
Bullmastiff Health and Costs
Breed Group
Working Dogs
Country of Origin
United Kingdom
Breed Size
Giant
AKC Recognition
Yes, recognized in 1933
FCI Recognition
Yes, recognized in 1955
Rarity
Very Common2 / 10
Purchase cost
Moderate5 / 10
Life expectancy
Short Lifespan3 / 10
Health
High health risk2 / 10
Health problem risk
Very high health concerns8 / 10
Maintenance cost
Extremely expensive upkeep10 / 10
A Veterinarian's Guide
Bullmastiff Health Problems and Costs
The Bullmastiff is a powerful, devoted guardian, but its heavy frame brings a distinct set of health issues. A shorter lifespan than most new owners expect, along with risks for joint disease, bloat, heart disease, and cancer, shapes the veterinary care this breed needs. Protecting a Bullmastiff starts before the puppy comes home, with screened parents, a lean body, and early recognition of emergencies.
In this guide

Are Joint Problems Common in Bullmastiffs?
Bullmastiffs grow fast and put on a lot of weight before their skeleton has finished maturing, which strains the growth plates and joint cartilage. Hip dysplasia, an inherited malformation of the hip joint that leads to a loose joint, pain, and arthritis, has been estimated in about one in four Bullmastiffs evaluated, and elbow dysplasia in roughly one in seven. Registry numbers come from dogs whose owners chose to submit films, so they do not describe every dog, but they show why both joints are screened. Elbow trouble often shows as stiffness after rest or a shortened stride on the front legs in a young dog.
A torn cranial cruciate ligament, one of the stabilizing ligaments of the knee, is a common injury in heavy dogs, and a complete tear usually needs surgery. The word cruciate comes from the Latin cruciare, "to cross," describing the X shape of the ligament pair. Keeping the dog lean is the most powerful protection an owner controls, and controlled, low-impact exercise on forgiving surfaces is kinder to young joints than forced running or high jumping.

Why Is Bloat a Real Concern for This Breed?
Bloat, medically gastric dilatation-volvulus, happens when the stomach fills with gas and twists on itself, cutting off its own blood supply. The word volvulus comes from the Latin volvere, "to turn." Large, deep-chested dogs are at higher risk, bloat is listed among the concerns for this breed, and surgery is the only way to correct a twisted stomach.
- 01
Swollen belly
The abdomen looks tight, rounded, or distended.
- 02
Unproductive retching
Straining to vomit with little or nothing coming up.
- 03
Restlessness and drooling
Pacing, drooling, or being unable to settle.
- 04
Pale gums or collapse
The dog becomes weak, pale, or collapses.
Feeding two or three smaller meals instead of one large one and avoiding vigorous exercise right after eating help, though no precaution removes the risk entirely. Many veterinarians also discuss a preventive gastropexy, from the Greek gaster, "stomach," and pexis, "fixing in place," for giant breeds. The surgery tacks the stomach to the abdominal wall, often at the same time as a spay or neuter. It does not stop gas from building up, but it should stop the stomach from twisting, which is the life-threatening part.

What Heart Conditions Affect This Breed?
Sudden weakness, fainting, or collapse in a Bullmastiff needs a veterinary exam the same day, because heart disease and internal bleeding can both look like this.
Breed guides list subaortic stenosis, a narrowing of the passage below the aortic valve that makes the heart work against resistance, and dilated cardiomyopathy, a thinning heart muscle that pumps poorly. Affected dogs may tire quickly, cough, collapse during exertion, or show no signs at all until late, so a veterinarian listening to the heart at every wellness visit matters. A heart murmur is investigated with an ultrasound of the heart, called an echocardiogram, which is the test that confirms and stages the problem.

How Do Cancer and Lifespan Fit In?
Bullmastiffs typically live about seven to nine years, and cancer is a major reason. Lymphoma, a cancer of the lymph tissue, is the one most often described, and it often first shows as painless, firm swellings under the jaw, in front of the shoulders, or behind the knees. Many cancers stay quiet in the early stages, so senior checkups starting around age five, with baseline bloodwork and a hands-on exam, give your veterinarian a chance to catch changes sooner. Report any new lump, weight loss, or drop in energy rather than waiting to see if it passes.
What About Eyes, Thyroid, and Skin Folds?
Entropion, from the Greek en, "in," and trepein, "to turn," is an eyelid that rolls inward so the lashes rub the surface of the eye. It causes squinting, tearing, and sometimes painful ulcers, and surgery usually corrects it. Progressive retinal atrophy, an inherited breakdown of the retina's light-sensing cells, is also listed, which is one reason the breed club recommends an eye exam by a veterinary ophthalmologist.
Hypothyroidism is an underactive thyroid that causes weight gain and low energy and is managed with daily medication. The loose jowls and facial wrinkles hold moisture and drool, so a daily wipe-down and a thorough drying keep skin irritation from setting in.

