
Coton de Tulear Health and Costs
Breed Group
Toy Dogs
Country of Origin
Madagascar
Breed Size
Toy
AKC Recognition
Yes, recognized in 2014
FCI Recognition
Yes, recognized in 1970
Rarity
Very Common2 / 10
Purchase cost
Moderate to Expensive6 / 10
Life expectancy
Very Long Lifespan9 / 10
Health
Generally healthy7 / 10
Health problem risk
Mild health concerns3 / 10
Maintenance cost
Average5 / 10
A Veterinarian's Guide
Coton de Tulear Health Problems and Costs
The Coton de Tulear is a small, white, cotton-coated companion dog, and the breed is generally described as healthy. Still, a few issues are worth planning around: the kneecaps, the eyes, the heart, the teeth, and a coat that adds a steady grooming expense. The most useful health step comes before the puppy comes home, when you ask to see the parents' test results instead of relying on a general promise.
In this guide

Which Health Tests Should a Coton Puppy's Parents Have?
Ask to see the actual eye, kneecap, and heart reports for both parents. A breeder saying the dogs are health tested is not the same as seeing the results.
The breed's U.S. parent club lists three core screens in its published health statement: an eye exam by a veterinary ophthalmologist, an OFA kneecap evaluation, and a cardiac exam. These are the tests required for a CHIC number, a certification from the Canine Health Information Center showing that the required tests were done and the results made public. It does not mean every result was normal, so look up both parents and ask your veterinarian to explain anything unclear.
The club also lists optional tests, including hips, thyroid, and DNA tests for conditions such as von Willebrand disease (a bleeding disorder), degenerative myelopathy (a slow spinal cord disease), and canine multifocal retinopathy. Breeders choose the optional ones that fit their lines. For the wider picture, the AKC publishes health testing guidance for the Toy group.
Why Do Kneecaps Matter in a Small Dog Like the Coton?
Patellar luxation means the kneecap slips out of its groove. The word comes from the Latin patella, "small dish," and luxare, "to dislocate." It is common in small breeds, and the Coton is one of them. Dogs often show it as a sudden lift of a hind leg, a few skipping steps, or a bunny-hopping gait, and then walk normally again. Others have lameness that persists.
A veterinarian can feel the kneecap and grade how far it moves, as the Merck Vet Manual explains. A mild finding does not automatically mean surgery, since weight control and controlled activity can help in selected mild cases, while worsening or more severe lameness may lead to a surgical discussion. A new limp still deserves an exam, because a paw or joint injury can look similar from across the room.

How Are Eye Exams and the CMR DNA Test Different?
An eye exam by a veterinary ophthalmologist looks for visible changes in the eye. A DNA test answers a narrower question about one inherited variant. Canine multifocal retinopathy, or CMR, is an inherited condition of the retina, the light-sensing layer at the back of the eye, and the parent club lists a DNA test for it. A carrier carries one copy of the variant but is not the same as an affected dog, and a clear DNA result does not replace an eye exam.
Cotons can also develop progressive retinal atrophy, or PRA, a group of inherited disorders in which the retina slowly breaks down. A dog that hesitates to enter dark rooms or go out at night may be showing early vision change, which is worth mentioning to your veterinarian. Dogs lose sight gradually in a familiar home and often cope well with a little extra patience.
- 01
A leg that will not bear weight
Your dog holds the leg up and refuses to put it down.
- 02
Sudden loss of vision
Your dog suddenly bumps into things or seems unable to see.
- 03
A painful, squinting eye
An eye is held shut, watering heavily, or looks injured.
- 04
Severe pain
Crying out, trembling, or refusing to move.
Severe pain and a limb that cannot move are reasons for immediate assessment, not a wait-and-see approach.
Why Do the Heart Exam and Dental Care Matter?
The cardiac exam is on the parent club's core list, which is a reason to request the result, not a sign that a particular puppy has heart disease. If a murmur was reported, ask what was heard and what follow-up the veterinarian advised.
Dental disease is a more predictable part of owning a small dog, because small breeds tend to build up plaque and tartar easily. Ask your veterinarian what home care your Coton will tolerate and whether a dental cleaning under anesthesia is advised. Dental X-rays sometimes show teeth that need treatment, so request an estimate that explains possible add-ons.

