The short answer
Plan for joints first. Hip and elbow dysplasia are the breed's best-known weak point, so keep your Shepherd lean and watch how it moves. Learn the signs of bloat by heart, because it is an emergency that cannot wait. Know that weight loss with a big appetite and loose stools can mean EPI, which a blood test can diagnose. Watch older dogs for wobbly back legs. Keep paralysis tick prevention going all year on the east coast, never shave the coat, and insure the dog while it is young and healthy. Across the rescues we aggregate, a Shepherd arrives vet-checked with any known issue noted on the listing.

How healthy is a German Shepherd, overall?
It is a mixed picture. Shepherds are athletic working dogs that stay active well into middle age when they are kept lean and exercised properly. They also carry a few well-documented breed health problems, most tied to their size and build. As a large breed they generally live shorter lives than small dogs, so preventive care counts for a lot.
A rescue Shepherd starts you ahead on one front. Across the rescues we aggregate, a Shepherd arrives desexed, vaccinated, microchipped and vet-checked, and the listing usually notes anything the vet found. Ask about the hips, any hind-leg weakness, the skin, the weight and the digestion, then book a baseline visit with a GP vet. Any general-practice vet handles routine Shepherd care; the Australian Veterinary Association is the national body for the profession. This guide is general information, not veterinary advice.
Hip dysplasia
Hip dysplasia is the condition most associated with the breed. The ball of the hip does not sit cleanly in the socket, so the joint wears unevenly and arthritis develops over time. It is inherited, and reputable breeders screen their breeding dogs through hip-scoring schemes. The Orthopedic Foundation for Animals maintains the evaluation standard used internationally and explains the condition in detail.
Signs to watch for in your Shepherd:
- Bunny-hopping with the back legs, using both at once instead of alternating
- Stiffness after rest that loosens up with movement
- Reluctance to climb stairs, jump into the car or get on the couch
- A sway or wobble in the back end
- Sitting with one back leg out to the side rather than tucked
- Slowing down on walks earlier than expected for the dog's age
None of these is a diagnosis on its own. Your vet confirms hip dysplasia with an orthopaedic examination and X-rays of both hips, because one side is often worse than the other. Treatment depends on severity, from weight management and a tailored exercise plan at the mild end to surgery in severe cases.
The biggest lever you control is weight. A lean Shepherd puts far less load through its joints, and every extra kilo speeds the wear. Low-impact exercise such as swimming and steady on-lead walking builds the muscle that supports the hips. A young, growing Shepherd should not be pushed into forced running or repetitive jumping on hard surfaces. Soft sand is hard work too, so keep beach runs short for a dog that is stiff or overweight.
Elbow dysplasia
Elbow dysplasia is the same family of developmental joint problems, in the front legs. The signs are subtler than with hips: front-leg lameness that comes and goes, a shortened front stride, reluctance to lie down or get up, and sensitivity when the elbow is flexed. Diagnosis usually involves X-rays and sometimes CT or MRI. If your adopted Shepherd seems to favour a front leg, mention it at the first vet visit. Early treatment tends to give a better long-term result.
Degenerative myelopathy (DM)
Degenerative myelopathy is a slowly progressive, painless disease of the spinal cord. It usually shows up in older Shepherds as weakness and poor coordination in the back legs, which gradually worsens over months to a year or two. Affected dogs are not in pain, but mobility declines and eventually quality of life is affected. There is no cure. The Merck Veterinary Manual lists German Shepherd Dogs among the most commonly affected breeds.
A DNA test identifies dogs carrying the gene variant linked to DM years before any symptoms. Dogs with two copies of the variant have a higher chance of developing the disease in old age, but many never do. The test is for planning, not a diagnosis, and a rescue Shepherd will not come with that history. Ask your vet which test they recommend if you want it.
Back-leg weakness in an older Shepherd can also come from hip arthritis, a disc problem or other causes, and the management differs. Let your vet work it up rather than assuming DM. Where DM is confirmed, physiotherapy, mobility aids and keeping the dog fit and lean help maintain quality of life.
Bloat (gastric dilatation-volvulus)
Bloat is the most urgent condition on this list. The stomach fills with gas and can twist on itself, cutting off its blood supply. Without emergency surgery, dogs can die within hours. Large, deep-chested breeds are at much higher risk, and the Merck Veterinary Manual lists German Shepherd Dogs among them.
Bloat signs to know by heart:
- Retching or trying to vomit with nothing coming up
- A swollen, tight belly, often only obvious when you compare it to normal
- Heavy drooling
- Restlessness, pacing or being unable to settle
- Pale or grey gums, fast breathing or weakness
- Collapse
If you see these signs, go to a 24-hour vet hospital now. Do not wait to see if it passes, and do not try home remedies. Call ahead on the way so the team is ready. Work out which emergency hospital is closest the week you bring your Shepherd home, and save the number. The RSPCA Australia Knowledgebase page on bloat is worth keeping on your phone.
