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2004 Acura MDX problems & reliability

171 owner complaints filed with NHTSA for the 2004 Acura MDX, alongside 8 safety recall campaigns. Last verified Aug 7, 2026. Complaints are unverified reports submitted by owners to the federal Office of Defects Investigation.

Owner complaints
171
Recall campaigns
8
Fire reports
4 (2%)
Crash reports
13 (8%)

Each complaint is counted once (by NHTSA case number), even when it names several vehicles.

NCAP overall rating
Not rated
NHTSA 5-star program
EPA fuel economy
17 MPG combined
City 15 · highway 21 (typical trim)
Service bulletins (TSBs)
138
Manufacturer communications on file
Defect investigations
4
NHTSA ODI probes naming this model year

9 complaints report injuries (12 injured).

Federal crash records (FARS 20202023): 2004 Acura MDX vehicles were involved in 19 fatal crashes with 9 occupant deaths. Involvement counts are not adjusted for how many are on the road and do not imply fault or a vehicle defect.

Most reported problems

ComponentComplaints
Power Train77
Air Bags26
Electrical System21
Engine13
Engine and Engine Cooling13
Fuel/propulsion System11
Unknown OR Other11
Fuel System, Gasoline8
Service Brakes8
Structure8

Component groups as classified by NHTSA. A complaint can name more than one component, so shares may sum to more than 100%.

Common symptoms owners describe

Keyword analysis of complaint narratives; one complaint can describe several symptoms.

Mileage when problems occurred

Half of the failures with a reported odometer reading occurred by 96,000 miles (middle 50% between 78,973 and 131,000 miles), based on 127 complaints that included mileage.

under 20k
7
20–40k
0
40–60k
8
60–80k
20
80–100k
31
100–150k
42
150k+
19

Complaints by incident year

03
04
05
07
08
09
10
11
12
13
14
15
16
17
18
19
20
22
24
26

What owners report

  • I got in the drivers seat this morning and began to put my seatbelt on. I inserted the seat belt into the latch and it automatically came undone. I am able to insert in into the latch but once there is slight body movement or pressure, the seat belt unlatches and releases itself, leaving me unrestrained.

    Seat Belts · filed Jun 10, 2026

  • Airbag light has been lit for a while now for my 2004 Acura MDX. I originally took the car to Courtesy Acura for them to check what causing it. They told me that the sensor should be replaced and I paid $260+. After replacing sensor, the Airbag light still lit. They told me that they need to replace the front seatbelt…

    Air Bags · filed Jan 6, 2025

  • I was in a parking mode and was leaving the parking lot. I reversed my car lo leave, and the car went out of control and was not until it crashed on two other parked cars that came to a stop. Then, After reversing my car, when trying to put it into drive, it would not move. When I tried to turn it off, the engine (re)…

    Vehicle Speed Control · filed Apr 1, 2024

Verbatim excerpts from complaints filed with NHTSA. Reports are not independently verified.

Federal defect investigations

Technical service bulletins

138 manufacturer communications (TSBs, service campaigns, warranty extensions) are on file with NHTSA for the 2004 Acura MDX. The 10 most recent:

  • Service Bulletin - Warranty Extension: Customer Support Program For Front Passenger's Airbag Inflator.

    B18-023 · Service Bulletin/Repair Instructions · issued Jun 30, 2026

  • These SKUs are Exhaust Manifolds with Catalytic Converters. The customer communication requested return of unsold inventory due to a loss of CARB certification. These SKUs can no longer be sold as they do not meet CARB…

    DOR-M3J3F-07 · Service Bulletin/Repair Instructions · issued Jun 3, 2020

  • Service Bulletin - This bulletin is a notification of a class action settlement relating to airbag inflators. American Honda is offering a Customer Support Program (Warranty Extension) to cover any manufacturing defects…

    B20-010 · Service Bulletin/Repair Instructions · issued Mar 10, 2020

  • Service Bulletin - This bulletin is a notification of a class action settlement relating to airbag inflators. American Honda is offering a Customer Support Program (Warranty Extension) to cover any manufacturing defects…

    B20-007 · Service Bulletin/Repair Instructions · issued Mar 10, 2020

  • Service bulletin - This bulletin is a notification of a class action settlement relating to airbag inflators. American Honda is offering a Customer Support Program (Warranty Extension) to cover any manufacturing defects…

    B18-023 · Service Bulletin/Repair Instructions · issued Jun 1, 2018

  • Service bulletin - This bulletin is a notification of a class action settlement relating to airbag inflators. American Honda is offering a Customer Support Program (Warranty Extension) to cover any manufacturing defects…

    B18-018 · Service Bulletin/Repair Instructions · issued May 24, 2018

  • Sending vehicle data to tech line.

    BJA46167 · Service Bulletin/Repair Instructions · issued Jan 1, 2017

  • Service bulletin - navigation system information.

    B05-018 · Service Bulletin/Repair Instructions · issued Nov 23, 2016

  • Posters sent to hawaiian independent repair facilities, automotive part stores, car washes, and gas stations to remind owners of the takata recall and to schedule an appointment at their earliest convenience.

    TAKATA_HAWAII PO · Service Bulletin/Repair Instructions · issued Sep 7, 2016

  • Flyer circulated to the residents of hawaii to remind owners of the takata recall and to schedule an appointment at their earliest convenience.

    TAKATA_HAWAII FL · Service Bulletin/Repair Instructions · issued Sep 7, 2016

TSBs are repair guidance manufacturers send to dealers — they are not recalls and repairs are not automatically free. Full documents are available on NHTSA’s site.

Safety recalls

The 2004 Acura MDX has 8 NHTSA recall campaigns — recall repairs are free at franchised dealers regardless of the vehicle’s age.

Check whether your specific vehicle is affected

Recall campaigns often cover only certain VIN ranges. Enter your VIN on the official NHTSA site to confirm whether your vehicle is included and whether the repair is still open.

Check VIN on NHTSA →

Buying a used 2004 Acura MDX?

  • · Decode the seller’s VIN with our free VIN decoder to confirm the exact year, engine and trim.
  • · Check for unrepaired recalls by VIN on NHTSA’s official lookup — recall repairs are free.
  • · Owners most often reported problems around 96,000 miles — budget accordingly if the car is approaching that mileage.
About this data. Complaint figures come from the NHTSA Office of Defects Investigation consumer complaint database and count unique complaints (one per NHTSA case number). Complaints are submitted by vehicle owners and are not independently verified; complaint volume also reflects how many of these vehicles are on the road. Recall data comes from the official NHTSA recall database. This page is not affiliated with Acura or NHTSA.