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Breathing Easier: BOAS in Dogs & Airway Health

  • Writer: Dr Gerry Pahl
    Dr Gerry Pahl
  • Aug 16
  • 2 min read

Understanding BOAS in Dogs: Beyond the "Cute" Snore


Close-up of a tan French bulldog with ears up, tongue out, and a happy expression indoors.
French Bulldog

If you’re the proud parent of a Pug, Bulldog, Frenchie, or any flat-faced (brachycephalic) breed, you’ve likely fallen in love with their unique personalities. But there is a common misconception I see in my 30 years of surgical experience: that heavy breathing and loud snoring are just "part of the breed."


Having a snub nosed or "brachycephalic" pet does not mean your pet has BOAS.

Many flat-faced dogs have perfectly functional airways. However, for the subset that does struggle with Brachycephalic Obstructive Airway Syndrome (BOAS), life can be a constant battle for air—especially in the Hong Kong heat.

As the Chair of the IPATA Research & Development Task Force and an Airline BOAS Certified Veterinarian, I look at your pet's lifestyle as a whole. I don't just check boxes; it is critical to ensure your pet can safely be "Fit to Play" and if required "Fit to Fly."


The Snub-Nose Health Matrix

I’ve put together this matrix to help you understand the difference between what I do in the clinic or my office during a BOAS assessment and what you should be monitoring at home.


Infographic comparing Fit2Fly Clinical Standards and Home Monitoring Signs, with six pet care cards on breathing and color changes.

My approach is about proactive wellness because we should not wait for a crisis in the middle of a summer walk.

Airway Assessments are gentle checks to ensure your pet's "plumbing" is working.

Modern Surgery with excellent post surgical intensive care to address the four major upper-airway abnormalities, allowing your pet to sleep through the night without gasping for air.

Travel Peace of Mind because as a global leader in pet relocation, I ensure your pet meets the strict global standards required for safe international travel even if it may not be something you are currently considering.


Don't ignore the snores! make sure your pet is "Fit to Play" at home and "Fit to Fly" around the world.

Quick Answers About BOAS

What is BOAS in dogs? Brachycephalic Obstructive Airway Syndrome (BOAS) is a set of structural airway abnormalities found in flat-faced breeds like Pugs, Bulldogs, and French Bulldogs that can restrict normal breathing.

Is loud snoring in Pugs and Bulldogs normal? Not always. While some snoring is common in the breed, heavy snorting, gagging, or gasping can signal BOAS and should be assessed by a vet rather than dismissed as "just the breed."

Do flat-faced dogs need a health check before flying? Yes. Airlines and international pet relocation standards increasingly require a BOAS "fit to fly" veterinary assessment for brachycephalic breeds before travel.


👉 Consult with Dr. Gerry on Airway Health

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© Dr Gerry Pahl 2026

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