How do you know when it's time to put my shihtzu down?

Deciding to put your Shih Tzu down is a deeply personal and difficult decision. Key signs include persistent pain that cannot be managed, significant loss of appetite, difficulty breathing, or an inability to stand or walk. If your dog’s quality of life has diminished and they seem to be suffering, it's essential to consult with your veterinarian, who can provide guidance based on their health and circumstances. Ultimately, consider whether your pet still enjoys life and if their comfort can be maintained.