Background: Impaired oxygenation during anaesthesia can be detrimental. Bodyweight and body shape influence arterial oxygen tension (PaO 2 ) but the effect of body condition score (BCS) has not been investigated.Objectives: To examine the effect of BCS on respiratory indices.Study design: Retrospective.Methods: 524 anaesthetic records were reviewed. Records from healthy adult horses under isoflurane anaesthesia in dorsal recumbency, receiving controlled mechanical ventilation, with complete ventilation and arterial blood gas data and BCS assessment by one person (K.L.) were included. Data were analysed using students t-test, Mann Whitney U test, chi squared analysis and logistic regression. Results: 135 records for 85 horses with BCS < 6/9 (group N) and 50 horses with BCS ≥ 6/9 (group O) were included. Overall, there was a strong negative correlation between BCS and PaO 2 (Spearman's r = 0.72, p < 0.001). Group O had significantly lower PaO 2 (112 (50 -546 mmHg)) compared to group N (380 (65 -658 mmHg), p < 0.001) which remained when horses were categorised by bodyweight > 500kg (118 mmHg vs. 390 mmHg, p <0.001) and < 500 kg (160 mmHg vs. 451 mmHg, p < 0.04). Group O were 34 times more likely to be hypoxaemic (PaO 2 < 100 mmHg) compared to group N (p = 0.03) (OR = 34.39, 95%CI = 1.3 -911, p = 0.03). Physiological dead space was greater in group O (0.27