vets are young. In a 2016 sample of dogs under primary vet care, the median French Bulldog was 1.5 years old, against 4.5 years for other dogs[1].
Even at that young age, the breed’s health profile stands out. After allowing for age and other factors, French Bulldogs had higher odds than other dogs for 20 of the 43 common disorders compared, and lower odds for 11[1]. In an earlier study of French Bulldogs seen by vets in 2013, 72.4% had at least one disorder recorded during the year[2]. The authors pointed out that these figures largely reflect the diseases of youth and are likely to shift as the population ages[2].
Lifespan estimates vary widely. A 2024 study of 584,734 UK dogs found a median lifespan of 9.8 years for French Bulldogs, compared with 12.5 years across all dogs[4]. A VetCompass study of deaths between 2016 and 2020 estimated life expectancy at birth at just 4.53 years, the lowest of the breeds it covered, but it was based on 232 dogs and its authors noted the data were likely skewed towards young dogs because of the breed’s recent surge in popularity[3].
The researchers link many of these differences to the breed’s extreme body shape[1], and the British Veterinary Association has called for breed standards to be reviewed against the evidence[6]. Whatever your view of that debate, a French Bulldog is more likely than the average dog to need vet treatment, often from an early age.
Conditions French Bulldogs are prone to
Breathing problems (BOAS). Brachycephalic obstructive airway syndrome was diagnosed in 5.5% of French Bulldogs in the 2016 sample, making it the second most common specific diagnosis. The breed had about 31 times the odds of a BOAS diagnosis and about 42 times the odds of narrowed nostrils compared with other dogs[1]. BOAS is a progressive disorder that can affect a dog’s ability to exercise, play, eat and sleep[5].
Ear disease. Otitis externa (inflammation of the outer ear canal) was the most common diagnosis in both VetCompass studies, recorded in 9.4% of French Bulldogs in 2016 and 14.0% in 2013[1][2]. The breed had about 14 times the odds of ear discharge compared with other dogs[1].
Skin problems. Skin disorders as a group affected 19.7% of French Bulldogs in 2016. The breed had about 11 times the odds of skin fold dermatitis and higher odds of allergic skin disease, food hypersensitivity, atopic dermatitis and demodectic mange[1].
Eye problems. French Bulldogs had about 4.4 times the odds of corneal ulcers[1]. In the 2013 study, prolapsed third eyelid gland (cherry eye) was recorded in 2.6% of the breed and was more common in dogs under two, while ulcerative keratitis was more common in dogs aged two or over[2].
Back and spine. Spinal disease was not among the most common diagnoses in the young 2013 population, but spinal cord disorders were the second most common recorded cause of death[2]. One UK insurer lists back, spine and neck problems among the conditions it sees most often in French Bulldog claims[7].
Other conditions. The breed also had higher odds of difficult birth (dystocia), patellar luxation and upper respiratory tract infections[1]. The BVA notes that brachycephalic dogs may be unable to give birth naturally and sometimes need a caesarean[6].
What treatment can cost
Prices vary between practices and with the complexity of the case. These are published examples, not averages:
- A single general practice group lists a fixed price of £1,045 for BOAS surgery, covering the airway procedures, anaesthesia, monitoring and aftercare, with any pre-surgery imaging charged separately[9].
- One referral centre lists a fixed BOAS surgery package of £3,250, including anaesthetic, surgery and up to two nights in intensive care, but not complications[10].
- Another referral hospital lists BOAS surgery at £3,200 as a day case and £4,200 for complex cases or with imaging, plus £340 for the initial consultation, with prices including VAT and correct as at 1 May 2026[11].
For a wider view, one UK insurer reports that French Bulldog claims assessed in 2024 averaged £2,387 for BOAS, £1,190 for eye ulcers and £931 for skin disease[8]. These are averages per claim. If a skin, ear or eye problem comes back, each flare-up is another bill, so the cost over a dog’s life can be well above any single figure here.
What this means for your insurance
Premiums are calculated partly on breed, and pedigree dogs may cost more to insure[12].
Most policies do not cover illness that starts in the first 10 to 14 days of cover, and most do not cover conditions that existed before you took out the policy[12]. For French Bulldogs this matters more than usual, because a vet’s note can be enough to trigger an exclusion. In one ombudsman case, an insurer declined a BOAS surgery claim because a vet had recorded narrow nostrils during the 14-day waiting period. The ombudsman upheld the owner’s complaint, but only after the operating vet explained that the note described normal anatomy for the breed rather than signs of illness[13]. In another case, an insurer’s underwriting rules excluded the whole respiratory system if a dog showed signs such as coughing during the waiting period[14].