Ask your vet about ways to lower the risk. Common suggestions include splitting food into two or more smaller meals a day, slowing a dog that gulps its food, and avoiding hard exercise straight before or after eating. For a high-risk dog, some vets discuss a preventive stomach-tacking surgery called a gastropexy. That is a conversation to have with your vet, not a decision to make from an article.
Exocrine pancreatic insufficiency (EPI)
EPI is the breed's quiet one. The pancreas does not produce enough digestive enzymes, so food passes through without being properly broken down and the dog cannot absorb it. The Merck Veterinary Manual names German Shepherd Dogs as one of the breeds in which the most common cause is seen.
The classic picture:
- Weight loss despite a big, even ravenous, appetite
- Chronic loose, pale, fatty or foul-smelling stools
- Eating non-food items, including faeces
- A dull, dry coat
- Low energy that does not match the food going in
Diagnosis is a blood test called the TLI test, which any GP vet can order. Management is enzyme treatment in the food for life under your vet's guidance, and most dogs regain weight and do well once it is under control. If you adopt a thin Shepherd that eats everything and still looks ribby, ask your vet about EPI specifically rather than just changing foods. It gets missed because the symptoms look like a general gut upset.
Skin, ears and eyes
Shepherds are prone to skin allergies (atopic dermatitis). The signs are constant paw licking, recurring ear infections, patchy hair loss around the feet, belly and groin, hot spots and a musty smell that keeps coming back. Rule out fleas first, but if the dog is on flea prevention and still itchy, allergy becomes the working diagnosis. Your vet picks the treatment step that suits your dog. Rinse salt water and sand off after a swim, because both irritate sensitive skin under a thick coat. The Merck Veterinary Manual on atopic dermatitis explains the condition in more depth.
The breed also has a painful condition of the tissue around the anus, called perianal fistula or anal furunculosis, that needs veterinary treatment. Watch for licking at the rear, discomfort or difficulty toileting.
On the eyes, Shepherds can develop pannus (chronic superficial keratitis), a condition of the cornea that is aggravated by ultraviolet light. That matters under the Australian sun everywhere. Mention any cloudiness, pinkness or change in the surface of the eye to your vet early, because it is far easier to manage when caught at the start.
Paralysis ticks: where in Australia they matter
The Australian paralysis tick (Ixodes holocyclus) lives along the east coast, and its risk depends on where you live. It is a year-round danger from Queensland down the New South Wales coast, including bushland reserves and walking tracks, and a thick double coat makes ticks much harder to find. It is rare in Victoria and Western Australia, where the main risk is travel to the east coast with your dog. The tick releases a toxin while it feeds, and without treatment the paralysis can kill.
- In tick country, year-round prevention without gaps. Ask your vet which product suits your dog.
- A daily hands-on check after bush, beach or long-grass walks. Work your fingers down to the skin from head to tail, paying attention to the face, neck, ears, under the collar and between the toes.
- If you find a tick or see signs, see a vet immediately. Signs include wobbly back legs, a changed bark, drooling, coughing and breathing trouble, and they can appear hours after a tick is removed.
- Outside tick country, make it a vet conversation. If you take your dog to the east coast, start prevention before the trip and keep checking after you get home.
The standard reference is the RSPCA Australia Knowledgebase guide to protecting your dog from tick paralysis.
Heat and the double coat
A Shepherd has a double coat: a coarse guard layer over a dense undercoat. The undercoat traps a layer of air that insulates against heat as well as cold and protects the skin from sun. The most common mistake well-meaning owners make is shaving a Shepherd in summer. It exposes the skin and makes overheating more likely.
Summers are hot everywhere in Australia, humid in the north-east and dry in the south and west, and a double-coated dog feels all of them. The rules are the same wherever you live: walk in the cooler hours, provide shade and water, brush out dead undercoat, and never leave the dog in a parked car. Heavy panting that does not settle, drooling, weakness or stumbling are heatstroke signs that need a vet. Our German Shepherd heat guide covers the summer routine, coat care and first aid in detail.
Pet insurance: is it worth it for a Shepherd?
For most owners, yes. Joint surgery, a bloat emergency, a paralysis tick admission or lifelong EPI management can each be costly, and the breed is prone to all of them. It is also why a cheap puppy from a breeder who has not health-tested is a false economy.
Timing matters more than the provider. Sign up while the dog is young and healthy, because insurers exclude pre-existing conditions, and a single note about the hips on a vet record before the policy starts can rule out joint cover for life. Compare policies on exclusions, waiting periods and annual limits rather than on price, and read the product disclosure statement, particularly the sections on joints and hereditary conditions. Australian providers include PetSure, which underwrites many brand-name policies, Bow Wow Meow, Petplan Australia and RSPCA Pet Insurance.
