Brachycephalic Upper Airway Syndrome (BUAS) is a common and often serious issue facing general practitioners and surgeons in the veterinary community. Many popular breeds can be severely afflicted. The diagnosis is often made, presumptively, based on signalment, age, and onset of signs, but a thorough sedated laryngeal exam is essential in these patients. Other causes of upper airway obstruction must be ruled out systematically, and many safety measures put in place before surgically addressing this syndrome. This report describes the presentation, clinical approach, diagnosis, and treatment of an atypical case of BUAS in a two-year-old castrated French Bulldog.