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Shih Tzu Breed Guide & Shih Tzu Insurance

By Stacy Painter and medically reviewed by Brittany Kleszynski, DVM
published: May 5, 2021 - updated: April 24, 2023 • 6 min. read
shih tzu dog in grass

Introduction to Shih Tzus

Well known for their long, flowing hair, Shih Tzus originated from East Asia but have become one of the most popular dog breeds in the U.S. The name “Shih Tzu” means “little lion,” which is an apt description for this beautiful little dog that is wonderfully playful and affectionate. Shih Tzus have big personalities and adaptable temperaments. They are classified in the toy group of dogs by the American Kennel Club.

shih tzu puppy
Photo by Varun Kumar e.k on Unsplash
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Size of Shih Tzus

Shih Tzus are small dogs that generally weigh between 9-16 pounds when fully grown. However, a Shih Tzu’s weight will be influenced by the size of the parents, how much the dog eats, and how much exercise it gets.

You can help your Shih Tzu maintain a healthy weight by limiting treats and making sure your pet gets exercise every day. Interestingly, there is little difference between the adult weights of male and female Shih. This is something unique about Shih Tzus compared to other breeds of dogs. Many Shih Tzus reach their adult height and weight by one year of age.

Weight Chart3 months6 months12 months
Male and Female Shih Tzus3.9-7 pounds7.1-12.6 pounds8.8-15.9 pounds

The height of a standard Shih Tzu when fully grown, regardless of gender, is 8-11 inches tall when standing, from the floor to the withers. Shih Tzus reach their full height as adults between 6-8 months of age.

Characteristics of Shih Tzus

shih tzu dog
Photo by Dieny Portinanni on Unsplash

Although the Shih Tzu is named after a lion, nothing very fierce or intimidating about these adorable dogs. Shih Tzus are outgoing dogs that are commonly beloved as lapdogs, although they do well at agility competitions too. If you’re looking for an adaptable dog that is fine living in a small space with you and getting plenty of cuddles on the couch, a Shih Tzu might be your new best friend.

As you get to know a Shih Tzu’s personality, here’s what you can expect based on his or her breed characteristics.

Breed CharacteristicLevel (High, Medium, Low)
Affectionate with PeopleHigh
Good with KidsMedium
Good with PetsHigh
Need for ExerciseLow
Energy LevelLow
Intelligence LevelHigh
Able to Be TrainedMedium
Amount of BarkingHigh
Amount of SheddingLow

In addition to these characteristics, Shih Tzus are fairly low maintenance dogs for first-time pet parents. They are more okay with cold weather than hot weather, and they’re moderately sensitive dogs overall. Shih Tzus don’t drool much but grooming them definitely takes some time and patience. Although these dogs are playful, they don’t need a ton of exercise and are pretty easy to train.

History of Shih Tzus

long haired shih tzu dog

As their name suggests, Shih Tzus originate from East Asia and have been around for over 2,000 years. These dogs come from Tibet, which is just west of China, and then the Chinese began breeding them. The breed is one of the oldest in the world and likely the product of Sino-Tibetan breeds, the Pekingese, and the Lhasa Apso.

Shih Tzus served as lap dogs for royalty and were pampered because of their beauty. This breed stayed among the elite royalty in East Asia for centuries and really only became known elsewhere in the world in the 1900s. In the early 20th century during the Communist Revolution, the breed was almost entirely wiped out. The breeding program for these dogs was dismantled, but a group of just seven males and seven females were used to rebuild the breed so that people could enjoy these dogs again.

Shih Tzu dogs moved from China to England, and then to other European countries, and finally to the U.S. in the 1940s and 1950s. American soldiers brought these dogs to the U.S. after discovering them while they were serving in the military overseas. Today, Shih Tzus still have a royal, elite, and glamorous presence to them, and everyone from English queens to American pop stars have welcomed Shih Tzus into their homes.

Shih Tzus Standard Information

To be considered a Shih Tzu, a dog should have the standards of a prized palace pet with a long-flowing coat and lively personality. These dogs are solid and compact, with big, dark eyes and a charming vibe. According to the American Kennel Club, here is an overview of the official standard of the Shih Tzu.


  • Round head with wide-set eyes
  • Large and round eyes
  • Warm and friendly expression
  • Large ears set below crown of skull
  • Short and square muzzle
  • Undershot bite with broad jaw
young shih tzu dog in grass

Neck, Topline, Body:

  • High head carriage
  • Level topline
  • Short-coupled body that is slightly longer than tall
  • High and heavily plumed tail

Forequarters and Hindquarters:

  • Well-angled shoulders
  • Muscular and straight hindquarters
  • Firm and well-padded feet


  • Luxurious double-coat that is long and dense
  • Slight wave permissible
  • No excessive trimming


  • All colors and markings permissible and equally considered


  • Effortless movement with good front reach and rear drive
  • Level topline
  • Naturally high head carriage
  • Tail carried in gentle curve over back

Caring for Shih Tzus

Compared to other breeds of dogs, caring for a Shih Tzu is relatively easy. These dogs require only minimal exercise but do need regular grooming and preventative medical care. Here are some general tips for taking the best care of a Shih Tzu.