Some policies exclude hereditary and congenital conditions outright, and accident-only policies do not cover BOAS at all[15]. Because many French Bulldog conditions are ongoing, the type of policy also matters: time-limited cover pays for each condition for 12 months, and maximum benefit cover pays up to a fixed amount per condition[12].
Questions to ask before you buy a policy
- Does the policy exclude BOAS, brachycephalic airway surgery, or the respiratory system as a whole, either for all dogs or for this breed?
- Are hereditary or congenital conditions covered, and are there any extra limits or excesses for them?
- How long is the illness exclusion period at the start, and how does the insurer treat anything noted at a vet check during that time?
- Is the vet fee limit per year or per condition, and is it enough for referral-level airway surgery plus ongoing skin, ear or eye treatment in the same year?
- Does the limit renew each year, and is there a separate excess or co-payment for each condition?
- If you are buying a puppy, have the parents been graded under the Kennel Club and University of Cambridge Respiratory Function Grading scheme? Grade 0 means no breathing signs of BOAS were found[5].
Common questions
Why are French Bulldogs more expensive to insure than many other breeds?
Insurers set premiums partly by breed, and French Bulldogs have higher than average rates of several conditions that lead to claims, including breathing problems, skin and ear disease and eye ulcers. Many of these start young and can recur, so insurers expect more claims over the dog's life.
Will insurance cover BOAS surgery for my French Bulldog?
It depends on the policy and on your dog's vet history. Many accident and illness policies can pay for BOAS surgery if no signs were recorded before cover started or during the initial exclusion period. Notes about noisy breathing or narrow nostrils made before or just after cover began can lead an insurer to treat it as pre-existing, and some policies have wider exclusions for breathing or hereditary conditions. Read the exclusions section of the policy wording before you buy.
When should I insure a French Bulldog puppy?
As early as possible, ideally before the first vet visit records any concerns. Most policies exclude conditions that showed signs before cover started, and French Bulldogs often develop problems in their first two years.
How long do French Bulldogs live?
UK estimates vary a lot depending on the data used. A 2024 study of over half a million UK dogs found a median lifespan of 9.8 years for French Bulldogs, compared with 12.5 years for dogs overall. An earlier vet records study produced a much lower figure, but its authors noted that the breed's recent rise in popularity means the data are weighted towards young dogs.
What should I ask a breeder about breathing?
Ask whether the parents have been assessed under the Kennel Club and University of Cambridge Respiratory Function Grading scheme and what grades they received. Grade 0 means no breathing signs of BOAS were found, and the scheme advises that grade 3 dogs should not be bred from.
Sources
- [1]French Bulldogs differ to other dogs in the UK in propensity for many common disorders: a VetCompass study. Canine Medicine and Genetics (BMC), O'Neill DG et al., 2021. Accessed 27 October 2026.
- [2]Demography and disorders of the French Bulldog population under primary veterinary care in the UK in 2013. Canine Genetics and Epidemiology (BMC), O'Neill DG et al., 2018. Accessed 27 October 2026.
- [3]Life tables of annual life expectancy and mortality for companion dogs in the United Kingdom. Scientific Reports, Teng KT et al., 2022. Accessed 27 October 2026.
- [4]Longevity of companion dog breeds: those at risk from early death. Scientific Reports, McMillan KM et al., 2024. Accessed 27 October 2026.
- [5]Scheme launched to improve health of French bulldogs, pugs and bulldogs. University of Cambridge, 2019. Accessed 27 October 2026.
- [6]BVA policy position on brachycephalic dogs. British Veterinary Association. Accessed 27 October 2026.
- [7]French Bulldog insurance claims and common health conditions. Petplan. Accessed 27 October 2026.
- [8]French Bulldog insurance (average claim values from 2024 claims data). Animal Friends Insurance. Accessed 27 October 2026.
- [9]BOAS surgery. Animal Trust Vets CIC. Accessed 27 October 2026.
- [10]Fixed pricing, soft tissue surgery. Paragon Veterinary Referrals. Accessed 27 October 2026.
- [11]Soft tissue surgery prices. Langford Vets Small Animal Referral Hospital, 2026. Accessed 27 October 2026.
- [12]Pet insurance guide. PDSA. Accessed 27 October 2026.
- [13]Final decision DRN-4075497: pet insurance claim for BOAS surgery declined. Financial Ombudsman Service, 2023. Accessed 27 October 2026.
- [14]Final decision DRN-4857013: pet insurance claim for BOAS surgery declined. Financial Ombudsman Service, 2024. Accessed 27 October 2026.
- [15]Does pet insurance cover BOAS surgery? (broker's general guide). Perfect Pet Insurance (Tedaisy Insurance Brokers Ltd), 2026. Accessed 27 October 2026.