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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 Newfoundland we have compiled 5 mandatory and 8 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 Newfoundland receives a grade of C because, as a heavy giant breed, it faces several typical health challenges. Due to their high body weight, hip dysplasia (HD) and elbow dysplasia (ED) are serious risks that require strict breeding selection. Furthermore, heart conditions and hereditary cystinuria must be consistently monitored through targeted mandatory health tests.
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 Newfoundland we track 5 mandatory tests plus 8 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 8 additional clinically recommended screenings that reduce risk in this breed.
In addition to mandatory tests:
Ectropion / Entropion
Augen
These are structural eyelid abnormalities affecting a dog's eyes. In cases of entropion, the eyelid rolls inward, causing the eyelashes or fur to rub painfully against the surface of the eyeball. In ectropion, the eyelid sags or rolls outward, leaving the sensitive inner lining of the eye exposed and unprotected.
Passing: CLEAR
Exposure keratopathy syndrome (exophthalmos, lagophthalmos, and/or macroblepharon)(EKS)
Augen und Sehvermögen
This condition involves chronic damage to the cornea, which is the clear protective outer layer of the eye. It occurs when the eyelids cannot fully close to moisten the eye, often due to protruding eyeballs, incomplete eyelid closure, or an abnormally large eyelid opening. Without proper moisture, the delicate surface of the eye becomes dry, inflamed, and vulnerable to injury.
Augen · Passing: CLEAR
Cataract(HC)
Augen und Sehvermögen
A cataract is a progressive clouding of the lens inside the dog's eye, which is the clear structure that focuses light onto the retina at the back of the eye. When the lens becomes cloudy or opaque, it blocks light from entering, gradually impairing the dog's vision. If left untreated, this condition can eventually lead to complete blindness in the affected eye.
Augen · Passing: CLEAR
Third eyelid (nictitating membrane) abnormalities - "cherry eye"
Augen und Sehvermögen
A prolapse of the nictitating membrane gland, commonly called 'cherry eye,' occurs when the tear gland of the third eyelid slips out of its normal position. This gland is responsible for producing a significant portion of the eye's protective tear film. When the connective tissue holding it in place weakens, the gland protrudes, appearing as a red, fleshy mass in the inner corner of the eye.
Physisch · Passing: CLEAR
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
Dilated cardiomyopathy(DCM)
Herz und Kreislauf
Dilated cardiomyopathy (DCM) is a severe disease of the heart muscle where the heart's chambers become stretched and enlarged. This stretching thins the heart walls, making it difficult for the heart to pump blood effectively to the rest of the body. Over time, this decreased pumping ability can lead to fluid buildup in the lungs or abdomen.
Ultraschall · Passing: NORMAL
Tricuspid valve dysplasia(TVD)
Herz und Kreislauf
Tricuspid valve dysplasia is a congenital heart defect where the tricuspid valve, located on the right side of the heart, does not develop normally. This valve normally acts as a one-way gate, but its malformation prevents it from closing properly. As a result, blood leaks backward into the right atrium instead of flowing forward to the lungs, forcing the heart to work much harder.
Ultraschall · Passing: NORMAL
Urolithiasis
Nieren
Urolithiasis is the formation of mineral stones within the urinary tract, which includes the kidneys, bladder, and connecting tubes. These solid crystal clusters develop when minerals in the urine clump together instead of dissolving. Over time, these stones can irritate the sensitive lining of the urinary system or completely block the flow of urine.
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 — Elbow Dysplasia
Both parents must be Grade 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.
5 tests are currently mandatory under the relevant breed-club regulations. The most common are Elbow Dysplasia (ED), Hip dysplasia (HD), Aortic valve stenosis (AS). 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