Dog Breed Health Ranking: Every Breed Graded S to E
Every dog breed graded by inherited diseases and breeding health tests — from the healthiest to the highest-risk. Based on our own health data.
Key takeaways
We graded 463 dog breeds for health from S (exceptionally healthy) to E (high risk). 79 breeds earn the top grades S or A, while 50 breeds carry elevated health risks.
- The grade combines inherited diseases, their severity and the breeding tests a breed needs.
- S and A mark the healthiest breeds; D and E mark the highest risks.
- Grades are relative to the whole population — no breed is guaranteed healthy or unhealthy.
- A responsible breeder lowers the risk substantially for almost any breed.
How we grade dog breeds
Our health grade is not an opinion — it is derived from structured data: the inherited diseases documented in a breed, their severity, and the tests that responsible breeding programs run. Placeholder data is excluded from the ranking.
Inherited diseases & severity
Which genetic and inherited conditions occur in the breed — and how severe they are.
Breeding tests level 1–3
Level 1 = club-mandated required tests, level 2 = recommended, level 3 = exemplary. The more needed, the more the breeder matters.
Grade S–E
This yields an overall grade from S (exceptionally healthy) to E (high risk), relative to the whole population.
1 breeds graded S
Exceptionally healthy — very few known inherited issues.
78 breeds graded A
Very healthy — limited common concerns.
211 breeds graded B
Solid — a handful of items a good breeder watches.
123 breeds graded C
Average — several important tests are expected.
42 breeds graded D
Elevated risk — responsible breeding really matters.
8 breeds graded E
High risk — only worth it from a thoroughly tested program.
Dig deeper
Frequently asked questions
What is the healthiest dog breed?
The healthiest breeds earn a grade of S or A — they have few known inherited diseases and need comparatively few breeding tests. See the ranking above or our dedicated healthiest-breeds guide.
What does a health grade of E mean?
Grade E means high health risk. Such breeds only make sense from a thoroughly tested breeding program — or belong to the breeds worth thinking twice about.
How is the health grade calculated?
It is derived from a breed's documented inherited diseases, their severity and the required breeding tests (level 1–3). The grade is relative to the whole population of breeds.
Does a good grade mean my dog will be healthy?
No. The grade describes breed-typical risk, not the individual dog. Health-tested parents and a responsible breeder remain decisive.
Why HonestDog?
What makes HonestDog different from other platforms
Full transparency
We lay out what we have: who the breeder is, how they work, and any health records they've uploaded. So you can judge for yourself.
Responsible breeding, assured
Every breeder on HonestDog has their identity and documents checked before their profile goes live. Health records they upload are shown on the profile, so you can see exactly what has been tested.
Trust and verification
We verify breeders and buyers alike, so every conversation happens on solid ground. It's a new standard of trust in dog breeding.
Less hassle, more time
We've already checked the breeders' documents and gathered the details, so you can skip the endless research and focus on finding the right puppy for your family.
Our Mission

We connect dog lovers with responsible breeders and shelters to ensure every dog finds the perfect home.
Founded by dog enthusiasts, our platform focuses on ethical dog breeding and adoption.
Why HonestDog?
We connect you with vetted breeders and shelters so you can find your — your new companion — with confidence.
Vetted Partners
Only verified breeders and shelters — for a safe start.
Highest Standards
Every animal's health and wellbeing is our top priority.
Guides & Resources
Guides, checklists, and breed profiles — so you can make a well-informed decision.