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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 Scottish Terrier we have compiled 12 mandatory and 9 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 Scottish Terrier is a dog with a strong character, but it carries an increased risk for painful conditions such as Craniomandibular Osteopathy (CMO) and Von Willebrand disease (a blood clotting disorder). Of particular concern is the breed's characteristically high susceptibility to bladder cancer (transitional cell carcinoma). Without consistent preventative care and genetic testing of the parent dogs, there is a significant health risk.
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 Scottish Terrier we track 12 mandatory tests plus 9 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 9 additional clinically recommended screenings that reduce risk in this breed.
In addition to mandatory tests:
Lens luxation(PLL)
Augen und Sehvermögen
Lens luxation is an inherited eye disorder where the lens slips out of its normal position because the supporting fibers holding it in place weaken or break. When the lens shifts, it can block the natural drainage of fluid within the eye. This blockage causes a rapid, painful buildup of pressure called glaucoma, which can lead to permanent blindness if left untreated.
Augen · Passing: CLEAR
Persistent pupillary membranes (PPM)(PPM)
Augen und Sehvermögen
Persistent pupillary membranes (PPM) occur when tiny blood vessels that nourish the eye's lens before birth fail to break down and disappear as they normally should. This leaves behind delicate strands of tissue that stretch across the iris, which is the colored part of the eye, and the pupil. In some cases, these strands can attach to the cornea, the clear outer layer of the eye, or the lens.
Augen · Passing: CLEAR
Craniomandibular osteopathy ("lion jaw")(CMO)
Bewegungsapparat
Craniomandibular osteopathy, often called "lion jaw," is a temporary bone disease affecting the skull and jaw of growing dogs. It causes abnormal, non-cancerous bone growth on the lower jawbone and surrounding joints. This swelling is painful and can restrict normal movement of the jaw during the puppy's development.
Roentgen · Passing: Clear or Carrier
Scotty cramp
Bewegungsapparat
Scotty cramp is an inherited neurological disorder affecting how the central nervous system processes serotonin, a chemical messenger that helps regulate muscle movement. This metabolic issue causes temporary, painless muscle spasms, primarily in Scottish Terriers. Because the specific genetic mutation causing this autosomal-recessive condition is currently unidentified, there is no commercially available genetic test for it.
DNA · Passing: CARRIER
Atopy(CAD)
Haut und Fell
Atopy is a chronic allergic skin disease where a dog's immune system overreacts to common environmental substances like pollen, mold spores, and dust mites. This inappropriate immune response damages the natural protective barrier of the skin, leading to persistent inflammation and irritation. It primarily affects the skin, which is the body's largest organ system.
Haut
Histiocytoma
Haut und Fell
A histiocytoma is a non-cancerous (benign) skin growth that originates from Langerhans cells, which are part of the dog's immune system. These cells normally help protect the skin, but they can sometimes overgrow to form a small, harmless lump. In the vast majority of cases, these tumors are completely benign and will shrink and disappear on their own.
Haut
Pulmonary stenosis(PS)
Herz
Pulmonary stenosis is a congenital heart defect characterized by a narrowing of the pulmonary valve or the outflow tract leading from the heart to the lungs. This narrowing restricts blood flow, forcing the right side of the heart to work much harder to pump blood. Over time, this constant strain can lead to thickening of the heart muscle and potential heart failure.
Passing: NORMAL
Hemophilia
Herz und Kreislauf
Hemophilia is an inherited blood clotting disorder affecting the circulatory system, where the body lacks specific proteins needed for coagulation, which is the process of blood clotting. Because the blood cannot clot properly, even minor injuries can lead to prolonged internal or external bleeding. This condition is inherited through an X-linked genetic trait, meaning it primarily affects male dogs.
Koerperfluessigkeiten · Passing: CLEAR
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
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 — Cataract
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.
12 tests are currently mandatory under the relevant breed-club regulations. The most common are DNA-Identitätsnachweis, Ocular anomalies, Cone-rod dystrophy 3 (crd3) (crd3). 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