Many pedigree dog breeds carry inherited health conditions that cause chronic suffering. Breed health testing and scoring schemes aim to reduce the prevalence of inherited disease in future generations.
The breeding of dogs with extreme conformations that cause structural suffering is one of the most debated animal welfare issues in companion animal care. Purebred dogs bred for flat faces, extreme body proportions, or loose skin often experience chronic discomfort or pain as a direct result of human selection. Breed health schemes provide a mechanism for improvement, but their impact depends on breeder participation and buyer demand for tested dogs. Choosing breeds without extreme conformations, from health-tested parents, is the most effective individual-level welfare decision a prospective dog owner can make.