Gastropexy is a surgical procedure that can be done on large breed dogs to prevent a dangerous condition called Gastric Dilatation-Volvulus (GDV) or "bloat." This happens when a dog's stomach fills with gas and twists, causing extreme discomfort and other serious complications. During a gastropexy, the dog's stomach is surgically secured to its abdominal wall, ensuring it remains in its proper anatomical position, therefore preventing the stomach from twisting. Understanding what the benefits of gastropexy in dogs are, and why it may be necessary for certain breeds, can help you make an informed decision about the well-being of your dog.

What is a Gastropexy in Dogs?

The main reason for a gastropexy in dogs is to prevent or treat Gastric Dilatation-Volvulus (GDV).

The procedure involves surgically tacking the stomach to the body wall to prevent it from twisting as it does in GDV. As GDV is a common and very serious condition affecting deep-chested or large-breed dogs, many owners elect to have this procedure done selectively to prevent it from occurring in the future.

Many experienced surgeons concur that a preventive gastropexy, operated on dogs deemed "at risk" for GDV, is a highly beneficial procedure.

A gastropexy can be done both prophylactically as a preventative measure for GDV or as a treatment where the dog has already experienced a gastric torsion (i.e. GDV).

While there are different surgical techniques for the gastropexy, they all achieve the same goal and your veterinarian will recommend the method they feel most comfortable with and have had the most success.

Prophylactic Gastropexy

Prophylactic gastropexy is a specific type of gastropexy performed as a preventive measure, rather than a response to an existing condition. It's like adding a safety net for your dog's health, especially if you have a breed that's at higher risk for Gastric Dilatation-Volvulus (GDV) or bloat.

When and Why It's Performed

Unlike emergency gastropexy, which is done when GDV has already occurred, prophylactic gastropexy is performed before any signs of bloat appear. It's often recommended during routine surgeries like spaying or neutering, particularly for breeds like Great Danes, Saint Bernards, and other large dogs known to be prone to GDV.

Laparoscopic vs. Open Surgery

Prophylactic gastropexy can be done through traditional open surgery or using minimally invasive techniques like laparoscopic gastropexy. The laparoscopic method is less invasive and typically has a quicker recovery time, but the best approach will depend on your dog's unique situation.

If performed during a regular, routine spay, the open surgery makes more sense as your surgeon will already be working in the abdomen.

Benefits for Specific Breeds

If you're the proud owner of a large or giant breed, understanding prophylactic gastropexy is essential. This preventive surgery can literally save lives by lowering the risk of GDV, a condition that can be deadly if not treated promptly.

What Breeds Should Consider a Gastropexy?

While all dogs can technically suffer from GDV, it is most common in large, deep-chested breeds. Certain breeds are at a much higher risk and should consider a preventive, prophylactic gastropexy. These include but are not limited to:

  • Bernese Mountain Dogs
  • Boxers
  • Doberman Pinschers
  • German Shepherds
  • Gordon Setters
  • Great Danes
  • Greyhound
  • Irish Setters
  • Rottweilers
  • Saint Bernards
  • Standard Poodles
  • Weimaraners

Remember, the decision to pursue a gastropexy should be based on a detailed discussion with your veterinarian, taking into consideration your dog's breed, size, age, and overall health status.

What to Expect During the Post-Operative Period?

Post-operative care after a gastropexy is tailored to the nature of the procedure, whether prophylactic or performed in an emergency due to GDV.

For prophylactic gastropexy, akin to care after a routine spay or neuter, keeping your dog calm for about a week is essential. Activities like running, jumping, swimming, or bathing should be avoided to ensure the incision remains clean and dry, and prescribed pain medications should be administered as directed.

Emergency gastropexy, on the other hand, may require hospitalization and additional care such as prescription diets or medications.

Special attention must be given to the abdominal incision, monitoring for swelling, discharge, or discoloration, and any changes should prompt immediate contact with the clinic.

Activity should be limited for 14 days, with leash walks allowed but running, jumping, and playing restricted to prevent strain on the incision.

An e-collar may be necessary to prevent licking at the incision site, and pets should be kept separate if housemates attempt to lick the area.

Finally, feeding your dog two or more smaller meals per day is recommended to maintain metabolism and further reduce the risk of bloat. This comprehensive care plan ensures a smooth recovery and reflects a responsible and attentive approach to your pet's well-being.

If your dog has recently had a gastropexy procedure and you are concerned about its recovery, please contact your veterinarian for advice.


In conclusion, gastropexy in dogs is a surgical procedure that involves suturing the stomach to the body wall that is designed to prevent or treat GDV. Understanding the implications of GDV and the benefits of gastropexy will help you make an informed decision about your dog's health. Always consult with your veterinarian about the best decisions for your pet's health and remember to monitor them closely during the post-operative period to ensure a smooth recovery.