One problem related to engine failure has been reported for the 2003 Acura MDX. The most recently reported issues are listed below. Please also check out the statistics and reliability analysis of the 2003 Acura MDX based on all problems reported for the 2003 MDX.
The vehicle starts shaking, feeling like I am running over metal bumps in the road. I believe that the torque converter is the problem and that all of the larger Honda/Acura vehicles have a defective torque converter. It needs to be recalled before engine failure occurs and injuries/death are imminent.