Common Dog Health Issues

Buying a pedigree puppy: breed health checks to ask about

Guides4 min read20 October 2026

By · Published

How to buy a healthy pedigree puppy in the UK: the breed-specific health tests to ask for, hip, elbow and eye scores, DNA tests, flat-faced breeds, the law on puppy sales and microchipping, and warning signs of puppy farms.

Many pedigree breeds are prone to inherited health problems. Responsible breeders use health tests to reduce the risk of passing them on. Knowing which tests apply to your chosen breed, and how to check them, is one of the best things you can do for your future dog's health.

Start with the breed

Research the breed's common health issues before contacting breeders. The Kennel Club's breed pages list recommended and required health tests for its Assured Breeders, and breed clubs often publish health information. Ask your vet too.

Common health tests

Hip and elbow scoring

Under the BVA/Kennel Club schemes, X-rays of the parents' hips and elbows are assessed by specialists. Hip scores range from 0 (best) to 106 for both hips combined. Ask for both parents' scores and compare them with the breed's median score. Elbows are graded 0 to 3, with 0 being best.

Eye testing

The BVA/KC/ISDS Eye Scheme checks for inherited eye diseases in many breeds. Some conditions need an annual exam; puppies can also have litter screening.

DNA tests

Many breeds have DNA tests for specific inherited conditions, such as certain forms of progressive retinal atrophy. Results show whether a dog is clear, a carrier, or affected. Ask to see certificates, not just verbal assurances.

Breathing assessment for flat-faced breeds

Brachycephalic breeds such as French Bulldogs, Pugs and Bulldogs are prone to brachycephalic obstructive airway syndrome (BOAS), which affects breathing. The Respiratory Function Grading Scheme assesses dogs from Grade 0 to Grade III. Ask for the parents' grades and look for puppies with more moderate features: a longer muzzle and open nostrils.

Other tests

Depending on the breed, these may include heart testing (for example in Cavalier King Charles Spaniels), hearing tests (BAER) for breeds such as Dalmatians, or MRI screening for some conditions.

Checking certificates

The law

Warning signs of a puppy farm or scam

Use the Puppy Contract, produced by the RSPCA and Animal Welfare Foundation, to record information from the breeder.

When you bring your puppy home?

Frequently asked questions

Does Kennel Club registration mean a healthy puppy?

Not on its own. Check health test results for the parents.

Are crossbreeds healthier?

Not automatically. They can inherit conditions from both parent breeds, so health tests still matter.

Sources and further reading

Facts checked on 20 October 2026. Spotted an error? Tell us and we will correct it.

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