2001-2020 Acura MDX Problems: 12 Known Issues
2001-2020 model years · 5,500+ owner reports · Updated August 2026
According to Au7o's analysis of 5,500+ owner reports, the 2001-2020 Acura MDX has 12 documented known issues, with 8 rated critical. The most serious are ZF 9-Speed Automatic Transmission Shudder and Harsh Shifting ($200-$3,200 repair), Timing Belt Tensioner and Water Pump Failure ($800-$1,500 repair), ZF 9-Speed Transmission Hesitation, Hard Shifts and Stalling (2016-2019 MDX) ($0-$6,500 repair), Auto Idle-Stop Failure to Restart (2016-2020 MDX) ($0-$1,500 repair), J37 Oil Consumption, Spark Plug Fouling, and Active Motor Mount Failure ($400-$3,500 repair), First-Year 2001 MDX Included in NADI Driver Airbag Inflator Recall (NHTSA 20V026000), Fuel Pump Impeller Deformation Causing Stall (NHTSA Recall 23V-858) ($0-$0 repair) and Replacement Driver Air Bag Inflator May Rupture or Underinflate (Recall 20V027000). The most commonly reported issue is ZF 9-Speed Automatic Transmission Shudder and Harsh Shifting with 2,400 owner reports. at .