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PulsCar/Keep or sell?/Acura MDX/2003
205 OWNER COMPLAINTS · 13 RECALLS · NHTSA

Is the 2003 Acura MDX a bad year?

205 owner complaints to NHTSA. Transmission complaints: 104, 10× a quiet MDX year.

● RED FLAG · AT 110,000 MILES (THE MEDIAN COMPLAINT MILEAGE FOR THIS YEAR)

Consider selling

Half of all transmission complaints about the 2003 Acura MDX were filed between 91k and 136k miles. You're at 110,000 miles.

Check this MDX at your mileage →All MDX years

The verdict moves with mileage: the same car reads differently at 30,000 and at 150,000 miles.

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What 2003 MDX owners report, by mileage

Each system owners named in five or more complaints, with the mileage range where the middle half of those complaints were filed. Read at 110,000 miles.

SYSTEMCOMPLAINTSMIDDLE HALF FILED ATTYPICAL US REPAIR BILLS
Transmission and drivetrainSTANDS OUT104 (51%)91k–136k miles · around this mileageCV axle / CV joint replacement (one side) $300–$1,500 · Automatic transmission replacement $2,500–$7,000
Air bagsSTANDS OUT41 (20%)79k–153k miles · around this mileage—
Engine22 (11%)74k–156k miles · around this mileageValve cover gasket replacement $110–$500 · Timing chain replacement $1,000–$4,000
Electrical system18 (9%)100k–150k miles · around this mileage12-volt battery replacement $100–$400 · Starter motor replacement $350–$1,200
Fuel system5 (2%)88k–140k miles · around this mileageFuel pump replacement $220–$1,500 · Fuel injector replacement (one injector) $300–$1,200
Seat belts12 (6%)too few with a mileage—
Brakes9 (4%)too few with a mileage—
Speed control7 (3%)too few with a mileage—
Equipment5 (2%)too few with a mileage—

Bills are typical US ranges from the sources named in the tool (J.D. Power, Kelley Blue Book, CarParts.com and others), printed only for systems that stand out or sit at or ahead of 110,000 miles. Not a quote.

What owners reported alongside their complaints

Of 205 complaints: 11 mention a crash · 5 mention a fire · 7 report an injury · 2 say the car was towed.

No complaints in the last 12 months; the newest was filed in Apr 2025.

Counts of what owners wrote in their complaints, not verified by anyone.

In owners' own words

I just bought a 2003 Acura MDX with 110,000 miles. I drove the car less than 15 miles and noticed a scraping noise coming from the rear.

110,000 MILES · MA · JUL 2010 · NHTSA #10342965

I was driving on I-75 when my transmission failed, car went from going 70MPH to dropping all rpm's and driving as if it were in neutral.

91,000 MILES · GA · SEP 2010 · NHTSA #10356269

My 2003 Acura MDX showed no signs of a transmission issue until one day the transmission slipped into neutral without warning.

135,000 MILES · MA · NOV 2009 · NHTSA #10292470

Unedited excerpts from complaints filed with NHTSA, chosen by mileage (nearest 110,000 miles), not by content. Unverified.

Recalls for the 2003 Acura MDX: 13

SPEED CONTROL · 2019 · NHTSA 19E068000 · 3,744 VEHICLES IN THIS RECALL CAMPAIGN

The rotating portion of the accelerator pedal assembly may bind. If the accelerator pedal binds, the engine may not quickly return to idle after the pedal is no longer pressed, increasing the risk of a crash.

AIR BAGS · 2019 · NHTSA 19V-501 · 1,657,752 VEHICLES IN THIS RECALL CAMPAIGN

The vehicles are equipped with passenger frontal air bag inflators assembled as a recall remedy part or replacement service part, that may explode due to propellant degradation occurring after long-term exposure to high absolute humidity, temperature and temperature cycling. An inflator explosion may result in sharp metal fragments striking the driver or other occupants resulting in serious injury or death.

