Maxi was left very late for airway correction at almost 4 years, but still had huge improvements in vomiting, from almost daily to 90% reduced. Maxi also had huge improvements in energy levels. But he also has stage 2 laryngeal collapse, a narrowing of the larynx that can never be fixed. Fortunately, 5/5 surgery gives the best chance of stopping this progression to stage 3, which is critical. Maxi spent 4 years regurgitating and having significantly less exercise than he could have had as these signs were considered “normal “for a bulldog.