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DACVS Cheat Sheet 2026: One-Page Review of Must-Know Facts

TL;DR
  • Phase I is the ACVS Surgical Knowledge Examination: 125 single-best-answer questions, about ten of them unscored pilot items.
  • The 2027 sitting costs USD 795 and is scheduled for April 19, 2027 in the Americas and Europe.
  • Anatomy is the largest knowledge area: 10% for small animals, 12% for large animals.
  • Passing Phase I alone does not award DACVS; Phase II and residency requirements still apply.

What This Credential Actually Is

This cheat sheet covers the Diplomate, American College of Veterinary Surgeons credential, specifically its Phase I Surgical Knowledge Examination administered by the American College of Veterinary Surgeons (ACVS). Phase I is one requirement on the road to DACVS. Passing it does not, by itself, award the Diplomate title. If you want the broader definition first, see What Is DACVS? or What Does DACVS Stand For?.

The examination retains two forms: small animal and large animal. Small Animal covers domestic canine, feline and non-species-specific content. Large Animal covers equine, food animal, small ruminant, camelid and non-species-specific content. Choose your form deliberately and study the blueprint for that form only, because the knowledge-area weights differ between the two.

Currency note: ACVS revised the Phase I blueprint after a 2024-2025 Job Task Analysis. The updated blueprint is effective April 2026 and applies to the 2027 examination. The 2027 reading list is unchanged from 2026. Anything you read that predates the revised blueprint should be checked against the current ACVS documents.

Exam Format at a Glance

ItemPhase I Detail
Question count125 single-best-answer multiple-choice questions
Unscored itemsApproximately ten pilot questions mixed in
Published exam periodSeven hours, divided into two equal-time parts
BreakOptional scheduled break of up to one hour; the test clock stops
NavigationReview permitted within a part; no return to the first part after the break
DeliveryComputer-based at Pearson VUE/Pearson Professional Assessments centers, coordinated through HumRRO
Scratch materialLaminated note paper provided

Note that the seven hours is the published examination period, not a separately inferred appointment length. Because you cannot go back to part one once the break begins, treat the end of part one as a hard commit. Use any remaining time in that part to revisit flagged items before you leave it.

Questions are single-best-answer, so several options may look plausible. The skill being tested is choosing the most defensible answer from fundamentals, not recalling an obscure fact. For a realistic read on difficulty, see How Hard Is the DACVS Exam?.

The Four Official Disciplines

The blueprint organizes content into four main disciplines. These are official examination disciplines, not preparation-curriculum headings, and the blueprint does not print aggregate percentages for them. Weights are published only at the knowledge-area level, separately for each animal form. For a fuller walk-through, read DACVS Exam Domains: Complete Guide to All 4 Content Areas.

Domain 1: Basic Science

The foundation of the exam and the home of its single largest knowledge area.

  • Knowledge areas: Anatomy, Physiology, Pathobiology, Microbiology, Biomechanics (and Locomotion on the small-animal outline)
  • Systems covered: Gastrointestinal, Cardiovascular, Respiratory, Urogenital, Musculoskeletal, Neurological/Special Senses, Integumentary, Endocrine (Small Animal only) and Non-System Specific

Domain 2: Pharmacology

Drug classes and therapies relevant to the surgical patient.

  • Antimicrobials and Fluid Therapy appear on both forms
  • Small Animal adds C-V/Autonomic Drugs; Large Animal adds Anti-Inflammatory Drugs and Intrasynovial Therapy
  • Biological Therapy and Other Drugs appear on both forms

Domain 3: Principles of Anesthesia/Analgesia and Pain Management

Equipment, drugs and technique for anesthesia and pain control.

  • Anesthetic Equipment, General Anesthesia, Local Anesthesia, Analgesics, Anesthetic Drugs and Inflammatory Modulation
  • General Anesthesia carries notably more weight on the small-animal form

Domain 4: Surgical Methods

The technical fundamentals of operating safely and effectively.

  • Tissue Handling/Hemostasis, Aseptic Techniques, Wound/Tissue Healing, Instrumentation Implants, Fundamentals and Principles of Surgery

Small-Animal Knowledge-Area Weights

These are the published small-animal weights. The entries total 98% as printed; do not rescale them or try to derive discipline-level percentages.