AIR BAGS · 2019 · NHTSA 19V-499 · 3,947 VEHICLES IN THIS RECALL CAMPAIGN

These vehicles are equipped with driver frontal air bag inflators assembled as a recall remedy part or replacement service part, that may explode due to propellant degradation occurring after long-term exposure to high absolute humidity, temperature and temperature cycling. An inflator explosion may result in sharp metal fragments striking the driver or other occupants resulting in serious injury or death.

AIR BAGS · 2019 · NHTSA 19V-182 · 1,101,534 VEHICLES IN THIS RECALL CAMPAIGN

Due to a manufacturing error, in the event of a crash necessitating deployment of the driver frontal air bag, these inflators may explode. An explosion of an inflator within the driver frontal air bag module may result in sharp metal fragments striking the driver, front seat passenger or other occupants resulting in serious injury or death.

AIR BAGS · 2016 · NHTSA 16V-344 · 1,790,894 VEHICLES IN THIS RECALL CAMPAIGN

These vehicles are equipped with certain air bag inflators assembled as part of the passenger frontal air bag modules, and used as original equipment or replacement equipment. An inflator rupture may result in metal fragments striking the vehicle occupants resulting in serious injury or death.

AIR BAGS · 2015 · NHTSA 15V-370 · 3,498,481 VEHICLES IN THIS RECALL CAMPAIGN

The affected vehicles have a passenger side frontal air bag that may be susceptible to moisture intrusion which, over time, could cause the inflator to rupture upon its deployment. In the event of a crash necessitating deployment of the passenger's frontal air bag, the inflator could rupture with metal fragments striking the passenger seat occupant or other occupants possibly causing serious injury or death.

AIR BAGS · 2015 · NHTSA 15V-320 · 6,281,043 VEHICLES IN THIS RECALL CAMPAIGN

The affected vehicles are equipped with a dual-stage driver frontal air bag that may be susceptible to moisture intrusion and other factors, including manufacturing variability that, over time, could cause the inflator to rupture. In the event of a crash necessitating deployment of the driver's frontal air bag, the inflator could rupture with metal fragments striking the driver or other occupants resulting in serious injury or death.

AIR BAGS · 2015 · NHTSA 15V-045 · 374,177 VEHICLES IN THIS RECALL CAMPAIGN

Due to electrical noise, a component in the air bag control module may fail, causing the front air bags, side air bags, and/or seatbelt pretensioners to deploy inadvertently while the vehicle is being operated. Inadvertent deployment of the air bags may increase the risk of injury and the possibility of a vehicle crash.

AIR BAGS · 2014 · NHTSA 14V-700

Upon deployment of the passenger side frontal air bag, excessive internal pressure may cause the inflator to rupture. In the event of a crash necessitating deployment of the passenger s frontal air bag, the inflator could rupture with metal fragments striking the vehicle occupants potentially resulting in serious injury or death.

AIR BAGS · 2014 · NHTSA 14V-353 · 133,207 VEHICLES IN THIS RECALL CAMPAIGN

Upon deployment of the passenger side frontal air bag, excessive internal pressure may cause the inflator to rupture. In the event of a crash necessitating deployment of the passenger s frontal air bag, the inflator could rupture with metal fragments striking the vehicle occupants potentially resulting in serious injury or death.

AIR BAGS · 2013 · NHTSA 13V-412 · 374,618 VEHICLES IN THIS RECALL CAMPAIGN

Due to electrical noise, a component in the air bag control module may fail causing the front air bags, side curtain air bags, and/or seatbelt pretensioners to deploy inadvertently while the vehicle is being operated. Inadvertent deployment of the air bags may increase the risk of injury and the possibility of a vehicle crash.

ELECTRICAL SYSTEM · 2012 · NHTSA 12V-573 · 807,161 VEHICLES IN THIS RECALL CAMPAIGN

The interlock lever of the ignition switch may deform, which can allow the interlock function of a vehicle with an automatic transmission to be defeated. Removal of the ignition key when the gear selector of a vehicle with an automatic transmission has not been shifted to the park position can allow the vehicle to roll away, increasing the risk of a crash.

