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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 Bernese Mountain Dog we have compiled 10 mandatory and 10 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 Berner Sennenhund receives a D grade because the breed is significantly affected by severe joint issues. In particular, hip dysplasia (HD) and elbow dysplasia (ED) are widespread in these large dogs and often lead to early lameness. Furthermore, the painful condition of entropion (inward-turning eyelids) occurs more frequently, which is why puppy buyers must pay extremely close attention to the X-ray results of the parents.
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 Bernese Mountain Dog we track 10 mandatory tests plus 10 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 10 additional clinically recommended screenings that reduce risk in this breed.
In addition to mandatory tests:
Color Dilution Alopecia (CDA)(CDA)
Haut und Fell
Color Dilution Alopecia is a genetic skin disorder that affects dogs with diluted coat colors, such as blue, fawn, or lilac. It is caused by an abnormal distribution of pigment within the hair shafts, which makes the hair brittle and prone to breaking. This structural weakness leads to progressive hair loss and leaves the skin more vulnerable to irritation.
Haut
Aortic valve stenosis(AS)
Herz
Aortic stenosis is a narrowing of the aortic valve in the heart, which controls blood flow from the main pumping chamber (the left ventricle) to the rest of the body. Because of this restriction, the heart muscle must work much harder to pump blood, which eventually causes the muscle wall to thicken abnormally. This is a severe cardiovascular condition that can strain the heart over time.
Cerebellar abiotrophy(CA)
Nervensystem
Cerebellar abiotrophy is an inherited neurological disorder affecting the brain, specifically the cerebellum, which regulates balance and movement coordination. In affected dogs, the nerve cells in this region prematurely degenerate and die off. This progressive cell loss disrupts the brain's ability to control smooth physical movements.
DNA
Degenerative Myelopathy(DM)
Nervensystem
Degenerative Myelopathy is a progressive disease of the spinal cord where the protective sheath around the nerves slowly breaks down. This deterioration disrupts the vital communication signals between the brain and the muscles of the hind limbs. Over time, this lack of signal transmission leads to a complete loss of muscle control in the back legs.
DNA · Passing: Clear or Carrier
Epilepsy(IE)
Nervensystem
Epilepsy is a chronic disorder of the brain and nervous system where abnormal electrical activity causes sudden, temporary disruptions in normal brain function. These disruptions lead to repeated seizures, which are involuntary changes in body movement, sensation, or behavior. Because the underlying cause is often complex, the brain's electrical signaling remains permanently prone to these sudden misfires.
Physisch
Hypomyelination(HYM)
Nervensystem
This is an inherited neurological disorder affecting the central nervous system, where the protective myelin sheath that insulates nerve fibers fails to develop properly. Without this adequate insulation, nerve signals cannot travel efficiently between the brain and the body. This disruption leads to impaired coordination and involuntary muscle movements.
Meningitis(SRMA)
Nervensystem
Meningitis is a severe inflammatory condition affecting the protective membranes, called meninges, and blood vessels surrounding the brain and spinal cord. In dogs, this most commonly occurs as an immune-mediated disorder known as Steroid-Responsive Meningitis-Arteritis (SRMA), or 'Steril-eitrige Meningitis-Arteriitis'. This means the dog's own immune system mistakenly triggers inflammation in these nervous system tissues without any actual infection being present.
Roentgen
Familial Nephropathy(JEB)
Nieren und Harnwege
Familial Nephropathy (FN) is an inherited kidney disease caused by a genetic defect in collagen, which is a vital structural protein. This defect damages the kidneys' filtering units, preventing them from properly removing waste products from the blood. Over time, this leads to progressive and irreversible kidney failure.
Koerperfluessigkeiten
von Willebrand's disease(vWD)
Stoffwechsel
Von Willebrand disease is an inherited bleeding disorder that affects the blood's ability to clot properly. It is caused by a deficiency or malfunction of the von Willebrand factor, a specific protein that helps blood platelets stick together to plug damaged blood vessels. Without enough of this functional protein, the clotting process is delayed, which can lead to excessive bleeding even from minor injuries.
Histiocytosis(MH)
Tumor
Histiocytosis is a severe disorder of the immune system where specific white blood cells, called histiocytes, multiply abnormally. These cells normally help protect the body, but their uncontrolled growth can lead to tumors or tissue damage in various organs, including the skin, lungs, spleen, and lymph nodes. Depending on the form, it can be localized to the skin or spread aggressively throughout the body's internal systems.
Koerperfluessigkeiten
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 — Elbow Dysplasia
Both parents must be ED-1 or better 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.
10 tests are currently mandatory under the relevant breed-club regulations. The most common are DNA-Identitätsnachweis, Ocular anomalies, Progressive Retinal Atrophy (PRA) (PRA). 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