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The Maltese shih tzu, often affectionately called a “Malshi,” is a small, hybrid breed designer dog that combines the best qualities of its Maltese and shih tzu parent breeds. 1They are intelligent, loyal, and thrive on human companionship, making them perfect for families and apartment living. Malshis usually live to be 12 to 15 years old.1
Malshis have moderate energy levels and enjoy both playtime and being a lap dog equally. However, they may be prone to excessive barking, which can be managed through consistent training, daily walks, and mental stimulation with puzzle toys and interactive games when left alone.2
While they are generally healthy dogs, selective breeding and their small size can make them prone to specific medical conditions that may require costly veterinary treatment if not addressed early.
Malshis are a designer breed gaining popularity among Australians. They’re known for their intelligent, affectionate nature and low-shedding coats, making them ideal companion dogs for small homes and apartments. They’re known for their friendly nature, making them great with kids and other pets when properly socialised. Their small size and moderate exercise needs may suit someone with a relaxed lifestyle, but they do require regular grooming to maintain their coats.2
While they’re generally easy-going and trainable, Malshis can be prone to separation anxiety and to some health issues common to small breeds, such as dental problems.2 With consistent care, positive reinforcement and love, they make wonderful, loyal pets for individuals or families.
Yes, Malshis shed, but they are bred to be low-shedding. This toy breed is considered hypoallergenic because its hair is more similar to human hair, shedding continuously in small amounts rather than the heavy undercoat shedding seen in many other dog breeds.
Their long, silky coat requires regular brushing to prevent tangles, matting and skin irritation.2 Trim their nails monthly and send them for haircuts at the groomer when necessary.
While Malshis are generally healthy dogs, crossbreeding and their small size may still make them prone to specific health conditions, leading to high vet costs if not addressed early.1
Pet owners should do their research and choose a reputable breeder when considering a Maltese Shih Tzu puppy.
Some of the common health issues that Malshis face may include:
Maltese Shih Tzus are prone to dental issues, including tartar buildup, gum disease, and tooth loss, due to their small jaws.2 Daily brushing and feeding high-quality dog food can help maintain the health of their teeth. Routine vet check-ups and annual dental cleaning are also essential.
Patellar luxation is a condition in which the kneecap slips out of place, causing pain and difficulty walking.6 While mild cases may be managed with lifestyle changes, more severe cases may often require surgical intervention to restore proper joint function and mobility.
Elbow dysplasia is a developmental condition involving abnormal growth of the elbow joint, which can lead to pain, stiffness, and reduced mobility.6 Treatment options range from weight management and physical therapy to surgical correction in more severe illnesses.
Maltese Shih Tzus are prone to ear infections due to their floppy ears and hair that grows inside the ear canal, trapping moisture and dirt.4 Symptoms include scratching, head shaking, odour, and discharge. Regular ear cleaning and grooming can help prevent infections, but chronic cases may require veterinary treatment with medicated drops or oral antibiotics.
IVDD is a spinal condition where the cushioning discs between the vertebrae degenerate, leading to pain, nerve damage, and in severe cases, paralysis.3
Treatment depends on severity and may involve rest, anti-inflammatory medication, physical therapy, or surgery. Preventative care includes maintaining a healthy weight and avoiding activities that strain the spine, such as jumping from heights.
Common eye problems in Malshis include tear staining, cataracts, and dry eye.2 Tear staining is often cosmetic but can signal irritation if it is consistent. Always consult your vet if you spot symptoms, as cataracts and dry eye may require ongoing treatment.
As they age, Maltese Shih Tzus can develop heart murmurs and valve disorders.2 These conditions may lead to fatigue, coughing, and reduced activity. Diagnosis typically involves imaging and regular monitoring, and treatment often includes medication, which can be costly but necessary for maintaining quality of life.
Pet insurance plans can help cover unexpected vet expenses, so you don’t have to choose between your wallet and your furry friend. This may give pet owners peace of mind and the ability to prioritise their pet’s health over budget constraints.
Always read the Product Disclosure Statement (PDS) and the Target Market Determination (TMD) to know the inclusions and exclusions of your pet insurance policy, and to ensure that the policy is a good fit .
Depending on your level of cover, dog insurance can cover a range of accidents and illnesses. The most basic policy, an accident-only policy, can help support your pet’s urgent vet care needs and provides emergency care, but doesn’t cover any illnesses.
An accident and illness policy (comprehensive policy) typically covers a broader range of vet bills, including accidents and illnesses. Depending on your insurer and level of cover, your policy may help manage chronic and hereditary conditions.
This may include diagnostic tests such as X-rays, MRI scans and laboratory tests, which are often essential for accurately identifying health issues. It can cover surgery and hospitalisation, which can be costly but necessary in emergencies or for chronic conditions. Routine care add-ons may also be available, offering cover for vaccinations, annual health checks and dental care.
Maltese Shih Tzu pet insurance typically falls within the average range for small dog breeds.
Several key factors influence how much you’ll pay for pet insurance, such as:
Yes, pet insurance can be worthwhile for a Maltese Shih Tzu because this breed is prone to certain health issues that can lead to costly veterinary bills over time.
Having insurance provides financial protection and peace of mind, especially if unexpected accidents or illnesses occur. While monthly premiums add up, they often cost less than paying out of pocket for major treatments or surgeries.
Because Maltese shih tzus can be prone to specific genetic and dental issues, it’s typically worth considering a plan that includes coverage for hereditary and congenital conditions, dental illness and injury, ongoing medication for chronic diseases, and alternative or complementary therapies, such as physiotherapy for joint issues.
Review your pet’s age, medical history, and lifestyle when comparing policies. Younger dogs typically qualify for lower premiums, but it’s never too late to consider insurance that protects their future health.
When selecting a policy, consider the following factors carefully:
As a General Insurance expert with over 13 years’ experience in financial services, Adrian Taylor knows that dogs and cats get themselves into all sorts of mischief. One part of Adrian’s work is to help empower consumers to understand how pet insurance can help save them from exorbitant vet bills when their pet gets injured or falls ill.
1 Vets Love Pets. Dog breeds – Maltese Shih Tzu. Accessed October 2025.
2 PetMD. Dog Breed – Maltese Shih Tzu. Accessed October 2025
3 PetMD. IVDD (Intervertebral Disc Disease) in Dogs. Accessed October 2025.
4 Vet Organics. Maltese Ear Infection. Accessed October 2025.
5 PetMD. IVDD (Intervertebral Disc Disease) in Dogs. Accessed October 2025.
6 VCA Animal Hospitals. Luxating Patella in Dogs. Accessed October 2025.