Bear bile farming, practiced primarily in China, Vietnam, and South Korea, involves extracting bile from living bears through implanted catheters or open wounds, causing extreme suffering.
Bears on bile farms endure multiple severe welfare harms: extreme physical confinement, chronic pain from surgical wounds and catheter sites, repeated extraction procedures without anesthesia, malnutrition, and profound psychological suffering. Animals develop severe stereotypic behaviors, self-mutilation, and psychological deterioration. Many bears have broken teeth, overgrown claws, and severe liver disease. Rescued bears from bile farms require years of rehabilitation. Despite available synthetic alternatives, demand persists due to cultural preferences. Vietnam has officially pledged to end the practice, and China has regulations though enforcement varies significantly.