This document summarizes portosystemic shunts and their management in dogs. Portosystemic shunts are abnormal blood vessel connections that allow blood to bypass the liver. They can be congenital or acquired. Clinical signs include neurological, gastrointestinal and urinary issues. Diagnosis involves imaging like ultrasound, scintigraphy and portography. Treatment options are medical management to improve health for surgery or surgical attenuation of the shunt vessel. The goal of surgery is to redirect blood flow to the liver without causing excessive portal hypertension. Post-operative care focuses on a low-protein diet and medications to prevent hepatic encephalopathy.