Daily grooming is necessary, otherwise the coat becomes matted and tangled and may require cutting. It is a good idea to get the dog used to the daily brushing, a puppy needs little time but as the old grows older, more care is needed. Grooming the face should start at an early age, the dog will get used to it after a while. Basically healthy, the Shih Tzu is subject to a kidney disease called renal dysplasia and to slipped stifles or kneecaps. His slightly protruding eyes are prone to injury, and his short muzzle often produces slight wheezing problems.
Nostrils closing in can also produce snorting.