English Bulldog BOAS Surgery: Is the $6,000 Bill Worth It?
Video case study of Brachycephalic Obstructive Airway Syndrome (BOAS) surgery. We break down the costs, recovery, and insurance coverage.
Dr. Sarah Chen
Veterinary Advisor
Brachycephalic Obstructive Airway Syndrome (BOAS) is a life-limiting condition for many English Bulldogs. In this case study, we look at the financial and emotional decisions behind the surgery.
🎬 Real Case Video
A Bulldog owner documents the journey of $6,000 BOAS surgery. Watch to see the immediate impact on the dog’s breathing and quality of life.
📋 Case Summary
- ✅ Procedure: Soft Palate Resection + Nares Stenosis Correction.
- ✅ Total Cost: $5,800.
- ✅ Insurance Payout: Covered 80% ($4,640) after deductible.
- ⚠️ Key Takeaway: The owner had insurance since puppyhood, so it was not pre-existing.
🔍 Vet’s Perspective
Dr. Sarah Chen’s Insight:
For Bulldogs, BOAS isn’t ‘if’, it’s ‘when’. This surgery is life-changing.
Many owners delay this because of the cost, but early intervention prevents heart strain and heat stroke. The fact that insurance covered this highlights the importance of getting coverage before the breathing issues become severe.
📊 Cost Breakdown
| Item | Cost | Notes |
|---|---|---|
| Pre-op Bloodwork | $250 | Essential for anesthesia safety |
| Anesthesia & Monitoring | $800 | High risk for brachycephalic breeds |
| Soft Palate Surgery | $2,500 | Laser resection |
| Nares Correction | $1,200 | Widening nostrils |
| Overnight ICU | $800 | Critical monitoring |
| Meds (Go-home) | $250 | Pain & anti-inflammatory |
| Total | $5,800 |
⚠️ Insurance Watchout
Not all policies cover BOAS.
- Excluded: Some “Accident Only” plans.
- Restricted: Some insurers have specific exclusions for congenital defects in Bulldogs unless a rider is purchased.
- Coverage: Look for “Hereditary and Congenital” coverage in your policy.
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This analysis is based on typical veterinary costs in 2026. Prices vary by region.
Frequently Asked Questions
Does pet insurance cover BOAS surgery?
Generally yes, provided it's not a pre-existing condition. However, some insurers exclude congenital conditions or require a waiting period.
How much does BOAS surgery cost?
Typically between $3,000 and $6,000, depending on severity and location. It often includes soft palate resection and stenotic nares correction.
Is BOAS considered a pre-existing condition?
If clinical signs (snoring, difficulty breathing) are noted before the policy starts, it will likely be considered pre-existing.