An 18-month-old, Fire Constitution, male Rottweiler was presented for bilateral laryngeal paralysis, vomiting/regurgitation (2-3 times daily) and malnutrition of unknown duration. The TCVM diagnosis was invasion of Lung by Wind-Heat with Qi Stagnation at the larynx (laryngeal paralysis), rebellious Stomach Qi (vomiting/ regurgitation), Stagnation of Liver Qi due to sustained Lung Heat (emotional stress, nervousness/hyperactivity; pharygolaryngitis, cough, rapid breath, polydipsia without polyuria) and Spleen Qi Deficiency (malnutrition). A combination of dry needle acupuncture and electroacupuncture was performed. Dry needles were placed at GV-20, Bai-hui (lumbosacral joint) and An-shen to calm him and aid in the remainder of the treatment. Dry needles were also used at LU-1 for cough and Lung Heat; BL-20, BL-21 and ST-36 for vomiting/regurgitation; and LIV-3 for Liver Qi Stagnation and laryngitis. BL-20 was also used for Spleen Qi Deficiency and ST-36 as a general Qi tonic. Electroacupuncture (20 Hz at 3 amps for 12 minutes, then Dense and Disperse at 20/120 Hz at 3 amps for 12 minutes) was performed at local cervical acupoints SI-16, LI-17 and LI-18, ST-9, CV-23 a and b and Hou-shu (just lateral to the 3rd tracheal ring) recommended for laryngeal paralysis and inflammation. Two acupuncture treatments four weeks apart were performed with marked improvement of clinical signs over a 6 week period. The patient continues to do well 16 months after the last treatment. Acupuncture may provide a safe treatment option for laryngeal paralysis in the dog compared to surgical procedures that can be complicated by aspiration pneumonia and death.