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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 Saint Bernard we've compiled 1 test required by St. Bernhards-Klub e.V. and 9 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 Saint Bernard, there are clear breed-specific risks for serious diseases such as hip dysplasia (HD), dilated cardiomyopathy, gastric dilatation-volvulus (GDV), and epilepsy. The St. Bernhards-Klub e.V. prescribes a mandatory examination for hip dysplasia (HD) with the cut-off value HD A–C for breeding approval, whereby HD C may only be mated with A or B. Responsible breeders go significantly further and additionally have the parent animals tested for elbow dysplasia (ED) aiming for ED 0–1, as well as for dilated cardiomyopathy and cataracts. Have the official certificates for hip dysplasia (HD) and elbow dysplasia (ED) as well as veterinary findings on the heart and eyes presented to you without gaps before buying.
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 Saint Bernard, St. Bernhards-Klub e.V. requires 1 test for breeding approval, plus 9 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 9 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
Dermoids
Augen
A dermoid is a benign, congenital growth where normal skin tissue, which can include hair follicles and glands, mistakenly develops in abnormal locations on the eye. This typically affects the cornea, which is the clear outer surface of the eye, or the conjunctiva, the pink membrane lining the eyelids. Because this misplaced skin tissue often grows hair, it causes constant irritation to the eye's surface.
Physical examination
Exposure keratopathy syndrome (exophthalmos, lagophthalmos, and/or macroblepharon)(EKS)
Augen
This condition involves chronic damage to the cornea, which is the clear protective outer layer of the eye. It occurs when the eyelids cannot fully close to moisten the eye, often due to protruding eyeballs, incomplete eyelid closure, or an abnormally large eyelid opening. Without proper moisture, the delicate surface of the eye becomes dry, inflamed, and vulnerable to injury.
Eye examination
Cataract(HC)
Augen
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.
Eye examination
Elbow Dysplasia(ED)
Bewegungsapparat
Elbow dysplasia is a developmental disorder of the musculoskeletal system where the three bones forming the elbow joint do not fit together properly. This misalignment causes abnormal friction and wear on the joint cartilage, eventually leading to painful, chronic joint inflammation and arthritis. It is a complex genetic condition influenced by multiple genes.
X-ray · Passing: ED 0–1
Ehlers-Danlos syndrome (Cutaneous asthenia)(EDS)
Haut und Fell
Ehlers-Danlos syndrome, also known as cutaneous asthenia, is an inherited connective tissue disorder that affects the skin and joints. It is caused by a genetic defect in collagen, which is the primary structural protein that provides strength and elasticity to tissues. Because of this defect, the skin lacks its normal structural integrity, making it unusually fragile, thin, and loose.
Skin test
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
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
Bleeding disorder
Stoffwechsel
A bleeding disorder is a malfunction of the circulatory system where the blood cannot clot properly due to missing or defective clotting factors or platelets, which are the cells responsible for plugging damaged blood vessels. This impairment prevents the body from effectively sealing wounds, leading to prolonged internal or external bleeding.
Not health tests, but required for breeding: the club asks for these results too. They don't count toward the risks or the rating.
DNA-Identitätsnachweis
Required by St. Bernhards-Klub e.V.
Acceptable result: ordnungsgemäße Kennzeichnung (Chipnummer)
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 (C only with A/B) 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.
These hereditary conditions are currently classified as most relevant for the Saint Bernard: Hip dysplasia (HD). The risk for a puppy depends primarily on whether both parents have been tested for these conditions and whether the results fall within breed-specific requirements.
Self-check
Answer 6 quick questions about your everyday life and see how well the Saint Bernard 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