Zippy, a six-month-old English Bulldog, came to Vet HQ Darlinghurst when his owners became concerned about his breathing difficulties. They noticed constant snoring, even when he was awake, and he couldn’t exercise like other puppies his age. While short walks would leave Zippy gasping for air, other dogs his age played effortlessly. His exercise intolerance was worsening as he grew.
What should have been playful puppy energy was instead limited by his inability to breathe comfortably during any physical activity. His worried owners knew Zippy deserved better than a life restricted by his anatomy. They came to Vet HQ seeking assessment and treatment options.
Dr Geoff Golovsky performed a thorough examination using the University of Cambridge grading scheme specifically designed for Bulldogs and French Bulldogs. At rest, Zippy appeared relatively comfortable, but the exercise test revealed the true extent of his condition. After just three minutes of moderate trotting, Zippy’s respiratory rate soared and he struggled to recover.
He showed Grade III respiratory noise and Grade II inspiratory effort, clear indicators of significant airway obstruction. Geoff diagnosed Brachycephalic Obstructive Airway Syndrome, or BOAS, a condition common in flat-faced breeds where narrowed nostrils, elongated soft palate, and other anatomical abnormalities severely restrict airflow. Without surgical intervention, Zippy’s quality of life would remain compromised.
We recommended surgical correction to address Zippy’s anatomical obstructions and restore normal breathing function. BOAS surgery would involve two key procedures performed under general anaesthesia. First, an alarvestibuloplasty would widen Zippy’s narrowed nostrils, allowing more air to enter his nasal cavity. Second, a soft palate resection would remove excess tissue from the back of his throat, clearing the obstruction that prevented air from flowing freely into his trachea.
Before surgery, we performed pre-anaesthetic blood work and took detailed chest X-rays to assess his lungs, spine, and trachea. Surprisingly, despite his breathing difficulties, Zippy’s chest X-rays showed healthy lung tissue and a good tracheal diameter, indicating excellent surgical candidacy.
During Zippy’s surgery, Dr Geoff Golovsky carefully performed the alarvestibuloplasty, removing wedges of tissue from each nostril to create wider nasal openings. Advanced surgical techniques ensured symmetrical results and optimal airflow improvement. Next, Geoff performed the soft palate resection, carefully shortening the elongated tissue that had been blocking Zippy’s airway.
Throughout the procedure, our experienced veterinary nurses closely monitored Zippy’s oxygen levels, heart rate, and anaesthetic depth. Airway surgery requires particular expertise in brachycephalic breeds, as their anatomy presents unique anaesthetic challenges. Zippy’s owners received updates during surgery and a detailed call once he was in recovery, breathing comfortably through his newly widened airways.
“Within hours of surgery, Zippy was breathing more quietly and easily than his owners had ever heard.”
Recovery involved careful post-operative monitoring in our hospital ward, pain management, and restricted activity for the first two weeks. Zippy’s owners were amazed at the immediate difference. Where he once snored constantly and struggled after minimal exertion, he now breathed quietly and calmly. We provided detailed home-care instructions, including keeping Zippy cool, avoiding strenuous exercise during the healing process, and monitoring for any signs of swelling or discomfort.
Follow-up appointments allowed our team to monitor his surgical sites and track his breathing improvement. Within days, Zippy was more energetic and playful than ever before. His owners followed our rehabilitation plan carefully, gradually increasing his exercise tolerance as his airways healed completely.
Today, Zippy is thriving. His owners report that he can play, walk, and exercise almost like a normal puppy without gasping for air or overheating. The constant snoring has disappeared, replaced by quiet, comfortable breathing even during active play. He recovered exceptionally well from surgery, and his quality of life has been completely transformed.
His owners are delighted to see him bounding around with the energy he simply couldn’t access before. At Vet HQ Darlinghurst, we continue to see Zippy for regular wellness checks, monitoring his long-term airway health and celebrating the success of his surgical correction. His case exemplifies why early BOAS intervention is so important for brachycephalic breeds.
We always advise that for any brachycephalic dog breed (squashed up face) we recommend not to exercise in the middle of the day in summer and not at all if it is very hot. These dogs find it hard to thermoregulate and can overheat.
If your flat-faced dog shows signs of breathing difficulties, exercise intolerance, or constant snoring, they may benefit from BOAS assessment and surgery. Our experienced team at Vet HQ Darlinghurst offers advanced airway correction surgery that can transform your dog’s quality of life.
Contact our friendly team today to book a BOAS Assessment.
We provide comprehensive care for every aspect of your pet’s health and happiness. From routine check-ups and vaccinations to advanced diagnostics, surgery and palliative care, our experienced team delivers thoughtful, high-quality care in-house, supporting your pet through every stage of life.
