Dog breed health reform is gradually improving welfare outcomes for dogs with inherited health problems, driven by kennel club initiatives, veterinary advocacy and consumer awareness.
Breed health reform is making measurable progress in some areas - hip scores in German Shepherds and Labradors have improved, eye testing has reduced hereditary cataract prevalence in some breeds - but progress is slow in the most welfare-compromised breeds. The fundamental problem is consumer demand for extreme phenotypes that cause chronic health problems. French Bulldogs and Pugs top popularity charts despite being among the most welfare-compromised breeds. Veterinary advocacy, media attention and Kennel Club action are insufficient without consumer behaviour change away from breeds that cannot breathe normally. Education that reframes 'cute' aesthetics as welfare harm is the most important intervention.