- What This Credential Actually Is
- Exam Format at a Glance
- The Four Official Disciplines
- Small-Animal Knowledge-Area Weights
- Large-Animal Knowledge-Area Weights
- What Phase I Does and Does Not Test
- 2027 Fee, Dates and Registration Mechanics
- Test-Day Rules That Trip Candidates Up
- Eligibility and the Residency Clock
- Scoring, Results and Unknowns
- After Certification: Maintenance Basics
- Sequencing Your Prep by Domain
- Frequently Asked Questions
- 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.
Exam Format at a Glance
| Item | Phase I Detail |
|---|---|
| Question count | 125 single-best-answer multiple-choice questions |
| Unscored items | Approximately ten pilot questions mixed in |
| Published exam period | Seven hours, divided into two equal-time parts |
| Break | Optional scheduled break of up to one hour; the test clock stops |
| Navigation | Review permitted within a part; no return to the first part after the break |
| Delivery | Computer-based at Pearson VUE/Pearson Professional Assessments centers, coordinated through HumRRO |
| Scratch material | Laminated 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.
| Domain | Knowledge Area | Weight |
|---|---|---|
| Basic Science | Anatomy | 10% |
| Basic Science | Physiology | 9% |
| Basic Science | Pathobiology | 9% |
| Basic Science | Microbiology | 2% |
| Basic Science | Biomechanics and Locomotion | 4% |
| Pharmacology | Antimicrobials | 3% |
| Pharmacology | C-V/Autonomic Drugs | 2% |
| Pharmacology | Fluid Therapy | 3% |
| Pharmacology | Biological Therapy | 1% |
| Pharmacology | Other Drugs | 2% |
| Anesthesia/Analgesia | Anesthetic Equipment | 3% |
| Anesthesia/Analgesia | General Anesthesia | 6% |
| Anesthesia/Analgesia | Local Anesthesia | 3% |
| Anesthesia/Analgesia | Analgesics | 5% |
| Anesthesia/Analgesia | Anesthetic Drugs | 3% |
| Anesthesia/Analgesia | Inflammatory Modulation | 1% |
| Surgical Methods | Tissue Handling/Hemostasis | 8% |
| Surgical Methods | Aseptic Techniques | 6% |
| Surgical Methods | Wound/Tissue Healing | 6% |
| Surgical Methods | Instrumentation Implants | 6% |
| Surgical Methods | Fundamentals and Principles of Surgery | 6% |
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.
| Domain | Knowledge Area | Weight |
|---|---|---|
| Basic Science | Anatomy | 12% |
| Basic Science | Physiology | 10% |
| Basic Science | Pathobiology | 9% |
| Basic Science | Microbiology | 3% |
| Basic Science | Biomechanics | 2% |
| Pharmacology | Antimicrobials | 4% |
| Pharmacology | Anti-Inflammatory Drugs | 3% |
| Pharmacology | Fluid Therapy | 3% |
| Pharmacology | Biological Therapy | 2% |
| Pharmacology | Intrasynovial Therapy | 3% |
| Pharmacology | Other Drugs | 3% |
| Anesthesia/Analgesia | Anesthetic Equipment | 2% |
| Anesthesia/Analgesia | General Anesthesia | 3% |
| Anesthesia/Analgesia | Local Anesthesia | 3% |
| Anesthesia/Analgesia | Analgesics | 3% |
| Anesthesia/Analgesia | Anesthetic Drugs | 3% |
| Anesthesia/Analgesia | Inflammatory Modulation | 2% |
| Surgical Methods | Tissue Handling/Hemostasis | 7% |
| Surgical Methods | Aseptic Techniques | 5% |
| Surgical Methods | Wound/Tissue Healing | 7% |
| Surgical Methods | Instrumentation Implants | 7% |
| Surgical Methods | Fundamentals and Principles of Surgery | 4% |
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
| Item | 2027 Detail |
|---|---|
| Examination fee | USD 795 |
| Registration window | September 16 to October 30, 2026 |
| Payment due | January 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.
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.
Basic Science
- Anatomy first, then Physiology and Pathobiology
- Work the systems list, including Endocrine if you chose small animal
Pharmacology and Anesthesia
- Antimicrobials, Fluid Therapy and form-specific drug classes
- General and Local Anesthesia, Analgesics, Equipment
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
No. Phase I is one requirement. Full certification also requires an approved residency, an accepted scientific publication, approved credentials and Phase II.
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.
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.
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.
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.