Dog Hip Dysplasia UK 2026: BVA Hip Scoring, Surgery Options (THR £5–9K, FHO £700–4K) & Management

Dogs7 March 20263 min read
🐾 Veterinary Disclaimer: This article is for educational purposes only and does not replace professional veterinary advice. All medical content is reviewed by Dr. Sarah Mitchell, BVSc MRCVS. Always consult your registered veterinary surgeon if your pet shows signs of illness.
🔄Last Updated: 13 March 2026Originally published: 7 March 2026

Hip dysplasia is one of the most common inherited orthopaedic conditions affecting dogs in the UK. The hip joint — a ball-and-socket joint — develops abnormally, leading to instability, pain, and eventually severe arthritis. While it is genetic in origin, environmental factors including weight, growth rate, and exercise regime significantly influence how the condition progresses. Early detection, proper management, and — when necessary — surgery can give affected dogs excellent quality of life.

Breeds Most Commonly Affected

Any dog can develop hip dysplasia, but it is far more common in medium-to-large breeds:

Signs & Symptoms

  • Stiffness after rest, difficulty getting up
  • Reluctance to exercise, play, or jump
  • “Bunny hopping” gait (both back legs moving together when running)
  • Limping or lameness in hind legs
  • Poor muscle development in hindquarters
  • Pain when hind legs are extended
  • Symptoms can appear from 6 months old in severe cases

BVA/KC Hip Scoring Scheme

The British Veterinary Association and Kennel Club operate the UK hip scoring programme:

  • Dogs must be 12 months or older and microchipped
  • X-rays taken under sedation/anaesthesia, submitted to BVA for assessment
  • Each hip scored 0–53 across 9 features. Total score: 0–106 (lower = better)
  • Breeding dogs should ideally score below the breed’s median score
  • Cost: approximately £290 (excluding anaesthesia)
  • Always ask breeders for hip scores of both parents before buying a puppy

Treatment Options

Conservative (Non-Surgical) Management

Often the first approach for mild-to-moderate cases:

  • Weight control: The single most impactful intervention. Every excess kilogram increases joint stress
  • Controlled exercise: Short, regular walks on flat surfaces. Avoid ball-chasing, jumping, and stair-climbing
  • Anti-inflammatory medication: NSAIDs prescribed by your vet for pain and swelling
  • Hydrotherapy: Builds muscle without joint impact — highly recommended
  • Joint supplements: Omega-3 fatty acids, glucosamine, chondroitin — supportive, not curative

Surgical Options

Procedure Best For UK Cost
THR (Total Hip Replacement) Severe dysplasia, adults £5,000–£9,900 per hip
FHO (Femoral Head Ostectomy) Salvage procedure, any age £700–£4,000
DPO/TPO (Pelvic Osteotomy) Young dogs (under 10 months) £5,800–£6,500
JPS (Juvenile Pubic Symphysiodesis) Puppies under 5 months ~£1,320

FAQs

Will pet insurance cover hip dysplasia treatment?

Most lifetime pet insurance policies cover hip dysplasia as it is classified as an illness, not a pre-existing condition (provided it develops after the policy starts). However, THR surgery can exceed £10,000 for both hips — some policies have annual vet fee limits of £4,000–£8,000 which may not cover the full cost. Check your policy’s per-condition and per-year limits carefully. If you have a breed prone to hip dysplasia, opt for a policy with the highest vet fee limit you can afford.

⚕️ Veterinary Disclaimer: This article is for informational purposes only and does not replace professional veterinary advice. Always consult a qualified veterinarian for advice specific to your pet. If your pet is unwell, contact your vet or call the Animal PoisonLine (01202 509000) in an emergency.

SM

Dr. Sarah Mitchell

BVSc MRCVS

Dr. Mitchell is a practising veterinary surgeon with 12 years of clinical experience at a mixed-practice surgery in the West Midlands. She qualified from the Royal Veterinary College in 2014 and holds a certificate in small animal medicine. Sarah reviews all our health, nutrition, and breed-specific medical content.

📋 Veterinary Reviewer 🎯 Small Animal Medicine