01
What health tests does a Maltese need before breeding?
The American Maltese Association asks for a kneecap (patella) check and a heart (cardiac) exam on both parents, plus a bile-acid blood test to screen for liver shunt. An eye exam by a specialist is also recommended. The heart exam mainly rules out a defect called patent ductus arteriosus (PDA, a blood vessel that should close after birth but stays open).
02
Why does liver shunt matter so much in the Maltese?
A liver shunt (portosystemic shunt) is a faulty blood vessel that routes blood around the liver, so toxins build up. Studies show the Maltese is one of the breeds most overrepresented for it. There is no DNA test, so a bile-acid blood test on breeding dogs is the main screen, and many breeders also test each puppy.
03
What is a bile-acid test, and why does it matter for the Maltese?
A bile-acid test is a simple blood test that checks how well the liver works. The vet draws blood after fasting, feeds the dog, then draws again two hours later. High levels point to a liver shunt. Because the Maltese carries high shunt risk and there is no gene test, this is the key liver screen before breeding.
04
What is white shaker dog syndrome in the Maltese?
White shaker dog syndrome makes a young dog tremble all over, usually starting between 6 months and 3 years. It is most common in small white breeds like the Maltese, and most dogs recover well with treatment. It is thought to be related to GME, a more serious brain inflammation, so any tremoring dog needs a vet workup.
05
How much grooming does a Maltese coat really need?
A lot. The Maltese has a single coat of long, silky white hair with no undercoat, more like human hair than fur. It grows continuously and mats fast, so a show coat needs daily brushing and a bath every week or two. Most pet owners keep a shorter "puppy cut" trimmed every 4 to 6 weeks.
06
What is tear staining, and can breeding reduce it?
Tear staining is the reddish-brown mark that forms under the eyes on the white coat, from tears and yeast. It is the Maltese owner’s top grooming challenge. Some of it is plumbing (tight tear ducts and eye shape), so breeding from dogs with good eye structure and clean faces helps, along with daily cleaning.
07
At what age can I breed a Maltese?
Wait until at least 18 to 24 months, on the second or third heat. A female Maltese can come into heat young, but that is too early to breed. She should weigh at least about 4 pounds and be fully grown, with her health tests done. Most breeders retire a female by about 5 years, and 7 at the latest.
08
Should you breed a "teacup" Maltese?
No. "Teacup" is a marketing label, not a real size or breed. The Maltese standard already caps weight at 7 pounds. Dogs bred smaller are more delicate, and more prone to low blood sugar, weak bones, and hard births. Breeding for extreme smallness puts the dam and the puppies at serious risk.
09
How many puppies do Maltese have, and do they need C-sections?
A Maltese litter is small, usually 2 to 4 puppies. Toy breeds need C-sections far more often than larger dogs, because the puppies are large compared to the tiny dam. Keep a vet on call for every litter, and plan and budget for a possible planned or emergency C-section.
10
How do you keep newborn Maltese puppies alive?
Newborn Maltese can die of low blood sugar (hypoglycemia) within days, because they are too small to store much energy. Keep the whelping box warm, make sure every puppy nurses often, and weigh each one daily. A puppy that is cold, limp, or refusing to nurse is an emergency. Feed it and call your vet right away.
11
How much does it cost to breed a Maltese litter?
Budget roughly $3,000 to $7,000. The big swing is the C-section, which toy breeds need often and which can run $1,000 to $3,000. Add the patella, cardiac, and bile-acid tests, a stud fee, and round-the-clock newborn care. With small litters, a first litter rarely turns a real profit.
12
Where can I find a Maltese breeding partner?
You can search health-tested Maltese on Petmeetly and message the owners directly. Listings are free, and you can filter for breeding dogs. Always confirm the patella and cardiac clearances, and ask about the bile-acid (liver) result, before you commit to a mating.