'Little People, Big World' Star Lilah Roloff Has Had Her Fair Share of Health Struggles

From the beginning, those who have been watching TLC's Little People, Big World practically watched the Roloff kids grow up on-screen through the years. Now that Amy and Matt's children are adults and have families of their own, viewers are as invested as ever in their well-being, especially that of Zach Roloff.

Zach married Tori Roloff in July 2015, and they currently have three children together: Jackson (born May 2017), Lilah (born November 2019), and Josiah (born April 2022). Like Zach, all three of their kids were born with achondroplasia, the most common form of short-limbed dwarfism.

However, their middle child, Lilah, has some additional health-related conditions.

Lilah currently appears to be doing fine, but she's faced her fair share of health struggles.

In addition to having achondroplasia, Lilah also has strabismus, a condition where the eyes point in different directions. She currently wears glasses to help treat her condition.

Lilah also had difficulty hearing at one point. In February 2023, Tori expressed concerns about Lilah's hearing after she failed a hearing exam at the doctor's office. "They were worried that she has water behind her ears and that she maybe couldn't hear us," Tori said on social media at the time (per The Sun), adding, "There's a possibility that it could be contributing to her delay in speech."

Fortunately, Tori shared an update shortly after that showed that Lilah's hearing had not been compromised and it had just been a fluke.

But that's not the only health scare that Zach and Tori have had with Lilah. During Season 21 of Little People, Big World, the doting parents were concerned that Lilah might have hydrocephalus, or a buildup of fluid inside the brain. However, they later received word that Lilah did not have hydrocephalus.

Zach, however, does have this condition, which is most commonly treated with the insertion of a drainage system called a shunt. The reality TV star first got his shunt installed at just 16 months old. In 2006, he underwent corrective surgery for the device. For years, he continued to have terrible migraines but wasn't sure what caused them.

During the Season 25 premiere of Little People, Big World, Zach had to undergo emergency surgery to have his shunt replaced after waking up with a debilitating headache and then starting to vomit. Upon arriving at the hospital, he learned that his shunt had two cracks in it.

Zach said during an April 2024 episode of LPBW that after sleep study, "Lilah's test came back, and she has a moderate form of sleep apnea." Tori said that they hope the sleep apnea will go away after Lilah gets her tonsils taken out.

According to the National Institute of Health, sleep apnea is a condition where a person's breathing stops and starts during their sleep. The most common form of sleep apnea happens because a person's airway keeps getting blocked while they are sleeping.

You can watch Little People, Big World on TLC on Tuesdays at 9 p.m. EST.