Boxwood is a tough plant — most problems trace to siting and drainage, not to bad luck. But two diseases are worth knowing by name, because catching them early is the whole game. What follows draws on the published work of the major boxwood nurseries and the university extension services, plus what we see on plants that come through here.
Root rot (Phytophthora)

The classic killer in heavy, poorly drained soil. The plant seems to stop growing; foliage goes light green, then brown, then straw, often one branch or section at a time, over months. Dig up an affected plant and the root tips pull off like a sheath off a knife, brown and stringy where healthy roots are white.
Caught at the first yellow-lime tint, it is sometimes reversible: fix the drainage or lift and replant higher, and the plant can fight it off. Established infections are effectively untreatable, so prevention is the strategy — buy disease-free stock, never plant into poor drainage, and plant proud of grade in clay soils. Cultivar choice matters: many microphylla cultivars shrug it off, while American sempervirens, English ‘Suffruticosa’, ‘Elegantissima’ and ‘Justin Brouwers’ are notably susceptible in wet ground.
Boxwood blight (Cylindrocladium buxicola)
The disease that changed the boxwood trade. Dark leaf spots, black stem streaks, then fast defoliation, spreading by water splash and on tools, clothing and new plants. There is no cure in the landscape; management is exclusion — quarantine new plants for a month before they join a hedge, disinfect shears between plants, avoid overhead watering, and if blight is confirmed, remove and destroy infected material rather than composting it. Resistant cultivars exist and are the long-term answer for blight regions; your extension service keeps the current list for your state.
The lookalikes
Winter bronzing after sun and wind is not disease — it greens up in spring. Yellowing at dog height is dog, not fungus. Straw-colored patches after shearing in hot sun are scorch. Before treating anything, rule these out; the diagnostic photos in our zone care guide help.
Keeping plants out of trouble
Sun and air movement, sharp clean tools, water at the roots rather than on the leaves, and the feeding calendar in the care FAQ. Pests — psyllid, mites and leaf miner — have their own field marks, covered in the same FAQ’s troubleshooting section.