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Body Surface Area (BSA) Calculator

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Calculate body surface area (BSA) using the Mosteller or DuBois formula, with an optional medication-dose calculation from a dose density.

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30 cm250 cm
1 kg300 kg
mg/m2
0 mg/m22,000 mg/m2

Body Surface Area

1.818

Estimated body surface area in square meters, using the selected formula.

Calculated Medication Dose

Your actual dose in mg, if you entered a dose density above (an amount per square meter, common in oncology dosing). Enter a dose density above to calculate an actual dose

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Body surface area (BSA) estimates the total external surface of your body in square meters, and it's used clinically far more than most people realize: dosing many chemotherapy drugs, adjusting kidney-function results to a standard reference size, and normalizing heart-related measurements like cardiac index all rely on it. Since directly measuring skin surface area isn't practical, every BSA number is really an estimate from a mathematical formula built on height and weight.

This calculator supports the two formulas that account for nearly all real BSA calculations: the Mosteller formula, the simpler and more commonly taught default, and the DuBois formula, the older method still treated as the clinical standard by many references. For a typical adult body size the two agree within a fraction of a percent; they diverge more, sometimes by several percent, at unusually high or low body weights.

If you know a drug's dosing is written as an amount per square meter (a common format in oncology, such as "175 mg/m²"), enter that number below and the calculator will show the actual calculated dose for your BSA result, not just the raw BSA figure on its own.

This tool is for general education and reference. BSA-based dosing decisions are made by a treating clinician using validated protocols, lab values, and clinical judgment, not a single online calculation, and this calculator should never be used to adjust an actual medication dose on your own.

How Body Surface Area Is Calculated

The Mosteller formula, this calculator's default, takes the square root of height in centimeters multiplied by weight in kilograms, divided by 3,600. It was published in 1987 specifically to be simpler to compute by hand than the formulas that came before it, without losing meaningful accuracy.

The DuBois formula predates it by 71 years, originally derived in 1916 from a measured sample of just 9 people. Despite that small original study, it remains the formula many clinical references still treat as the default standard, and it's built differently: height and weight are each raised to their own fractional exponent and multiplied together with a fixed constant.

Does BSA Work the Same Way for Children?

Yes. Both the Mosteller and DuBois formulas are used for pediatric patients the same way as for adults, using the child's own height and weight. Some clinical references prefer a third formula, Haycock, specifically for infants and young children, though the difference between Haycock and Mosteller is generally small for most pediatric body sizes.

Average Body Surface Area by Age and Sex

For context, here are commonly cited average BSA values by age group:

GroupAverage BSA (m²)
Newborn infant0.25
Child, age 20.5
Child, age 101.14
Adult woman1.6
Adult man1.9

These are population averages, not targets, and an individual's real BSA can differ meaningfully based on their own actual height and weight. A BSA of 1.73 m² specifically shows up often as a reference value, since it's the estimated glomerular filtration rate's own standard reference body size, used to make eGFR results comparable across people of different sizes.

Why Formulas Disagree, and When It Matters

Every BSA formula was statistically fit to a different measured group of people, at a different time, so small disagreement between them is expected, not a sign either one is wrong. For a typical adult body size, Mosteller and DuBois usually land within well under 1% of each other.

The gap grows at less typical body sizes, and real-world validation studies paint a more significant picture than either formula's own history suggests. A 2022 clinical review comparing calculated BSA against direct tape measurements of 401 people found that DuBois overestimates true BSA by more than 15%, especially in patients who are obese, and that Mosteller runs even higher still, roughly 3 to 5 percent above DuBois on the same person. For someone at an unusual height or weight, a gap of that size can translate into a real difference in a calculated medication dose, which is part of why BSA-based dosing for medications with a narrow safety margin, and BSA-indexed clinical measurements like aortic valve area, remain a genuine area of active clinical discussion rather than a fully settled question.

From BSA to an Actual Medication Dose

Many drugs, especially in oncology, are dosed as an amount per square meter of body surface area rather than a flat dose for everyone. Multiplying that per-m² number by your own BSA gives the actual dose in milligrams: a drug dosed at 100 mg/m² for someone with a BSA of 1.87 m² works out to about 187 mg.

Enter a dose density above if you have one, and the calculator will show your actual calculated dose alongside your BSA result. This is a reference calculation only. Real dosing also accounts for organ function, prior treatment cycles, and other clinical factors a treating provider reviews, so this figure should never replace an actual prescription or protocol. For medications dosed by weight instead of BSA, see the Drug Dosage Calculator (mg/kg).

Frequently Asked Questions

What is body surface area used for?

BSA is used to scale many chemotherapy drug doses to a person's size, to adjust eGFR kidney-function results to a standard reference body size, and to normalize other clinical measurements like cardiac index, which relates heart output to body size.

What's the difference between the Mosteller and DuBois formulas?

Mosteller (1987) is a simpler formula designed to be easy to compute by hand, using a straightforward square-root calculation. DuBois (1916) is older and structurally different, using fractional exponents on height and weight, and remains the formula many clinical references still treat as the default. For a typical adult body size, both give nearly identical results.

Which BSA formula should I use?

For most purposes either is fine, since they agree closely at typical body sizes. If a specific clinical protocol or prior result already used one formula, use the same one for consistency. DuBois is more often cited as the default in clinical references; Mosteller is more commonly taught due to its simpler calculation.

Is BSA the same as BMI?

No. BSA estimates your total skin surface area in square meters using both height and weight together. BMI compares weight to height squared as a simple screening ratio. They measure different things and aren't interchangeable.

What does a BSA of 1.73 m² mean?

1.73 m² is the estimated body surface area of a 70 kg adult, and it's used as the standard reference size that eGFR (estimated glomerular filtration rate) kidney-function results are normalized to, which is why eGFR is reported in units of mL/min per 1.73 m².

Does this calculator work for children?

Yes. Both the Mosteller and DuBois formulas apply to children using their own height and weight, the same way as for adults. Some pediatric references specifically prefer the Haycock formula for infants and young children, though it isn't included in this calculator since the difference from Mosteller is generally small.

How accurate is BSA-based dosing?

Both formulas agree closely with each other at a typical adult body size, but real-world validation against direct measurement tells a more significant story: a 2022 clinical review found DuBois overestimates true BSA by more than 15% compared to direct tape measurements, especially in obese patients, with Mosteller running higher still. This is exactly why BSA-based dosing for medications with a narrow safety margin remains a genuine, active area of clinical discussion rather than a fully settled question.

What is an average adult body surface area?

Commonly cited averages are approximately 1.6 m² for adult women and 1.9 m² for adult men, though individual BSA varies meaningfully based on a person's actual height and weight.

Can this calculator show my actual medication dose, not just BSA?

Yes, if you know the dose density (an amount per square meter, such as 100 mg/m²). Enter it in the optional field and the calculator multiplies it by your BSA to show the calculated dose. This is a reference calculation only, not a substitute for an actual prescription.

Sources

  1. Simplified calculation of body-surface area, PubMed (NEJM, Mosteller RD, 1987)
  2. Body Surface Area, StatPearls / NCBI Bookshelf (NIH)
  3. BMI Calculator (Body Mass Index and BSA), MDCalc
  4. A formula to estimate the approximate surface area if height and weight be known, PubMed (Archives of Internal Medicine, DuBois & DuBois, 1916)
  5. It Is Time to Abandon the Use of Body Surface Area Derived From a 100-Year-Old Formula, The American Journal of Medicine (Zheng, 2022)

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