DomainKnowledge AreaWeight
Basic ScienceAnatomy10%
Basic SciencePhysiology9%
Basic SciencePathobiology9%
Basic ScienceMicrobiology2%
Basic ScienceBiomechanics and Locomotion4%
PharmacologyAntimicrobials3%
PharmacologyC-V/Autonomic Drugs2%
PharmacologyFluid Therapy3%
PharmacologyBiological Therapy1%
PharmacologyOther Drugs2%
Anesthesia/AnalgesiaAnesthetic Equipment3%
Anesthesia/AnalgesiaGeneral Anesthesia6%
Anesthesia/AnalgesiaLocal Anesthesia3%
Anesthesia/AnalgesiaAnalgesics5%
Anesthesia/AnalgesiaAnesthetic Drugs3%
Anesthesia/AnalgesiaInflammatory Modulation1%
Surgical MethodsTissue Handling/Hemostasis8%
Surgical MethodsAseptic Techniques6%
Surgical MethodsWound/Tissue Healing6%
Surgical MethodsInstrumentation Implants6%
Surgical MethodsFundamentals and Principles of Surgery6%

Large-Animal Knowledge-Area Weights

The large-animal entries total 100% as printed. Again, these weights belong to knowledge areas, not to the four disciplines as a whole.

DomainKnowledge AreaWeight
Basic ScienceAnatomy12%
Basic SciencePhysiology10%
Basic SciencePathobiology9%
Basic ScienceMicrobiology3%
Basic ScienceBiomechanics2%
PharmacologyAntimicrobials4%
PharmacologyAnti-Inflammatory Drugs3%
PharmacologyFluid Therapy3%
PharmacologyBiological Therapy2%
PharmacologyIntrasynovial Therapy3%
PharmacologyOther Drugs3%
Anesthesia/AnalgesiaAnesthetic Equipment2%
Anesthesia/AnalgesiaGeneral Anesthesia3%
Anesthesia/AnalgesiaLocal Anesthesia3%
Anesthesia/AnalgesiaAnalgesics3%
Anesthesia/AnalgesiaAnesthetic Drugs3%
Anesthesia/AnalgesiaInflammatory Modulation2%
Surgical MethodsTissue Handling/Hemostasis7%
Surgical MethodsAseptic Techniques5%
Surgical MethodsWound/Tissue Healing7%
Surgical MethodsInstrumentation Implants7%
Surgical MethodsFundamentals and Principles of Surgery4%
Reading the weights correctly: Anatomy is the largest single knowledge area on both forms, at 10% for small animals and 12% for large animals. Pathobiology holds steady at 9% on both. The practical lesson: a slightly larger weight on one item does not mean you can skip the 2-3% items, since single-best-answer questions on small areas are still scored the same as any other.

What Phase I Does and Does Not Test

Phase I addresses surgical fundamentals and basic science. According to the current Examination FAQ, clinical diseases and their specific treatment are excluded. This is the single most useful scoping fact for avoiding wasted study time: you are preparing for science, pharmacology, anesthesia and technique, not for disease-by-disease case management.

Equally important, do not substitute Phase II material for Phase I preparation. The journal-review and specific surgical-procedure requirements of Phase II belong to a different examination and should not drive your Phase I outline. Build your plan from the published Phase I blueprint and the Phase I Examination Reading List, and cross-check with the Examination FAQ. For a structured approach, see the DACVS Study Guide: How to Pass on Your First Attempt.

2027 Fee, Dates and Registration Mechanics

Item2027 Detail
Examination feeUSD 795
Registration windowSeptember 16 to October 30, 2026
Payment dueJanuary 8, 2027
Exam date (Americas and Europe)April 19, 2027
Exam date (Asia and Oceania)April 20, 2027

Note the gap between the registration deadline and the payment deadline: registering by October 30 does not mean payment is due then. The payment date is January 8, 2027. Confirm every figure against the 2027 Phase I Surgical Knowledge Examination Information Pamphlet (September 2026) before acting, since ACVS publishes the authoritative logistics. For scheduling planning, see DACVS Exam Dates: Testing Windows, Deadlines & Scheduling, and for the wider financial picture, DACVS Certification Cost: Complete Pricing Breakdown.

Test-Day Rules That Trip Candidates Up

  • No aids of any kind. Information aids, books, notes and phones are prohibited.
  • Stay on site. Candidates remain at the test center during breaks and cannot access phones, notes or study materials.
  • The clock matters. The scheduled break of up to one hour stops the clock; unscheduled breaks do not.
  • One-way door. After the break you cannot return to the first part.
  • Scratch work. Laminated note paper is provided, so practice working problems without relying on your own materials.

