We brought a Miniature Shih Tzu into our home a few months ago. In her initial visit to our Vet, we were made aware that there are inherent issues that come from the genetics of them having a small snout and mouth. As her baby teeth were starting to be replaced with her adult teeth, problems started to occur. The Vet needed to pull 8 teeth and to our surprise, Trupanion covered the procedure since it is genetic in nature. I would absolutely recommend strong consideration to Trupanion if you bring a new pet family member into your home.