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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 Rottweiler we have compiled 8 mandatory and 12 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 Rottweiler receives a grade of C because the breed carries an above-average number of health risks. Hip dysplasia (HD) and elbow dysplasia (ED) are particularly critical issues for these heavy dogs, requiring consistent X-ray screening of the parent animals. Fortunately, the dangerous neurological condition JLPP (Juvenile Laryngeal Paralysis & Polyneuropathy) is now well-controlled through mandatory genetic testing in breeding programs.
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 Rottweiler we track 8 mandatory tests plus 12 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 12 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
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
Retinal Dysplasia(RD)
Augen
Retinal dysplasia is a congenital condition affecting the eyes, where the retina (the light-sensitive tissue at the back of the eye) does not develop properly during growth in the womb. This abnormal development leads to structural defects like folds or gaps in the retinal layers. Because the retina is responsible for sending visual signals to the brain, these imperfections can impair normal vision.
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
Cervical vertebral compressive myelopathy(CVCM)
Bewegungsapparat
Cervical vertebral compressive myelopathy, commonly known as Wobbler syndrome, is a condition affecting the spine where the spinal cord in the neck becomes pinched. This compression is caused by malformed neck vertebrae or slipping discs between the bones. Over time, the constant pressure damages the nerve pathways that carry signals from the brain to the limbs.
Roentgen · Passing: A
Duchenne muscular dystrophy(DMD)
Bewegungsapparat
This is a severe, inherited muscle disorder caused by a lack of dystrophin, which is a crucial protein that helps keep muscle cells intact. Without this protein, both the skeletal muscles used for movement and the cardiac muscle of the heart progressively weaken and break down.
DNA · Passing: CLEAR
Demodicosis / Demodectic mange
Haut und Fell
Demodicosis is a skin disease caused by an overgrowth of microscopic Demodex mites that naturally live inside a dog's hair follicles. While these mites are normally harmless, an inherited or acquired weakness in the immune system can allow them to multiply uncontrollably. This overgrowth leads to inflammation and damage to the skin barrier.
Haut · Passing: CARRIER
Congenital deafness(CHSD)
Nervensystem
Congenital deafness is a hereditary hearing loss present from birth that affects the inner ear's sensory cells, preventing sound signals from reaching the brain. It is often linked to specific genetic variants, such as those associated with certain coat patterns like merle or piebald, or breed-specific conditions like Early Onset Adult Deafness (EOAD). This genetic defect causes the vital blood supply to the inner ear to fail, leading to the permanent degeneration of the hearing nerve cells.
Physisch · Passing: BILATERAL_HEARING
Neuroaxonal dystrophy(NAD)
Nervensystem
Neuroaxonal dystrophy is a severe, inherited disorder of the central nervous system where the endings of nerve cells, called axons, swell and degenerate. Axons act like electrical wires that transmit signals between the brain and the body, and their breakdown disrupts normal communication. This progressive deterioration leads to widespread neurological dysfunction.
Roentgen · Passing: A
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 · Passing: CARRIER
Pancreatitis
Stoffwechsel
Pancreatitis is a serious inflammatory condition of the pancreas, an organ in the abdomen responsible for producing digestive enzymes and hormones like insulin. In affected dogs, these digestive enzymes activate too early while still inside the pancreas, causing the organ to digest and damage its own tissue. This can lead to widespread inflammation affecting the metabolic and digestive systems.
Koerperfluessigkeiten · Passing: CLEAR
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 · 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 FCI Grade 2 or better (ED++ 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.
8 tests are currently mandatory under the relevant breed-club regulations. The most common are Fecundity, generic, Cesarean section, Dental abnormalities. 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