Key Takeaway

Decide your break strategy in advance. Because the scheduled break pauses the clock and unscheduled breaks do not, use the scheduled break for food, rest and reset, and avoid stepping away mid-part.

Eligibility and the Residency Clock

To sit Phase I you must be an ACVS resident in good standing, without applicable probation or sanctions, with an adviser attestation and your own training/study-readiness attestation submitted in CERT. Residents may sit at any time during residency, optimally in the second year, and must pass within six years of starting residency.

Entry to the training pathway requires veterinary qualification and a twelve-month rotating internship or equivalent experience. Full DACVS certification additionally requires:

  • Completion of at least a three-year/156-week approved residency, including 110 weeks of surgical training
  • An accepted scientific publication
  • Approved credentials
  • Passing both Phase I and Phase II

Those full-credential items are not prerequisites to sitting Phase I during residency. For a deeper look, see DACVS Requirements: Eligibility, Prerequisites & How to Qualify, and for the training side, DACVS Training.

Scoring, Results and Unknowns

The passing standard is criterion-referenced, set by experts and equated across years. It cannot be raised after the examination. Results are ordinarily released in four to six weeks.

Two things have not been verified, and you should be wary of anyone who claims otherwise: a fixed numerical pass mark, and a current issuer-wide Phase I pass rate. A published 2017-2021 small-animal residency-program survey exists, but it is historical research rather than a current cohort rate. The honest framing is that the standard is competence-based and not a published percentage. See DACVS Passing Score: Exactly What You Need to Pass and DACVS Pass Rate: What the Data Shows for how to interpret what is and is not known.

Why the unknowns matter: Because no numeric cutoff is public, targeting "70%" or any other folk number is a mistake. Aim for comprehensive command of the blueprint instead, and use timed question practice to gauge readiness across all four disciplines.

After Certification: Maintenance Basics

Maintenance applies to the full Diplomate credential after certification is complete, not to Phase I itself. For Diplomates certified in 2016 or later, the initial certificate expires on the sixth December 31 after the examination, and subsequent cycles last five years.

  • Maintenance of Certification (MOC) requires 100 qualifying activity points.
  • At least 70 of those points must fall within your certified animal specialty (small animal surgery or large animal surgery).
  • You must maintain good standing and submit through CERT by November 1 of the expiry year.
  • The current MOC page specifies no submission fee.

If you are weighing the long-term picture, Is the DACVS Certification Worth It?, DACVS Salary Guide and DACVS Jobs cover careers and returns in more depth.

Sequencing Your Prep by Domain

Rather than generic scheduling, tie your order of study to the blueprint. Start with Basic Science, since Anatomy, Physiology and Pathobiology together make up the biggest block of both forms, and later domains lean on that vocabulary. Then layer Pharmacology and Anesthesia, which reinforce each other through shared drug classes. Finish with Surgical Methods, where tissue handling, healing, aseptic technique and implants are best consolidated alongside timed practice.

Block 1

Basic Science

  • Anatomy first, then Physiology and Pathobiology
  • Work the systems list, including Endocrine if you chose small animal
Block 2

Pharmacology and Anesthesia

  • Antimicrobials, Fluid Therapy and form-specific drug classes
  • General and Local Anesthesia, Analgesics, Equipment
Block 3

Surgical Methods and Mock Exams

  • Tissue handling, healing, asepsis, implants
  • Full-length timed practice, simulating the two-part, no-return structure

Use the DACVS practice tests to rehearse single-best-answer reasoning, and revisit weak knowledge areas against the blueprint weights. You can also start a timed practice session to build stamina for the seven-hour format.

Frequently Asked Questions

Does passing Phase I make me a DACVS?

No. Phase I is one requirement. Full certification also requires an approved residency, an accepted scientific publication, approved credentials and Phase II.

How many questions are on the Phase I exam?

There are 125 single-best-answer multiple-choice questions, including approximately ten unscored pilot questions. The published exam period is seven hours in two equal-time parts.

What does the 2027 exam cost and when is it?

The fee is USD 795. Registration runs September 16 to October 30, 2026, with payment due January 8, 2027. The exam is April 19, 2027 in the Americas and Europe, and April 20 in Asia and Oceania.

Is there a published passing score or pass rate?

No fixed numerical pass mark or current issuer-wide Phase I pass rate has been verified. The standard is criterion-referenced and equated across years, and it cannot be raised after the exam.

Does Phase I test clinical diseases and their treatment?

No. The current Examination FAQ excludes clinical diseases and their specific treatment. Phase I focuses on surgical fundamentals and basic science across the four official disciplines.

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