Effective treatment of canine aggression requires identifying underlying causes, which may include pain, fear, resource guarding, frustration, or neurological factors.
Treating aggression without identifying its root cause is both ineffective and potentially harmful to the dog's welfare. A dog whose aggression stems from chronic pain receives no benefit from behavioral modification alone - and may be euthanized for behavior that could be resolved with appropriate medical treatment. The welfare investment of thorough diagnostic workup before treatment represents the ethical minimum for any aggression case. This includes full physical examination, relevant bloodwork and imaging, and assessment of context and triggers by a qualified behavioral professional. The welfare of dogs is best served by curiosity about why the behavior is occurring rather than exclusively focusing on how to suppress it.