Brachycephalic Obstructive Airway Syndrome Surgeries

At Two Rivers Veterinary Hospital, we understand the unique health challenges that come with brachycephalic (flat-faced) breeds such as French Bulldogs, Pugs, Boston Terriers, and English Bulldogs. One of the most serious issues affecting these beloved breeds is Brachycephalic Obstructive Airway Syndrome (BOAS)—a condition that can significantly impact a dog’s ability to breathe, especially in warm weather or during physical activity.

BOAS occurs due to anatomical abnormalities like elongated soft palates, narrowed nostrils (stenotic nares), and other upper airway restrictions that reduce airflow. Left unaddressed, this condition can worsen over time and lead to heat stroke, collapse, or chronic respiratory distress.

If your dog does the following, it likely has BOAS:

Labored breathing — watch for an extended neck
Snoring or snorting
Low interest in activity
Gagging or collapse

Corrective surgery can dramatically improve the quality of life for these beloved breeds.

Surgeries We Perform

Soft Palate Resection

Staphylectomy
This procedure trims the excess tissue at the back of the throat, allowing more space for airflow and making breathing easier, especially during exercise or warm weather.
Stenotic Nares Correction

Alarplasty
By widening the narrow nostrils, this surgery helps your pet breathe more comfortably through their nose, reducing snorting and improving overall oxygen flow.

Why Timing Matters

Early surgical intervention is key. We strongly recommend BOAS corrective surgery at the time of your dog’s spay or neuter, when possible. This proactive approach can help improve quality of life from an early age and prevent long-term complications. It’s important to note, however, that some dogs may require a second surgery later in life as tissues continue to change with age.

Surgical Expertise You Can Trust

Dr. Tracie Hoggarth has developed a trusted reputation across the region as one of the most experienced BOAS surgeons—particularly for French Bulldogs, a breed she knows intimately (and adores—every Frenchie featured on this page is one of her own!). Her surgical expertise includes soft palate resections and stenotic nares corrections, both of which help significantly improve airflow and comfort for these short-nosed breeds.

Frenchy Spotlight