The first weeks with a rescue Shepherd
Bring the health plan together in the first fortnight. Ask the rescue what the in-care vet check found. Book your own baseline vet visit and mention anything you have noticed about movement, weight, digestion or skin. Settle on a routine of smaller meals, keep the dog lean and start insurance straight away, before anything new lands on the record.
Registration, desexing and microchipping rules differ between states and councils, and a rescue dog is usually already desexed and microchipped. Check your state's rules for the registration deadline and any discount for a desexed shelter dog, and transfer the microchip into your name promptly.
If you are still choosing a dog, our national German Shepherd page lists Shepherds and Shepherd crosses across the rescues we aggregate, with any known health notes on the profile. You can also browse by city, for example Sydney, Melbourne, Brisbane or Perth. Not sure a large working breed with this health profile fits your home and budget? Run the adoption readiness check first.
Frequently asked questions
What health problems are German Shepherds prone to?▼
The conditions that come up most often are hip and elbow dysplasia, degenerative myelopathy (a progressive spinal cord disease of older dogs), bloat (an emergency in deep-chested breeds), exocrine pancreatic insufficiency (a digestive condition), skin allergies and an eye condition called pannus. None of these is inevitable, and most are manageable when caught early.
How can I tell if my German Shepherd has hip dysplasia?▼
Common signs are bunny-hopping with the back legs, stiffness after rest that eases with movement, reluctance to climb stairs or jump into the car, a sway in the back end and slowing down on walks. None of these is a diagnosis on its own. Your vet confirms hip dysplasia with an orthopaedic examination and X-rays of both hips.
What is degenerative myelopathy, and is there a test for it?▼
Degenerative myelopathy (DM) is a slowly progressive, painless disease of the spinal cord. It usually appears in older Shepherds as weakness and poor coordination in the back legs that gradually worsens, and there is no cure. A DNA test identifies dogs carrying the gene variant linked to DM, but carrying it does not mean a dog will develop the disease. For a rescue Shepherd the test is mostly for planning. Ask your vet which test they recommend.
What are the signs of bloat in a German Shepherd?▼
Watch for retching with nothing coming up, a swollen or tight belly, heavy drooling, restlessness, pale gums, fast breathing, weakness and collapse. Bloat is a life-threatening emergency in which the stomach fills with gas and can twist. Do not wait to see if it passes. Go straight to the nearest 24-hour vet hospital and call ahead on the way.
What is EPI in German Shepherds?▼
Exocrine pancreatic insufficiency (EPI) means the pancreas does not make enough digestive enzymes, so food passes through without being properly absorbed. The classic picture is weight loss despite a big appetite, with loose, pale, fatty stools. German Shepherds are one of the breeds most associated with it. Your vet diagnoses EPI with a blood test called the TLI test, and most dogs do well on lifelong enzyme treatment in their food under veterinary guidance.
Do German Shepherds need paralysis tick prevention everywhere in Australia?▼
No. The Australian paralysis tick is an east coast species. It is a year-round risk from Queensland down the New South Wales coast, so dogs there need year-round prevention and a hands-on check after bush walks. It is rare in Victoria and Western Australia, where the main risk is travel to the east coast. Ask your vet what suits where you live and where you take your dog.
Should I shave my German Shepherd in summer?▼
No. The double coat traps a layer of air that insulates against heat as well as cold, and it protects the skin from sun. Shaving removes that protection and makes overheating more likely. What a Shepherd needs in summer is walks in the cooler hours, shade and water, brushing to remove dead undercoat and never being left in a parked car.
Is pet insurance worth it for a German Shepherd?▼
For most owners, yes. Joint surgery, a bloat emergency, a tick admission or lifelong EPI management can all be costly. Sign up while the dog is young and healthy, because insurers exclude pre-existing conditions, and read the product disclosure statement closely.
Sources
- Orthopedic Foundation for Animals, hip dysplasia
- RSPCA Australia Knowledgebase, what is bloat in dogs
- RSPCA Australia Knowledgebase, how can I protect my dog or cat from tick paralysis
- Merck Veterinary Manual, exocrine pancreatic insufficiency in small animals
- Merck Veterinary Manual, gastric dilation and volvulus in small animals
- Merck Veterinary Manual, degenerative diseases of the spinal column and cord
- Merck Veterinary Manual, atopic dermatitis in dogs
- Australian Veterinary Association
Keep reading
German Shepherds for adoption across Australia
Shepherds and Shepherd crosses listed across the rescues we aggregate, refreshed regularly, with any known health notes on the profile.
German Shepherds and Australian Heat
The no-shave rule, heatstroke signs and a summer routine for a double coat anywhere in Australia.
Rehome a German Shepherd
If a health condition has made keeping your Shepherd impossible, list the dog directly with adopters instead of surrendering.
Adoption readiness check
Budget, time, space and routine: see whether a large working breed with this health profile fits your home.