Gastric dilatation-volvulus is preventable in high-risk breeds through prophylactic surgery and management changes. Understanding prevention saves lives and reduces welfare emergencies.
GDV prevention through prophylactic gastropexy represents one of the clearest welfare interventions available for high-risk breed owners. The procedure is safe, can be combined with routine neutering surgery, and virtually eliminates the risk of the rotation component that makes GDV life-threatening. For breeds with lifetime GDV risks exceeding 20 per cent, the welfare case for prophylactic gastropexy is overwhelming. Owner education about GDV risk, prevention options, and emergency recognition signs should be a routine component of veterinary care for high-risk breeds from puppyhood. The welfare cost of an untreated GDV is extreme, and the welfare cost of preventive surgery is minimal compared to this risk. Normalising prophylactic gastropexy in high-risk breeds would prevent enormous suffering annually.