When to Say Goodbye to Your Maltese
This guide is written with compassion for one of the hardest experiences of pet ownership. Take what helps, leave what doesn't. You know your Maltese best.
Maltese often live long lives and typically decline gradually. Respiratory or heart issues may become quality of life concerns.

Quick Reference
Understanding Maltese End-of-Life
Maltese are aristocratic lap dogs. A Maltese who no longer wants to be held or loved is telling you something. They're meant to be companions.
Signs Your Maltese May Be Dying
Recognizing these signs helps you make informed decisions about your Maltese's care.
- Coughing worsening
- Unable to exercise
- Loss of appetite
- No longer grooming
- Hiding or withdrawn
Quality of Life Assessment
These questions help you evaluate whether your Maltese still has good quality of life.
- Is breathing comfortable?
- Are they still seeking affection?
- Can they eat comfortably?
- Is their sweet nature present?
When to Consider Euthanasia
This is the hardest decision you'll make. Consider euthanasia when:
- When pain cannot be managed
- When basic functions fail
- When suffering outweighs comfort
Remember: Choosing euthanasia to prevent suffering is an act of love, not giving up.
Making Them Comfortable
If you have time to prepare, or if you're providing hospice care:
- Provide soft, comfortable bedding
- Keep them close to family
- Maintain a calm environment
What to Expect
Whether death comes naturally or through euthanasia, knowing what to expect can help you prepare emotionally.
Natural Death
Natural death in dogs often involves a gradual decline over hours or days. Breathing becomes irregular, they may lose consciousness, and eventually their heart stops. This can be peaceful or distressing depending on the underlying condition.
Euthanasia
Euthanasia is typically a two-injection process. The first injection is a sedative that makes your Maltese sleepy and unaware. The second stops the heart - it's painless and takes only seconds. You can be present to comfort them until the end.
After They're Gone
When you're ready, we're here to help you honor their memory. Many Maltese owners find comfort in creating a memorial, planting a garden, or keeping a small token of their companion.
Assess Your Maltese's Quality of Life
Not sure where your Maltese stands? Our free assessment based on the veterinary HHHHHMM scale helps you evaluate seven key dimensions of well-being, with Maltese-specific reflection questions.
Take the Quality of Life Assessment →Need immediate help?
If your Maltese is in distress, contact your veterinarian or an emergency animal hospital immediately. Many offer 24/7 phone consultations for end-of-life guidance.
Maltese End-of-Life FAQs
- How do I know when it's time to say goodbye to my Maltese?
- Key indicators include unmanageable pain, inability to eat or drink, loss of mobility, and more bad days than good. Consult your veterinarian and trust your knowledge of your Maltese. Choosing euthanasia to prevent suffering is an act of love.
- What are the signs a Maltese is dying?
- Common signs in Malteses include: coughing worsening, unable to exercise, loss of appetite. Maltese are aristocratic lap dogs. A Maltese who no longer wants to be held or loved is telling you something. They're meant to be companions.
- Should I be with my Maltese during euthanasia?
- This is a personal decision. Many owners find comfort in being present to provide reassurance until the very end. Your Maltese will feel your presence and hear your voice. However, if you feel you cannot be present, that's also okay - veterinary staff will ensure your dog is comforted.