Dogs can suffer from a whole host of diseases and other serious health problems. Some of these conditions are inherited, while others are caused by viruses; still others are related to lifestyle and environmental influences.
Is there such a thing as the perfect puppy? In all likelihood there is not. There is always something one might change in any dog (or person really), but the goal should be to always strive towards raising a puppy to be its most perfect self. This is hard work, to be sure, but it is not only possible, it is necessary.
For the health and wellbeing of your dog, training should really not ever be considered an option when owning a dog. Well trained dogs are more likely to be behaved and listen, be void of behavioral issues, be good in public, and are less likely to bite. Owners also have a much closer connection with the dog when the time is taken to form a relationship through training.