Cleft palate is a congenital defect preventing normal nursing in neonatal puppies, requiring intensive supportive care and surgical correction for affected individuals to achieve good quality of life.
Neonatal puppies with cleft palate face immediate risk of death from starvation and aspiration if not identified and managed within hours of birth. Tube feeding is required to bypass the defect and prevent aspiration until surgical correction is possible. The period between birth and surgery is welfare-compromising, involving multiple daily tube feeds, high infection risk, and growth delay. Surgical correction, when successful, dramatically improves welfare, but the procedure carries anaesthetic and healing risks. The higher prevalence in brachycephalic breeds reflects the same conformational selection pressures causing multiple health problems.