The tongue, tonsils, soft palate, and nasopharyngeal mucosa are proportionally larger than the space within which they are housed, reducing the area for airflow through the upper respiratory tract.1Despite these conformational changes, not all brachycephalic dogs will be affected by brachycephalic obstructive airway syndrome (BOAS). It is important to begin discussing BOAS early in these animals’ lives, so that owners can better understand the consequences of the disease and monitor for progression of clinical signs. There are many ways to reduce the risk of upper airway obstruction, such as administration of injectable steroids, topical application of mannitol in the oropharynx, and a slow and controlled anesthesia recovery. If clinical signs persist, further investigations and interventions may be warranted. It is important to note that not all components of BOAS may be addressed with surgical interventions; thus, a return to normal airway function (nonbrachycephalic breeds) is unrealistic.