The short answer
Rottweilers, as a large breed, are prone to several serious conditions: hip and elbow dysplasia, a notably elevated cancer risk (especially osteosarcoma / bone cancer, a leading cause of death, watch for persistent lameness), heart conditions (subaortic stenosis), and bloat / GDV (a sudden emergency, know the signs). Also cruciate ligament injuries and others. Lifespan is a relatively short ~8 to 11 years. The levers you control: keep the dog lean, be vigilant and proactive about vet care (given the cancer risk), and know the bloat signs. Because cancer, orthopedic, heart, and bloat treatment can be costly, the insurance case is strong, insure while young.

The Rottweiler is a magnificent breed, but an honest health guide has to be frank: it's a breed with real health considerations, and an elevated cancer risk that's among the harder things to face. That's not a reason to avoid the breed, many Rottweilers live good lives, but it's a reason to go in informed and vigilant. Here is the medical picture, condition by condition.
Cancer: the elevated risk
The Rottweiler has a notably elevated cancer risk, and cancer is a leading cause of death in the breed. It's particularly associated with osteosarcoma (bone cancer), an aggressive cancer of the bones (often the limbs) to which large breeds are especially prone, painful, serious, and difficult and expensive to treat (possibly amputation and chemotherapy). The breed can also get lymphoma and others. The reasons are believed to involve genetic factors.
You can't eliminate the genetic risk, but you can: keep the dog at a healthy weight with good general care; be vigilant and proactive, monitoring for lumps, swelling, persistent lameness or limping (which can signal bone cancer, and any persistent lameness warrants veterinary assessment), and other signs, seeking prompt care (early detection helps for some cancers); and strongly consider pet insurance. The risk is real but not a certainty for any individual dog, being informed lets you be proactive rather than blindsided. The Morris Animal Foundation researches cancer in predisposed breeds.
Hips, elbows, and joints
Hip and elbow dysplasia are common, joint malformations leading to arthritis. Keeping the dog lean is the biggest lever, and appropriate exercise (avoiding high-impact stress in growing puppies, plus an appropriate large-breed puppy diet for proper growth) helps. As large, active dogs, Rottweilers are also prone to cruciate ligament injuries (knee-ligament tears, often needing surgery) and other joint problems, and arthritis with age.
Management ranges from weight control, supplements, exercise, physiotherapy, and medication to surgery in severe cases. Keep the dog lean, provide appropriate exercise (and growth management for a puppy), and seek care for any lameness, remembering that persistent lameness should also be checked given the cancer risk. The OFA maintains breed joint-screening data.
Heart and bloat
Heart: subaortic stenosis (SAS), an inherited defect (a narrowing below the aortic valve), ranging from mild to severe (fatigue, exercise intolerance, fainting, or sudden death in serious cases); often found as a murmur prompting an echocardiogram. Bloat (GDV): a sudden, life-threatening emergency deep-chested Rottweilers are at risk of, the stomach fills with gas and twists, fatal within hours without surgery. Know the signs: distended abdomen, unproductive retching, restlessness, drooling, distress, and get to an emergency vet immediately.
Prevent bloat with smaller, more frequent meals, avoiding vigorous exercise around eating, slowing a fast eater, and not letting the dog gulp water, and discuss preventive gastropexy with your vet (sometimes done at spay/neuter). Make sure everyone in the household knows the bloat signs, and know your nearest Montreal emergency vet before you need it. The VCA guide to bloat is essential reading.
Lifespan and the insurance case
Rottweilers typically live ~8 to 11 years, relatively short, reflecting their size and health burden (especially cancer). Keep the dog lean, provide appropriate exercise and puppy growth management, be vigilant and proactive about vet care given the cancer risk, know the bloat signs, and maintain good routine care. On insurance: genuinely worth considering, arguably more than for many breeds, above all for the elevated cancer risk (treatment can be very expensive), plus orthopedic issues, heart conditions, and bloat surgery. Montreal specialist and surgical care isn't cheap.
Insurance can genuinely determine what treatment options are available if a Rottweiler develops cancer, needs orthopedic surgery, or has a bloat emergency. Take it out while the dog is young and healthy, before any condition is excluded. Compare providers, check whether cancer and hereditary conditions are well covered, and read the fine print. If you self-insure, keep a substantial vet fund for this breed given the real possibility of expensive cancer or surgical treatment. For an adopted adult or senior, understand what a policy covers. See our adoption guide for the cost picture.
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See Available Dogs →Frequently Asked Questions
What are the main health problems?
As a large breed: hip and elbow dysplasia, a notably elevated cancer risk (osteosarcoma above all), heart conditions (subaortic stenosis), and bloat, plus cruciate ligament injuries and others. A real list, particularly the cancer risk, but many Rottweilers live good lives with attentive care. Lifespan ~8 to 11 years.
Why the elevated cancer risk?
The breed has a notably elevated cancer risk (a leading cause of death), especially osteosarcoma (bone cancer), believed to involve genetic factors. You can't eliminate it, but keep the dog lean, be vigilant for lumps, swelling, and persistent lameness (a bone-cancer sign), seek prompt care, and strongly consider insurance. A risk, not a certainty.
Do they get hip and joint problems?
Yes, hip and elbow dysplasia are common, plus cruciate ligament injuries in large active dogs. Keeping the dog lean is the biggest lever, plus appropriate exercise and large-breed puppy growth management. Seek care for any lameness, and remember persistent lameness should be checked given the cancer risk.
What are heart conditions and bloat?
Heart: subaortic stenosis, an inherited defect often found as a murmur prompting an echocardiogram. Bloat/GDV: a sudden emergency, the stomach fills with gas and twists, fatal within hours. Know the signs (distended abdomen, unproductive retching, restlessness) and get to a vet immediately. Discuss gastropexy with your vet.
How long do they live?
Typically 8 to 11 years, relatively short, reflecting their size and health burden (especially cancer). Keep the dog lean, provide appropriate exercise and puppy growth management, be vigilant about vet care given the cancer risk, know the bloat signs, and maintain good routine care.
Is pet insurance worth it?
Genuinely worth considering, arguably more than for many breeds, above all for the elevated cancer risk (treatment can be very expensive), plus orthopedic issues, heart conditions, and bloat surgery. Take insurance out while the dog is young, before conditions are excluded. For an adopted adult, understand what a policy covers.
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