Laryngeal paralysis is considered a progressive disease that can be unilateral or bilateral. Bilateral laryngeal paralysis occurs in 81‐100% of dogs presented for surgical treatment. Several surgical procedures to widen the laryngeal lumen and reduce airway resistance and airway turbulence have been described. The current mainstay of surgical management of laryngeal paralysis is unilateral arytenoid cartilage lateralization. Unilateral arytenoid cartilage lateralization adequately opens the laryngeal lumen to reduce clinical signs while having lower postoperative complication rates as compared to the procedure performed bilaterally. Postoperatively, the patient should be protected from developing aspiration pneumonia as best as possible. The overall long‐term prognosis for patients undergoing surgery for laryngeal paralysis is good. Improvement of clinical signs following unilateral arytenoid lateralization was reported in 90% of patients with 70% of dogs alive 5 years following surgery.