Hip dysplasia is one of the most prevalent musculoskeletal welfare problems in dogs affecting millions of animals annually as a consequence of breeding practices.
Hip dysplasia is a preventable welfare problem whose persistence reflects failure of voluntary health testing to achieve universal participation. Breeds with the highest hip dysplasia rates have most to gain from rigorous testing yet participation remains voluntary and incomplete. Dogs living with unmanaged hip dysplasia experience chronic pain worsening with age. Prevention through breeding selection is vastly preferable to treatment.