Gastric dilatation-volvulus is a life-threatening emergency in large and giant breed dogs. Rapid recognition and emergency surgery are essential for survival and welfare.
GDV causes extreme pain and distress and deteriorates rapidly to life-threatening physiological collapse without emergency intervention. The welfare case for prophylactic gastropexy in high-risk breeds is strong: the procedure permanently prevents the rotation component of GDV while allowing the stomach to still dilate, eliminating the most dangerous consequence at minimal surgical risk. Owners of high-risk breeds should be educated about GDV signs and the need to seek emergency veterinary care immediately rather than waiting to see if the dog improves. Early presentation to a facility capable of emergency surgery is the single most important welfare action once GDV is suspected. Post-operative care including pain management, nutritional support, and monitoring for complications is essential for recovery.