They are stubborn and clever. Shihs can get snappish if they are surprised or peeved. Playful and lively, this affectionate little dog needs to be with people and are generally good with other pets. Some can be difficult to housebreak. They tend to wheeze and snore.
Some bloodlines are prone to ear, eye and respiratory problems.
Spinal disc disease caused by a long back and short legs may be a problem. Their teeth need regular veterinary attention, as they tend to be lost early. These dogs gain weight easily and should not be overfed. The Shih Tzu is good for apartment life. They are fairly active indoors and will do okay without a yard.