The short answer
The Bichon is fairly hardy and notably long-lived (~14 to 16 years), but it has characteristic issues. The most common: allergies and skin problems (itchy skin, ear issues, usually managed not cured). Also dental disease (a small-breed issue, brush and get cleanings), luxating patellas (slipping kneecaps, keep the dog lean), and a notable predisposition to bladder/urinary stones (know the urinary signs, a blockage is an emergency, especially in males). Plus eye conditions (cataracts, tear staining) and ear infections (often allergy-driven). Levers you control: manage allergies/skin, take dental care seriously, keep the dog lean, ensure hydration and watch for urinary signs, and keep up routine care. Insurance is worth considering, insure while young (before allergies or stones are diagnosed and excluded).

The Bichon is one of the healthier, longer-lived small breeds, which is genuinely good news. It's not problem-free, allergies are common and the breed is notably prone to bladder stones, but the general hardiness and long life are real advantages. Here's the health picture, condition by condition.
Allergies and skin issues: the most common concern
Allergies and skin problems are the most common Bichon health concern. The breed is notably prone to environmental/atopic allergies (pollens, dust mites, molds) and sometimes food-related ones, which typically show up as skin problems: itchy skin (scratching, licking, chewing), redness and rashes, recurrent skin infections, and ear problems (allergic skin disease often affects the ears). Allergies are generally managed, not cured.
Management can include avoiding triggers where possible, veterinary treatments to control itching and inflammation (from medications to newer targeted therapies), treating secondary skin/ear infections, food trials if food allergy is suspected, regular soothing/medicated baths (the Bichon is bathed for grooming anyway), and good flea control. Regular grooming and skin checks help catch issues early. Watch for itching, licking, skin changes, and ear problems, and work with your vet, it can be an ongoing, sometimes lifelong effort (and recurring cost), a key reason to consider insurance early (before allergies are diagnosed). See the grooming guide.
Bladder stones: a notable breed predisposition
The Bichon is notably prone to bladder and urinary stones, an important breed-specific consideration. Stones are mineral formations in the bladder (or elsewhere in the urinary tract) that cause frequent or difficult urination, straining, blood in the urine, accidents, or pain, and, most seriously, a urinary blockage (a medical emergency, especially in males, where a stone can obstruct the urethra and prevent urination, life-threatening and needing immediate care).
So any urinary signs, straining, blood, frequent or painful urination, and especially inability to urinate, warrant prompt (and for a suspected blockage, emergency) veterinary care. Stones are diagnosed by your vet (urinalysis, X-rays or ultrasound), and treatment may include special dissolving/preventive diets, increased water intake, medication, and often surgery (and stones frequently recur, so ongoing dietary/preventive management is common). Prevention for a stone-prone breed: ensure good hydration, an appropriate diet (vet-recommended, especially after stones), regular urination opportunities, and periodic urine monitoring. Because stones can require diagnostics, surgery, and ongoing diets, they can be a significant, recurring cost, part of the insurance case.
Dental, joints, eyes, and ears
Dental: a small-breed issue (crowded teeth), so regular brushing and professional cleanings matter. Joints: luxating patellas (slipping kneecaps, mild to severe, keep the dog lean). Eyes: cataracts and others, plus tear staining (common in white breeds, managed with eye-area grooming) and irritation from facial hair (keep it trimmed). Ears: the drop ears with canal hair are prone to infections, often allergy-driven, so regular ear care plus managing underlying allergies helps.
Practically: take dental care seriously, keep the dog lean and watch for patella problems, watch for eye issues (and manage tear staining and facial hair), and keep up ear care and manage any allergy-driven ear problems (watch for head-shaking, scratching, odor, discharge). Most individual Bichons won't develop most of these, but awareness helps catch issues early. Regular grooming (which the breed needs anyway) doubles as a chance to check the teeth, eyes, ears, skin, and body. See the adoption guide.
Lifespan and the insurance case
Bichons are notably long-lived, typically ~14 to 16 years. Keep one healthy by managing allergies/skin, taking dental care seriously, keeping the dog lean, minding the bladder-stone risk (hydration, diet, watching for urinary signs), watching for eye and ear issues, regular grooming, and good routine care. On insurance: worth considering, the breed's characteristic conditions can be costly, allergies (ongoing), bladder stones (diagnostics, surgery, ongoing diets, and they often recur), dental (over a long life), luxating patella surgery, and cataract surgery, adding up over a long life.
Take out insurance while the dog is young and healthy, before any condition (especially allergies or bladder stones) is excluded, worth emphasizing given how common allergies are. Check whether dental (common in small breeds) is covered. If you self-insure, keep a solid vet fund with allergies, dental, and possible bladder-stone treatment in mind. For an adopted adult or senior, some conditions (especially allergies or dental) may already be present, so go in aware. Overall, the Bichon's hardiness and long life are appealing, and with good preventive care (especially allergies, dental, and urinary health) and insurance or a fund, many enjoy long, healthy, happy lives.
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See Available Dogs →Frequently Asked Questions
What are the main health problems?
A fairly hardy, notably long-lived breed (14 to 16 years), but with characteristic issues: allergies/skin problems (the most common), dental disease, luxating patellas, and a notable predisposition to bladder stones. Also eye conditions (cataracts, tear staining) and allergy-driven ear infections. Managing allergies, dental care, weight management, and bladder-stone awareness are the key protective steps.
Are they prone to allergies and skin problems?
Yes, this is the most common Bichon health issue, mostly environmental/atopic allergies (and sometimes food), showing up as itchy skin, skin infections, and ear problems. Allergies are managed, not cured, with vet treatments, trigger avoidance, food trials, soothing baths, and flea control. Regular grooming and skin checks catch issues early. It can be an ongoing, cumulatively costly effort.
Are they prone to bladder stones?
Yes, notably, an important breed-specific consideration. Watch for urinary signs (frequent or difficult urination, straining, blood, accidents, pain) and, most seriously, inability to urinate (a blockage, an emergency, especially in males). Treatment may include special diets, medication, and often surgery, and stones frequently recur. Prevent with good hydration, appropriate diet, and monitoring. Can be a significant, recurring cost.
What dental, joint, eye, and ear issues affect them?
Dental disease (a small-breed issue, brush and get cleanings), luxating patellas (slipping kneecaps, keep the dog lean), eye conditions (cataracts, plus tear staining common in white breeds), and ear infections (the drop ears, often allergy-driven). Take dental care seriously, watch for joint and eye issues, and keep up ear care while managing any underlying allergies. Grooming doubles as a health check.
How long do they live, and is insurance worth it?
Notably long-lived, typically 14 to 16 years. Insurance is worth considering, allergies (ongoing), bladder stones (diagnostics, surgery, ongoing diets, and they recur), dental, luxating patella surgery, and cataract surgery can add up over a long life. Insure while young and healthy (before allergies or stones are excluded), and check whether dental is covered, or keep a solid vet fund.
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