In the dilemma discussed in the January issue of In Practice, a colleague had been interviewed on local radio to discuss the health problems associated with brachycephalic breeds. Among other things, they had stated that vets should not promote the ownership of these dogs. One of their clients, a pug owner, now refuses to see the vet and books an appointment with you. You share your colleague's views on brachycephalic breeds. What would you do? (IP, January 2017, vol 39, pp 45-46). Anne Fawcett said that a compassionate vet would identify and address welfare issues with these breeds and communicate them sensitively to the owner. The welfare issues should be addressed without being biased by your own conflict of interest. Ideally, the client should walk away feeling like they have had an opportunity to be heard and be more aware of the signs of brachycephalic obstructive airway syndrome to look out for in their pug.