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Great Pyrenees Health Issues: The Risks of a Giant

Great Pyrenees are sturdy working dogs, and most of their health risks come with giant size: hips and knees under heavy load, bloat in a deep chest, and bone cancer, which is more common in large and giant breeds. The national breed club recommends screening hips and kneecaps. This guide is general information, not veterinary advice.

7 min read · Updated October 8, 2026
Author: LocalPetFinder Team

The short answer

Keep a Pyrenees lean and let a puppy grow slowly on a large-breed diet to protect hips and knees. Learn the signs of bloat and treat them as an emergency, and ask your vet about a preventive gastropexy. Get a persistent limp in an adult X-rayed. Price pet insurance in your first week.

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A white Great Pyrenees lying calmly outdoors
Slow, lean growth is the best start for a giant breed’s joints.

Hips and kneecaps

The national breed club’s recommended tests, published by the American Kennel Club, are hip and kneecap (patella) evaluations, which tells you where the breed’s main orthopaedic concerns lie.

Hip dysplasia is a loose hip that wears into arthritis. VCA Animal Hospitals stresses lean growth, a large-breed growth diet, weight loss for heavy dogs and moderate exercise. In giant breeds the kneecap tends to slip toward the outside of the knee; VCA describes this lateral form in large breeds such as the Great Dane and St. Bernard. A skipping or bunny-hopping gait is worth a vet check.

Bloat: know it on sight

Gastric dilatation-volvulus happens when the stomach fills with gas and twists, and it is a risk in large, deep-chested dogs. Signs are unproductive retching, a swollen belly, drooling, restlessness and laboured breathing. VCA is clear that it needs emergency care within minutes to hours. A preventive gastropexy, often done at the time of a spay or neuter, prevents twisting in most cases.

Browse adoptable Great Pyrenees

Foster notes often mention joints, weight and how the dog handles heat, which is exactly what to raise at your first vet visit.

See Available Great Pyrenees →

Bone cancer

Osteosarcoma, an aggressive bone cancer, is far more common in large and giant breeds, according to VCA. It usually starts in a leg bone, and most dogs limp. In a middle-aged or older Pyrenees, a limp that does not settle with rest deserves X-rays rather than waiting.

Coat, dewclaws and heat

Pyrenees have a thick double coat built for cold, and most cope poorly with heat. Give shade and water in summer, avoid midday exercise, and never shave the coat, which insulates against heat as well as cold. The breed’s double rear dewclaws are normal; keep those nails trimmed so they do not snag or grow into the pad.

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The first vet visit after adoption

Ask for a gait, hip and knee assessment, a body condition score with a written target weight and baseline bloodwork. Raise gastropexy if the dog is not yet spayed or neutered. Bring the rescue’s records.

Price pet insurance the same week. Every Canadian provider excludes conditions documented before enrolment, and orthopaedic surgery, bloat surgery and cancer care in a giant dog are large costs.

Frequently asked questions

What are the most common Great Pyrenees health issues?

Hip dysplasia, slipping kneecaps, bloat and bone cancer, the usual risks of a giant, deep-chested breed. Heat intolerance is also a practical concern.

What health tests are recommended for Great Pyrenees?

The national breed club recommends hip and kneecap (patella) evaluations, as listed by the American Kennel Club.

Are Great Pyrenees prone to bloat?

As deep-chested giants they are at risk. Learn the signs (retching without producing anything, a swollen belly, restlessness) and treat them as an emergency. Ask your vet about a preventive gastropexy.

Should I shave my Great Pyrenees in summer?

No. The double coat insulates against heat as well as cold. Brush out loose undercoat and give shade, water and cool-hour exercise instead.

Are double dewclaws a health problem?

No, double rear dewclaws are normal in the breed. Keep the nails trimmed so they do not catch or curl into the pad.

Should I get pet insurance for a rescue Great Pyrenees?

It is worth pricing in your first week. Canadian pet insurance excludes conditions documented before enrolment, and giant-breed surgery and cancer care are large costs.

Sources

General information, not veterinary advice. Diagnosis and treatment decisions belong with your veterinarian.

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