Best Living Environments:

  • Apartments and small homes
  • City environments
  • In households with other dogs and kids
  • Kept out of extreme heat and cold
  • Limit interaction with strangers if not socialized early

Type of Exercise:

  • Short walks around the neighborhood
  • Fetch games inside the house or outside in a fenced yard

Mental Enrichment:

  • Play with fetch toys
  • Socialization with other dogs, children, and adults
  • Needs frequent attention from family members

Training Strategies:

  • Start at a young age
  • Obedience and training classes
  • May bark excessively without proper training

Grooming Tips:

  • Frequent brushing and grooming is necessary
  • Brush teeth daily or at least three times per week
  • Clean ears each week
  • Consider bathing as often as once per week
  • Professional grooming is recommended

Common Health Problems of Shih Tzus

Some medical conditions are more common with Shih Tzus than other types of dogs. These are some of the most common health issues that arise with Shih Tzus.

  • Skin allergies
  • Liver disorder called portosystemic shunt
  • Joint and bone issues
  • Intervertebral disc disease
  • Corneal injuries of the eye
  • Kidney disease and kidney stones
  • Cancer
  • Brachycephalic syndrome (respiratory distress syndrome due to the short nose)
  • Ear infections
  • Dental disease

Yet overall, the Shih Tzu is considered to be a healthy breed of dog that will live a long and happy life with proper care. In fact, the life expectancy of a Shih Tzu is longer than that of other dogs and typically ranges from 10 to 18 years. With regular vet checkups and daily care, you can enjoy many wonderful years at home with your Shih Tzu.

shih tzu walking on street
Photo by Nikolay Tchaouchev on Unsplash

Diet and Nutrition for Shih Tzus

Shih Tzus need between ½ cup to 1.5 cups of high-quality dog food each day to thrive. You will need to adjust your Shih Tzu’s portions based on level of activity, age, size, and metabolism. The feeding guidelines on the food label are a helpful guide. Shih Tzus can be picky eaters and can have sensitive stomachs, so you might have to try a few different foods before discovering one that works well.

Limit treats and feed the appropriate amount each day to reduce the risk of unintended weight gain because it is easy to overfeed a Shih Tzu due to their small size. When a Shih Tzu becomes obese, it is more prone to health problems.

Vets often recommend feeding an adult Shih Tzu two times per day and puppies three to four times per day. This frequency of feeding can help a Shih Tzu avoid symptoms of hypoglycemia that can occur due to their small size.

Where to Adopt or Purchase Shih Tzus

The American Shih Tzu Club is a member of the American Kennel Club and offers Shih Tzu resources for prospective pet parents. The AKC Marketplace lists Shih Tzu puppies for sale in many different locations from reputable breeders. A purebred Shih Tzu puppy can cost you thousands of dollars, so make sure to choose a breeder that you can trust. Be sure to ask to meet the puppy’s parents and see a health certificate.

There are also rescue groups and local shelters available that can introduce you to a Shih Tzu near you. For example, Shih Tzu Rescue, Inc. is a nonprofit no-kill organization that lists dogs available for adoption. Tzu Zoo Rescue is another useful resource.

Related Breeds

If you are interested in Shih Tzus but not 100% committed to this specific breed, you might be interested to learn more about similar breeds of dogs that might be right for you. Here are some related breeds to the Shih Tzu for you to check out.

  • Havanese
  • Russian Tsvetnaya Bolonka
  • Tibetan Terrier
  • Lhasa Apso
  • Tibetan Spaniel

Pet Insurance for Shih Tzus

Even generally healthy dogs benefit from having pet insurance coverage in case of an accidental fall of a high surface, accidentally ingesting something toxic, or chronic conditions that naturally become more of a risk with old age. The top-rated insurance plans from Healthy Paws cover everything from accidents to illnesses, cancer, emergency care, genetic conditions, and alternative care.

Take your Shih Tzu to any licensed vet you trust and enjoy a quick and easy claims process so you can focus your attention on your pet and not on the bills. Check Shih Tzu insurance rates on our website today to prepare for many great years together with your beloved Shih Tzu.

Stacy Painter profile
By Stacy Painter

Stacy has always been an animal lover and has worked in the pet industry and pet insurance specifically for over a decade. As a writer since early childhood, content writing for Healthy Paws pet insurance was a natural career path to combine her two passions. She currently lives in Florida with her boyfriend and Taiwanese rescue dog, Kaya.

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About DVM contributor, Brittany Kleszynski
By Brittany Kleszynski, DVM

Dr. Brittany Kleszynski is a freelance veterinary and medical writer for Healthy Paws who specializes in creating meaningful content that engages readers and speaks directly to the intended audiences. She writes and edits educational articles for pet parents and creates continuing education and online learning modules for healthcare professionals. She has worked in research and small animal practice since graduating veterinary school and is a member of the American Veterinary Medical Association.

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