We have been bringing our pets to Vet Hq in Darlinghurst for almost a decade because, simply, they are the best! Dr Jess Green treats all her patients with thoroughness, compassion and true care. The entire nursing team are also spectacular and we will not be taking our pets anywhere else as long as Vet Hq is around.
The team at Vet HQ Darlinghurst are amazing! Everyone is so friendly and caring, and they really take the time to make sure your pet feels comfortable. The vets explain things clearly and you can tell they truly love animals. The clinic is clean and welcoming, and I always feel my pet is in the best hands.
Best Vet Clinic! Oh My Gosh, I owe these guys everything, if it wasn’t for this clinic, I wouldn’t have my WylieCat anymore.
My cat fell out a window, 6 storeys down to concrete, & although he didn’t break bones, he broke his insides, especially his liver. The dedication of care…
Thank you to Jess and the team for looking after our Winnie. Always take extra care and attention. Jess truely listens and takes consideration. Appreciate it.
We had a seriously wonderful experience here. The team is so friendly, thorough in their explanations for their care, and knowledgeable. I so appreciate a doctor taking the time to educate me as an owner; there’s no better feeling than being an informed decision maker and owner. Our golden retriever, Leo, had the best care…
I have had dogs from the day I was born. I’ve lost track of the number of veterinarian practices I have dealt with . Vet HQ Double Bay is the best practice ever. Full stop. From the reception staff, to the nurses, to the vets, and to Geoff – the best of the best. Look no further for the most caring team on the planet
Vet HQ Double Bay has been looking after our beloved Hendrix since he was just 8 weeks old—he’s now nearly 12! The level of care, support, and understanding from the entire team has been absolutely fantastic.
Saw Dr Tony today for our rabbit’s vaccination and she got a mani/pedi too! Dr Tony is so experienced and handled her so beautifully
I took my new puppy Zebo (golden retriever) for his 2nd vaccination and the staff made the whole experience amazing made him and myself feel relaxed and welcome! Staff our extremely knowledgeable and are there to help with any questions and worries❤️.
Best team , my mini Schnauzer loves his treats and cuddles
He is with VetHQ since he was 8 weeks old, now he is 12 and a half years old beautiful dog . Geoff and everyone at the Clinic is dedicated and loving to our best friends
Brachycephalic Obstructive Airway Syndrome (BOAS) is a condition affecting flat-faced breeds like English Bulldogs, French Bulldogs, Pugs, and Boston Terriers. These dogs have narrowed nostrils, elongated soft palates, and other anatomical features that restrict airflow, making breathing difficult, especially during exercise or in high temperatures. Surgery can dramatically improve their quality of life by widening airways and removing obstructions. At Vet HQ, we utilise the Cambridge University grading system to objectively assess severity and surgical candidacy.
Yes, we advanced in BOAS surgery for brachycephalic breeds across Sydney’s inner suburbs, including Surry Hills, Redfern, Paddington, Potts Point, Rushcutters Bay, and the CBD. Our experienced surgical team has performed numerous successful airway corrections using advanced techniques specifically designed for flat-faced breeds. We have the advanced equipment and expertise needed to safely anaesthetise and operate on these higher-risk patients, ensuring the best possible outcomes.
Surgery costs vary depending on the specific procedures required, your dog’s size, and the complexity of their anatomy. Most BOAS corrections involve alarvestibuloplasty and soft palate resection performed together. During your consultation, we provide a detailed and transparent estimate that covers pre-operative diagnostics, surgery, anaesthesia, post-operative care, pain management, and follow-up appointments. We work with all major pet insurance providers and offer GapOnly® to help make this life-changing surgery accessible for your dog.
Recovery typically takes two to three weeks, with most dogs showing an immediate improvement in breathing. We recommend restricted activity, keeping your dog cool, and avoiding strenuous exercise while the surgical sites heal. Most dogs can return to regular activity within three to four weeks. The improvement is often dramatic and immediate, with reduced snoring, better exercise tolerance, and improved quality of life. We schedule follow-up appointments to monitor healing and ensure optimal long-term airway function.
Signs include loud breathing or snoring even at rest, exercise intolerance, difficulty recovering after activity, overheating easily, gagging or retching, and blue-tinged gums during exertion. If your brachycephalic breed dog shows any of these symptoms, it’s important to have them assessed promptly. At Vet HQ, we utilise the Cambridge University BOAS grading system, which includes an exercise test, to objectively determine severity. Early intervention can prevent complications and significantly improve the quality of life for these breeds.
Contact Info
© 2026 Vet HQ Pty Ltd. All rights reserved.