What Does Managing a Coton's Health Actually Cost?
There is no trustworthy single annual price for Coton care, so the table below shows what drives each cost instead of quoting figures that may not match your area. Your own clinic and groomer can give real numbers.
| Condition or Need | What Drives the Cost | What to Ask For |
|---|---|---|
| Routine exams and prevention | Your clinic and your dog's age | A yearly plan with vaccines and parasite prevention |
| Dental cleaning | Anesthesia, X-rays, extractions | An estimate that lists possible add-ons |
| Kneecap problem | Severity, imaging, surgery or not | An estimate for the plan your dog needs |
| Eye exam or retinal care | Specialist visit, testing | Whether a repeat exam is advised |
| Coat care | Home care or a groomer | Local grooming prices |
Set aside a reserve you can sustain for an unexpected eye, knee, or other problem. If you are considering pet insurance, compare the premium, deductible, reimbursement rules, and exclusions, since a condition that began before enrollment is usually not covered.
Questions to Ask a Breeder Before Buying a Puppy
Ask for the parents' eye, kneecap, and cardiac reports and which optional tests were done, as the parent club's statement suggests. Ask what health guarantee comes with the puppy, how long the breeder has worked with the breed, and how the puppies are socialized. A breeder who answers plainly and shows documents is usually a good sign.
Daily Life With a Coton de Tulear
Cotons are cheerful, people-loving dogs that do best when they are not left alone for long stretches, as the personality profile explains. The soft, cotton-like coat needs regular brushing to stay free of mats, and the grooming guide covers how to plan for it. They are generally eager to please, so early, gentle training goes smoothly for most owners.
Keeping Your Coton Healthy for the Long Run
Keep your dog at a lean weight to ease the load on the knees, brush the teeth regularly, and book regular veterinary exams including eye checks. Report any change in gait or vision early. Cotons often live into their mid-teens, so steady preventive care pays off over many years.
Final Thoughts From a Veterinarian
Cotons often live into their mid-teens, and good planning starts with asking for both parents' eye, kneecap, and heart results. Budget for coat and dental care plus a reserve for surprises, and let your veterinarian tailor the plan to your dog.
Health & Costs FAQ
How much do Coton de Tulear cost?
Puppy prices from reputable breeders vary widely by region and line, and are often quoted in the low thousands of dollars. Adoption fees through shelters or breed rescues are usually lower. Ask for the full price in writing and compare it with the health testing and records included.
Purchase cost: 6 / 10
How long do Coton de Tulear live?
Coton de Tulears often live 14 to 17 years or longer, which is a long life for a dog. Individual dogs vary, and regular veterinary care supports healthy aging.
Life expectancy: 9 / 10
Are Coton de Tulear healthy dogs?
Coton de Tulears are generally described as a healthy breed, though no dog is guaranteed to stay free of problems. The parent club recommends eye, kneecap, and cardiac screening, with optional DNA tests, so ask to see both parents' results before buying.
Health: 7 / 10
What health problems do Coton de Tulear have?
Watch for patellar luxation (a slipping kneecap), inherited eye conditions such as progressive retinal atrophy and canine multifocal retinopathy, and degenerative myelopathy, a slow spinal cord disease that usually appears in older dogs. Parent screening and regular veterinary exams help catch problems early.
Health problem risk: 3 / 10
Are Coton de Tulear expensive to maintain?
Upkeep is average for a small dog, with the coat as the main ongoing expense. The cotton-like coat needs regular brushing and often professional grooming to prevent mats, and dental care adds to routine costs. Your clinic and groomer can give local prices.
Maintenance cost: 5 / 10
How much does it cost to own a Coton de Tulear per month?
Monthly ownership costs are $100-$300.
Monthly ownership cost: 4 / 10
How much does pet insurance cost for a Coton de Tulear?
Estimates for a Coton de Tulear often fall around $42 to $66 per month, but premiums depend on your dog's age, location, deductible, and coverage limits. Compare actual quotes and exclusions, since conditions that began before enrollment are usually not covered.
Pet insurance cost: 4 / 10
Will homeowners insurance cover a Coton de Tulear?
A Coton de Tulear is a small companion breed that is not commonly named on insurers' restricted lists, so coverage is very likely. Policies vary by company and state, so disclose your dog and confirm the terms in writing.
Homeowners insurance difficulty: 9 / 10
Are Coton de Tulear on insurance restricted breed lists?
Coton de Tulears are not commonly named on insurance restricted-breed lists, so the risk is low. Lists differ between insurers, so ask your own company directly and get the answer in writing.
Insurance restriction risk: 2 / 10
Can you get renters insurance with a Coton de Tulear?
Renters insurance with a Coton de Tulear is likely to be available, since the breed is not commonly restricted. Disclose your dog to the insurer and check your lease for any landlord pet requirements.
Renters insurance difficulty: 8 / 10























