Shih Tzus are cute, loving pets that have special care requirements that promote their general health. Health costs are averaged at 900 -1800 a month and include basic visits to the vet and grooming. Although they are considered to be hypoallergetic, they still have to be trimmed and are susceptible to skin and food allergies. In Shih Tzus stress can be detected using such signs as whining, barking, panting, pacing, licking of lips, yawning, trembling, hiding, or a tucked tail. The most frequent health problems are eye diseases, respiratory ailments, ear infection, and dental disease. Bonding time, games, agility training, socialization, and 20 -40 minutes of exercise should be incorporated in their daily well-being practices in order to keep them healthy and happy. They are moderately active and therefore, indoor play and short walks are best suited. Vaccinations begin at an early age (Core vaccines 6 -16 weeks) and thereafter, yearly boosters. Wellness visits depend on age between the regular visits of a puppy and bi-yearly visits of the elderly aimed at pain treatment and nutrition. Playing inside such as fetch or hide and seek stimulates their brain and short sessions of obedience would help them develop confidence and proper etiquette. Given proper care a Shih Tzu can survive in any household where there is love.