EQUIPMENT · 2008 · NHTSA 08E013000 · 2,032 VEHICLES IN THIS RECALL CAMPAIGN

A pinch bolt exists between the bike arm bracket and the upright assembly of the "Hitch" Style bicycle rack. When moving the bike arm bracket to its down position, this pinch bolt has the potential of causing severe laceration or amputation to the user's fingertips or hand.

A recall may cover only some cars of a model year; the campaign size counts every model and year it lists. Enter your VIN at nhtsa.gov/recalls: dealers fix open recalls free.

Service bulletins from Acura: 41

Repair instructions Acura sent its dealers for symptoms seen in the shop on the 2003 Acura MDX. Ask a dealer or mechanic for a bulletin by its number.

ELECTRICAL SYSTEM · 2015 · B15-011

Electrical noise (Interference) generated by the vehicle may inadvertently cause some or all of the vehicle s airbags to deploy

AIR BAGS · 2013 · B13-038

Electrical noise caused by some vehicle systems may cause damage to the SRS control unit

AIR BAGS · 2013 · B-PAS-09122013-9

Front airbag deployment in non-collision situation with DTC 51-XX through 56-XX (Internal failure of SRS unit) stored

TIRES · 2010 · SB-0708

There are guidelines for various situations and procedures including: tire pressure valve stem installation, trailer stability malfunction light…

NHTSA defect investigations: 5

AIR BAGS · EA21002 · OPEN SINCE 2021

Desiccated Air Bag Inflator Rupture

AIR BAGS · EA15001 · OPEN SINCE 2015

Air Bag Inflator Rupture

AIR BAGS · PE14016 · CLOSED 2015

Air Bag Inflator Rupture

AIR BAGS · PE13020 · CLOSED 2014

Inadvertent Air Bag Deployment

ELECTRICAL SYSTEM · PE12026 · CLOSED 2013

Ignition Interlock Failure - Rollaway

Neighbouring years

2002 MDX: 204 complaints, consider selling · 2004 MDX: 171 complaints, keep it, but watch the transmission.

Every Acura MDX year

2001 · 2002 · 2003 · 2004 · 2005 · 2006 · 2007 · 2008 · 2009 · 2010 · 2011 · 2012 · 2013 · 2014 · 2015 · 2016 · 2017 · 2018 · 2019 · 2020 · 2022 · 2023 · 2024 · 2025 · 2026 · All MDX years side by side

Other Acura models: Acura CL · Acura ILX · Acura Integra · Acura RDX · Acura RL · Acura RSX · Acura TL · Acura TLX · Acura TSX. All makes and models.

Questions

Is the 2003 Acura MDX a bad year?

205 owner complaints to NHTSA. Transmission complaints: 104, 10× a quiet MDX year. At 110,000 miles the tool says: Consider selling. Half of all transmission complaints about the 2003 Acura MDX were filed between 91k and 136k miles. You're at 110,000 miles.

What are the most common problems with the 2003 Acura MDX?

By owner complaints to NHTSA: transmission and drivetrain (104), air bags (41), engine (22), electrical system (18), fuel system (5). Half of the transmission complaints were filed between 91k–136k miles.

How many recalls does the 2003 Acura MDX have?

13 recall campaigns list this model year: Speed control (NHTSA 19E068000), Air bags (NHTSA 19V-501), Air bags (NHTSA 19V-499), Air bags (NHTSA 19V-182) and more. A recall may cover only some cars; check by VIN at nhtsa.gov/recalls.

Method: counts of unverified owner complaints filed with NHTSA, compared only with other years of the same model (sales volumes are unknown, so no failure rate is computed). A system stands out at 40+ complaints and at least twice the model's quiet (lower-quartile) year, or twice the share across every vehicle of that model year. The mileage range is the 25th to 75th percentile of the mileages owners reported. Data received by NHTSA through November 5, 2026. Repair prices are typical US ranges from named sources, not quotes. Not a diagnosis and not financial advice. PulsCar is not affiliated with NHTSA. Check this car at your own mileage.

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