What Does Managing a Bullmastiff's Health Actually Cost?
Medications, anesthesia, and preventives are dosed by weight, so a dog of 100 to 130 pounds sits in the highest cost tier for routine and emergency care alike.
| Condition or Need | Typical Cost Range | Notes |
|---|---|---|
| Hip and elbow radiographs | $150 to $400 | One-time, ideally in early adulthood |
| Cruciate ligament surgery | $3,000 to $6,000 per joint | Includes imaging and stabilization |
| Emergency bloat surgery | $3,000 to $8,000 | Higher with intensive care or tissue damage |
| Cancer work-up and treatment | Varies widely | Imaging, biopsy, and therapy add up quickly |
Questions to Ask a Breeder Before Buying a Puppy
The AKC's working group listing shows that the breed club recommends hip, elbow, heart, eye, and thyroid evaluations for breeding dogs, so ask to see the actual results for both parents. Ask who performed the cardiac exam, and ask about bloat, cancer, and lifespan in the puppy's close relatives, since a pedigree full of early deaths tells you more than a sales pitch does.
Daily Life With a Bullmastiff
Fearless at work and docile at home, the Bullmastiff needs daily walks and play in a fenced yard but is a poor running partner, so keep exercise moderate. Expect some drool from those jowls.
The short coat sheds seasonally and needs only occasional brushing, so grooming time goes mostly to the face folds, nails, and ears. The personality profile explains the guardian temperament, and early, consistent training matters for a dog of this size and strength.
Keeping Your Bullmastiff Healthy for the Long Run
Keep your dog lean throughout life, learn bloat's warning signs before you need them, and have the heart checked at routine visits. Start senior screening around age five. Because emergencies in giant breeds are expensive, pet insurance is worth pricing while your dog is young, before joint or heart problems appear in the record.
Final Thoughts From a Veterinarian
Bullmastiffs usually live 7 to 9 years. Choose a puppy from screened parents, keep your dog lean, learn bloat's warning signs, and start senior checkups around age five to watch the heart and for cancer. Your veterinarian can tailor the plan.
Health & Costs FAQ
How much do Bullmastiff cost?
Purchasing a Bullmastiff from a reputable breeder typically costs between $1,000 and $2,500, though high-quality bloodlines can reach $3,500. Adoption is a more affordable alternative, averaging $50 to $500. Initial essential supplies like crates and bedding can add another $300 to $1,000 to your startup budget.
Purchase cost: 5 / 10
How long do Bullmastiff live?
Bullmastiffs typically live about 7 to 9 years. Giant size and a high rate of cancer both play a part, so keeping a lean weight, screening the heart and joints, and scheduling senior checkups around age five give your veterinarian the best chance to catch problems early.
Life expectancy: 3 / 10
Are Bullmastiff healthy dogs?
Bullmastiffs are loyal and sturdy but face significant health challenges because of their giant size. They are predisposed to hip and elbow dysplasia, bloat, heart conditions, and cancers such as lymphoma, and they typically live 7 to 9 years. Weight control, screened parents, and regular veterinary checkups are the best protection.
Health: 2 / 10
What health problems do Bullmastiff have?
Bullmastiffs are prone to several health issues linked to their giant size. Common concerns include hip and elbow dysplasia, life-threatening bloat, lymphoma, and heart conditions such as subaortic stenosis and dilated cardiomyopathy. Eye problems like entropion, hypothyroidism, and cruciate ligament tears also occur. Screening of breeding dogs and regular checkups are essential.
Health problem risk: 8 / 10
Are Bullmastiff expensive to maintain?
Bullmastiffs are expensive to maintain because of their size. Food, medications, anesthesia, and preventives are all dosed by weight, so routine care costs more than for a smaller dog, and emergencies such as bloat or cruciate surgery can run into the thousands. Sturdy, durable gear adds to the budget.
Maintenance cost: 10 / 10
How much does it cost to own a Bullmastiff per month?
Monthly ownership costs are $150-$500.
Monthly ownership cost: 9 / 10
How much does pet insurance cost for a Bullmastiff?
Monthly premiums often reach $71 or more, with comprehensive plans potentially costing up to $1,000 annually.
Pet insurance cost: 6 / 10
Will homeowners insurance cover a Bullmastiff?
Coverage for Bullmastiffs varies by insurer. Some companies restrict large guardian breeds, and the closely related Mastiff appears on several insurers' restricted lists, while others do not consider breed at all. Always disclose your dog to your agent and ask about breed rules before you buy, so your liability protection stays valid.
Homeowners insurance difficulty: 5 / 10
Are Bullmastiff on insurance restricted breed lists?
Possibly. Restricted-breed lists differ by insurer and state, and the Bullmastiff is not named on every list, but the related Mastiff is on several, and some insurers treat large guardian breeds as higher liability. Check with your provider before adopting, since some companies may exclude coverage or raise premiums.
Insurance restriction risk: 5 / 10
Can you get renters insurance with a Bullmastiff?
Renters coverage with a Bullmastiff is usually possible but depends on the insurer and the landlord. Some policies restrict large guardian breeds or exclude dog liability, so ask about breed rules, disclose your dog, and consider a specialized animal liability policy if a standard one declines.
Renters insurance difficulty: 5 / 10
























