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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 Akita we've compiled 13 core tests (1 of them required by Deutscher Club für Nordische Hunde e.V. (DCNH) for Germany; Akita Club of America is only the AKC parent club) and 4 additionally recommended tests, drawn from breed-club regulations, the University of PEI (CIDD), and OMIA — weighted by severity and heritability.
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In the Akita, hip dysplasia (HD), hereditary eye diseases such as cataracts and primary lens luxation (PLL), and the skin disease sebaceous adenitis (SA) are the primary breed-specific health risks. The Deutscher Club für Nordische Hunde e.V. (DCNH) mandates an X-ray examination for hip dysplasia for breeding; only dogs with HD A to C are permitted (C only with restrictions). Responsible breeders additionally have an ophthalmological eye examination (ECVO) performed to reduce the risk of cataracts or lens luxation, and test for amelogenesis imperfecta (enamel hypoplasia), where carriers are only mated with clear partners. Before purchasing, insist on seeing the parents' official HD results and clear eye examination certificates.
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. The core standard for the Akita covers 13 tests, 1 of them required by Deutscher Club für Nordische Hunde e.V. (DCNH) for Germany; Akita Club of America is only the AKC parent club, plus 4 additional recommended tests. 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 don't always predict severity in the puppies. Even so, they're a powerful tool of responsible breeding.
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 meets the Good level and performs 4 additional clinically recommended screenings that reduce risk in this breed.
In addition to Good:
Microphthalmia
Augen
Microphthalmia is a congenital developmental disorder of the visual system where one or both of a dog's eyeballs are abnormally small. This structural defect occurs during embryonic development and is often accompanied by other eye abnormalities, such as cataracts, which are cloudy areas in the lens of the eye. Because the eyeball itself is underdeveloped, the surrounding eyelids may also appear droopy or misaligned.
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 or carrier
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.
Body-fluid analysis · Passing: clear
Sebaceous Adenitis(SA)
Haut und Fell
Sebaceous adenitis is an inflammatory skin disorder where the dog's immune system mistakenly attacks and destroys the sebaceous glands, which are the glands responsible for producing natural skin oils. Without these oils, the skin loses its protective moisture barrier, leading to severe dryness and damage to the hair follicles.
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 core-standard and additionally 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 — Eye conditions (ophthalmological eye exam)
Both parents must be clear or better.
We take mandatory tests from official breed regulations, build the recommended health standard from veterinary databases — and cross-check every uploaded certificate against the dog's profile using AI.
L1 = core standard: the club's required tests where its rules set them, otherwise the recommended health standard for the breed. L2 = additionally 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 read by AI and checked for date, result, and consistency with the dog's profile — our team reviews anything inconclusive.
The Akita is not currently listed in our extreme-breeding overview. That does not mean it is free of hereditary disease: which ones are typical, and which tests the parents should have, is on this page.
Self-check
Answer 6 quick questions about your everyday life and see how well the Akita fits you — including an honest cost estimate per month, per year, and across the dog's lifetime.
See breeders who have already uploaded their health test results for verification.
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