Brachycephalic aitway syndrome affects a large majority of brachycephalic breeds. This is a very common problem that will be encountered frequently by many veterinarians. Understanding the features of this syndrome, the secondary problems that can arise later on in life, and the importance of intervening early can be crucial for treating patients afflicted with brachycephalic airway syndrome. The case presented was a 1.5 year old female intact English bulldog presenting for respiratory distress, cyanosis and dyspnea following chewing on a rawhide. The patient had an initial airway exam and cervical radio graphs performed revealing soft tissue swelling occluding the airway. The swelling was presumably due to trauma from the rawhide. Corticosteroids were administered and time was allowed for swelling to decrease. Swelling dramatically reduced, and components of brachycephalic airway syndrome were surgically corrected to maximize airway and reduce risk of future episodes from occurring.