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Health Testing Guide
Which tests are mandatory, how to spot responsible breeders — and what it costs when things go wrong.
For the Akita we have compiled 13 mandatory and 4 recommended health tests, drawn from breed-club regulations, the University of PEI (CIDD), and OMIA — weighted by severity and heritability.
What this grade means
The Akita is a robust breed by nature, but it requires an above-average number of mandatory health tests, particularly regarding the eyes. Conditions such as glaucoma and cataracts require regular screenings to prevent vision loss. Additionally, hip dysplasia (HD) is a known risk in this large breed, which is why prospective buyers should always insist on seeing certified X-ray results for the parent dogs.
Every breed is susceptible to certain inherited conditions. Just like humans, dogs inherit predispositions from their parents. Responsible breeders screen their breeding dogs for these conditions and make informed mating decisions to reduce the risk passed on to puppies.
No — but it's the strongest tool we have. Diet, exercise, environment, and genetics all contribute to whether a dog develops a condition. When breeders use the right tests to identify risk in potential parents, the likelihood of many conditions appearing in the puppies drops significantly.
There's no one-size-fits-all here. For the Akita we track 13 mandatory tests plus 4 additional recommended ones. The specific tests and passing thresholds are detailed further below.
Keep in mind
Reliable screening tests still don't exist for many hereditary conditions, and tests for complex polygenic conditions are not always predictive of severity in the puppies. Even so, they're a powerful tool used by every responsible breeder.
There are two main types of health tests:
Screen the dog's DNA for known disease-causing mutations. Can be performed from puppyhood and give a binary result (clear / carrier / affected).
Clinical and imaging exams like X-ray, ultrasound, or ophthalmoscopy. They show how a predisposition actually manifests — usually only conclusive after 12–18 months.
We group breeding programs into three levels based on testing depth. Ask your breeder directly which level they meet.
A breeder at the Great level performs all mandatory tests plus 4 additional clinically recommended screenings that reduce risk in this breed.
In addition to mandatory tests:
Microphthalmia
Augen
Microphthalmia is a congenital developmental disorder of the visual system where one or both of a dog's eyeballs are abnormally small. This structural defect occurs during embryonic development and is often accompanied by other eye abnormalities, such as cataracts, which are cloudy areas in the lens of the eye. Because the eyeball itself is underdeveloped, the surrounding eyelids may also appear droopy or misaligned.
Passing: CLEAR
Progressive Retinal Atrophy (PRA)(PRA)
Augen
Progressive Retinal Atrophy (PRA) is an inherited eye disease that affects the retina, which is the light-sensitive layer of tissue at the back of the eye. In this condition, the specialized cells responsible for detecting light, known as photoreceptors, gradually degenerate and die. Because these cells cannot recover or be replaced, the disease slowly but inevitably leads to complete blindness.
Passing: CARRIER
Pemphigus(PF)
Haut und Fell
Pemphigus is a group of serious autoimmune skin diseases, including a severe deep form called pemphigus vulgaris, where the dog's immune system mistakenly attacks the proteins holding skin cells together. This attack disrupts the skin's outer layers, causing the cells to separate from one another. As a result, painful blisters, open sores, and crusts develop across the skin and mucous membranes.
Koerperfluessigkeiten · Passing: CLEAR
Sebaceous Adenitis(SA)
Haut und Fell
Sebaceous adenitis is an inflammatory skin disorder where the dog's immune system mistakenly attacks and destroys the sebaceous glands, which are the glands responsible for producing natural skin oils. Without these oils, the skin loses its protective moisture barrier, leading to severe dryness and damage to the hair follicles.
Passing: CLEAR
These levels are a comparison framework, not an official certification. They help compare breeding programs at a glance.
A complete checklist with every mandatory and recommended test plus identity and rearing questions — take it with you.
Open the full checklistFor breeders
Machine-readable mating rules, minimum ages, scoring schemes, and what's required for HonestDog verification — as a printable guide.
Example rule — Ocular anomalies
Both parents must be Clear or better.
We compile mandatory tests from official breed regulations and veterinary databases — and check every uploaded certificate for authenticity.
L1 = mandatory under breed-club regulations. L2 = recommended or clinically indicated. L3 = lower prevalence. Every assignment carries a source and confidence rating.
VDH breeding regulations, CIDD (University of PEI), OMIA (University of Sydney), curated veterinary input.
Uploaded certificates are AI-extracted and reviewed by our team for authenticity, date, and result.
13 tests are currently mandatory under the relevant breed-club regulations. The most common are Ocular anomalies, Ectropion / Entropion, Optic nerve hypoplasia and micropapilla (ONH). Every test must be completed before mating, and the result must fall within the threshold defined by the regulation.
See breeders who have already uploaded their mandatory tests for verification.
View verified breeders