A balanced diet and regular grooming can reduce these problems. Contact a vet for more information on Shih Tzu’s health concerns and consider investing in pet insurance from a reputable company.

Kuma is a Shih Tzu and Pekingese mix who lives in Japan and loves trendy hair Kelli Bender is the Pets Editor at PEOPLE. She has been working at PEOPLE since 2013. Her work has previously appeared ...

Without regular grooming, a Shih Tzu can become unhealthy and unhappy and you will need to pay particular attention to certain areas such as around the mouth, nose and eyes. “Shih Tzus are generally ...