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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 Boxer we've compiled 3 tests required by Boxer-Klub e.V. Sitz München and 10 additionally recommended tests, drawn from breed-club regulations, the University of PEI (CIDD), and OMIA — weighted by severity and heritability.
View verified breedersWhat this grade means
In the German Boxer, cancer is the most common cause of death, and approximately one in seven Boxers receives a cancer diagnosis each year. In addition, severe heart conditions such as arrhythmogenic right ventricular cardiomyopathy (ARVC), hip dysplasia (HD), and spondylosis significantly burden the breed. A responsible breeder not only meets the requirements of the Boxer-Klub e.V. Sitz München, but also tests their dogs specifically beyond this for heart and hereditary diseases. Before buying, have them present the mandatory screening results for hip dysplasia (HD) and spondylosis (maximum grade 2), as well as a genetic test for arrhythmogenic right ventricular cardiomyopathy (ARVC), in which carrier animals may only be mated with clear partners.
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 Boxer, Boxer-Klub e.V. Sitz München requires 3 tests for breeding approval, plus 10 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 10 additional clinically recommended screenings that reduce risk in this breed.
In addition to Good:
Gastric dilatation-volvulus(GDV)
Andere
Gastric dilatation-volvulus, commonly known as bloat, is a severe condition affecting the stomach and digestive system. It occurs when the stomach fills with gas and twists on itself, trapping the gas and blocking blood flow to vital organs. This twisting can rapidly lead to tissue damage and cardiovascular shock if not treated immediately.
X-ray
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.
X-ray
Aortic valve stenosis(AS)
Herz
Aortic stenosis is a narrowing of the aortic valve in the heart, which controls blood flow from the main pumping chamber (the left ventricle) to the rest of the body. Because of this restriction, the heart muscle must work much harder to pump blood, which eventually causes the muscle wall to thicken abnormally. This is a severe cardiovascular condition that can strain the heart over time.
Passing: normal
Arrhythmogenic right ventricular cardiomyopathy (ARVC) (Boxer cardiomyopathy)(ARVC)
Herz
This is an inherited heart disease where the normal muscle tissue of the right ventricle, one of the heart's lower chambers, is gradually replaced by fat and fibrous scar tissue. This structural change disrupts the heart's electrical signals, which normally coordinate regular heartbeats. As a result, the dog's heart can develop dangerous, irregular rhythms.
DNA test · Passing: clear or carrier
Dilated cardiomyopathy(DCM)
Herz
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.
Ultrasound · Passing: normal
Sick sinus syndrome(SSS)
Herz
Sick sinus syndrome is a disorder of the heart's electrical system, specifically affecting the sinoatrial node, which acts as the heart's natural pacemaker. This malfunction causes the heart to beat too slowly, too quickly, or with long pauses, disrupting normal blood flow to the body. An echocardiogram (an ultrasound of the heart) is typically performed alongside electrical monitoring to rule out other structural heart diseases before proceeding with treatment.
Physical examination · Passing: normal
Atrial septal defect(ASD)
Herz
An atrial septal defect is a congenital heart condition where a hole exists in the wall, called the septum, that separates the two upper chambers of the heart. This opening allows blood to flow abnormally between these chambers, which can gradually place extra strain on both the heart and the lungs.
Passing: normal
Degenerative Myelopathy(DM)
Nervensystem
Degenerative Myelopathy is a progressive disease of the spinal cord where the protective sheath around the nerves slowly breaks down. This deterioration disrupts the vital communication signals between the brain and the muscles of the hind limbs. Over time, this lack of signal transmission leads to a complete loss of muscle control in the back legs.
DNA test · Passing: clear or carrier
Epilepsy(IE)
Nervensystem
Epilepsy is a chronic disorder of the brain and nervous system where abnormal electrical activity causes sudden, temporary disruptions in normal brain function. These disruptions lead to repeated seizures, which are involuntary changes in body movement, sensation, or behavior. Because the underlying cause is often complex, the brain's electrical signaling remains permanently prone to these sudden misfires.
Physical examination
Hypothyroidism
Stoffwechsel
Hypothyroidism is an endocrine disorder where the thyroid gland, located in the neck, fails to produce enough thyroid hormones. These hormones are essential for regulating the body's metabolic rate, which is the speed at which cells convert nutrients into energy. When hormone levels are too low, the dog's entire metabolism slows down, affecting multiple organ systems.
Body-fluid analysis · Passing: normal
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 — Hip dysplasia
Both parents must be HD A–C 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.
Not across the board. But these traits can play a role in the Boxer: Flat face, White & deafness. Depending on the line, color or pairing, that is an extreme-breeding risk – what to look out for is explained on the linked pages.
Self-check
Answer 6 quick questions about your everyday life and see how well the Boxer 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.
View verified breeders