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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 Staffordshire Bull Terrier we have compiled 7 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 Staffordshire Bull Terrier carries an above-average number of genetic risks, which is why extreme caution is advised when purchasing a puppy. Eye conditions such as Hereditary Cataract (HC1) and primary lens luxation, as well as joint issues like hip dysplasia (HD), are highly prevalent in the breed. Without comprehensive and verifiable health tests for the parent dogs, buyers risk facing high veterinary costs and a suffering pet.
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 Staffordshire Bull Terrier we track 7 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:
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: CLEAR
Congenital blindness
Augen und Sehvermögen
Congenital blindness is a severe or complete loss of vision present from birth, affecting the eyes and the neural pathways connected to the brain. It is caused by developmental abnormalities in key structures like the retina, which is the light-sensitive tissue at the back of the eye, or the optic nerve. These structural defects prevent visual signals from being properly formed or transmitted.
Physisch · Passing: CLEAR
Primary Open-Angle Glaucoma(POAG)
Augen und Sehvermögen
Primary open-angle glaucoma is an inherited eye disease where the natural fluid inside the eye cannot drain properly. This fluid buildup causes a gradual increase in pressure within the eyeball, which eventually damages the optic nerve, the connection between the eye and the brain. Without management, this pressure leads to permanent blindness.
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 or Carrier
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 Hyperplastic Tunica Vasculosa Lentis (PHTVL) and Persistent Hyperplastic Primary Vitreous (PHPV)(PHTVL/PHPL)
Augen und Sehvermögen
This is a congenital eye disorder where the temporary blood vessel network that nourishes the lens before birth fails to shrink and disappear as it normally should. Instead, this embryonic tissue remains and grows abnormally behind and around the lens. This can cause cloudiness in the lens, known as cataracts, and other structural changes inside the eye.
Augen · Passing: CLEAR
Cryptorchidism
Fortpflanzung
Cryptorchidism is a developmental condition of the male reproductive system where one or both testicles fail to descend normally into the scrotum. Instead, the undescended testicle remains trapped inside the abdomen or in the groin area. This failure to descend is a physical development issue rather than an active illness, but it alters how the reproductive organs develop.
Physisch · Passing: CARRIER
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
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 1 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.
7 tests are currently mandatory under the relevant breed-club regulations. The most common are Elbow Dysplasia (ED), Hip dysplasia (HD), Patellar Luxation (PL). 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