It's all in how the breeder handles the situtation and how they stand behind their breeding program. Health testing is very important but as Mary said, a breeding pair can test normal and produce a life threatening illness. Luxating patellas are very common in toy breeds. I wish more people would not jump into surgery for LP because it's not always necessary. I have 3 yorkies with LP and they are fine and show no signs of pain or limping and "YES" they are all spayed and neutered and so are the parents but LP doesn't always have to have surgery.
There isn't that genetic marker for Liver Shunt yet and we are hoping soon there will be it will make breeding a lot easier.
Donna
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