diff --git a/litellm/_logging.py b/litellm/_logging.py
index 5f3c483869d..6a579d91c53 100644
--- a/litellm/_logging.py
+++ b/litellm/_logging.py
@@ -77,6 +77,50 @@ class SecretRedactionFilter(logging.Filter):
 _secret_filter = SecretRedactionFilter()
 
 
+def _parse_disabled_access_log_paths() -> frozenset:
+    """
+    Parse LITELLM_DISABLE_ACCESS_LOG_PATHS env var into a frozenset of paths.
+
+    Comma-separated list of exact request paths whose access-log lines should
+    be dropped (e.g. health checks, root probes, metrics scrapes that flood
+    logs). Empty/unset disables filtering.
+    """
+    raw = os.getenv("LITELLM_DISABLE_ACCESS_LOG_PATHS", "")
+    return frozenset(p.strip() for p in raw.split(",") if p.strip())
+
+
+_DISABLED_ACCESS_LOG_PATHS = _parse_disabled_access_log_paths()
+
+
+class HealthCheckAccessLogFilter(logging.Filter):
+    """
+    Drops uvicorn.access records for request paths in
+    LITELLM_DISABLE_ACCESS_LOG_PATHS. Uvicorn passes args as
+    (client_addr, method, full_path, http_version, status). Path is matched
+    against the portion before any query string.
+    """
+
+    def filter(self, record: logging.LogRecord) -> bool:
+        if not _DISABLED_ACCESS_LOG_PATHS:
+            return True
+        try:
+            args = record.args
+            if not isinstance(args, tuple) or len(args) < 3:
+                return True
+            full_path = args[2]
+            if not isinstance(full_path, str):
+                return True
+            path = full_path.split("?", 1)[0]
+            if path in _DISABLED_ACCESS_LOG_PATHS:
+                return False
+        except Exception:
+            return True
+        return True
+
+
+_healthcheck_filter = HealthCheckAccessLogFilter()
+
+
 json_logs = bool(os.getenv("JSON_LOGS", False))
 # Create a handler for the logger (you may need to adapt this based on your needs)
 log_level = os.getenv("LITELLM_LOG", "DEBUG")
@@ -272,6 +316,11 @@ def _suppress_loggers():
     apscheduler_scheduler_logger = logging.getLogger("apscheduler.scheduler")
     apscheduler_scheduler_logger.setLevel(logging.WARNING)
 
+    # Drop access-log lines for paths in LITELLM_DISABLE_ACCESS_LOG_PATHS
+    # (covers the non-JSON path; JSON path wires the filter via log_config).
+    if _DISABLED_ACCESS_LOG_PATHS:
+        logging.getLogger("uvicorn.access").addFilter(_healthcheck_filter)
+
 
 # Call the suppression function
 _suppress_loggers()
@@ -330,7 +379,7 @@ def _get_uvicorn_json_log_config():
     # Use the module-level log_level variable for consistency
     uvicorn_log_level = log_level.upper()
 
-    log_config = {
+    log_config: Dict[str, Any] = {
         "version": 1,
         "disable_existing_loggers": False,
         "formatters": {
@@ -344,6 +393,17 @@ def _get_uvicorn_json_log_config():
                 "()": json_formatter_class,
             },
         },
+        **(
+            {
+                "filters": {
+                    "healthcheck": {
+                        "()": "litellm._logging.HealthCheckAccessLogFilter",
+                    },
+                },
+            }
+            if _DISABLED_ACCESS_LOG_PATHS
+            else {}
+        ),
         "handlers": {
             "default": {
                 "formatter": "json",
@@ -354,6 +414,7 @@ def _get_uvicorn_json_log_config():
                 "formatter": "access",
                 "class": "logging.StreamHandler",
                 "stream": "ext://sys.stdout",
+                **({"filters": ["healthcheck"]} if _DISABLED_ACCESS_LOG_PATHS else {}),
             },
         },
         "loggers": {
diff --git a/tests/test_litellm/test_logging.py b/tests/test_litellm/test_logging.py
index fbed044445b..4c9fd11dfd3 100644
--- a/tests/test_litellm/test_logging.py
+++ b/tests/test_litellm/test_logging.py
@@ -13,8 +13,10 @@ import logging
 import sys
 
 import litellm
+from litellm import _logging as litellm_logging
 from litellm._logging import (
     ALL_LOGGERS,
+    HealthCheckAccessLogFilter,
     JsonFormatter,
     _initialize_loggers_with_handler,
     _turn_on_json,
@@ -328,3 +330,77 @@ async def test_cache_hit_includes_custom_llm_provider():
         # Clean up
         litellm.callbacks = original_callbacks
         litellm.cache = None
+
+
+def _make_uvicorn_access_record(
+    full_path: str, status: int = 200
+) -> logging.LogRecord:
+    # Mirror uvicorn's AccessFormatter args:
+    #   (client_addr, method, full_path, http_version, status_code)
+    record = logging.LogRecord(
+        name="uvicorn.access",
+        level=logging.INFO,
+        pathname="",
+        lineno=0,
+        msg='%s - "%s %s HTTP/%s" %d',
+        args=("10.0.0.1:12345", "GET", full_path, "1.1", status),
+        exc_info=None,
+    )
+    return record
+
+
+def test_healthcheck_filter_passes_when_env_unset(monkeypatch):
+    monkeypatch.delenv("LITELLM_DISABLE_ACCESS_LOG_PATHS", raising=False)
+    monkeypatch.setattr(
+        litellm_logging, "_DISABLED_ACCESS_LOG_PATHS", frozenset()
+    )
+    f = HealthCheckAccessLogFilter()
+    assert f.filter(_make_uvicorn_access_record("/health/liveliness")) is True
+    assert f.filter(_make_uvicorn_access_record("/")) is True
+
+
+def test_healthcheck_filter_drops_configured_paths(monkeypatch):
+    paths = frozenset({"/", "/health/liveliness", "/health/readiness", "/metrics/"})
+    monkeypatch.setattr(litellm_logging, "_DISABLED_ACCESS_LOG_PATHS", paths)
+    f = HealthCheckAccessLogFilter()
+
+    # All four configured paths must be dropped
+    assert f.filter(_make_uvicorn_access_record("/")) is False
+    assert f.filter(_make_uvicorn_access_record("/health/liveliness")) is False
+    assert f.filter(_make_uvicorn_access_record("/health/readiness")) is False
+    assert f.filter(_make_uvicorn_access_record("/metrics/")) is False
+
+    # Real traffic must still pass
+    assert f.filter(_make_uvicorn_access_record("/v1/chat/completions")) is True
+    assert f.filter(_make_uvicorn_access_record("/health")) is True  # not in list
+
+
+def test_healthcheck_filter_strips_query_string(monkeypatch):
+    monkeypatch.setattr(
+        litellm_logging,
+        "_DISABLED_ACCESS_LOG_PATHS",
+        frozenset({"/health/readiness"}),
+    )
+    f = HealthCheckAccessLogFilter()
+    assert f.filter(_make_uvicorn_access_record("/health/readiness?x=1")) is False
+
+
+def test_healthcheck_filter_robust_to_malformed_args(monkeypatch):
+    monkeypatch.setattr(
+        litellm_logging, "_DISABLED_ACCESS_LOG_PATHS", frozenset({"/"})
+    )
+    f = HealthCheckAccessLogFilter()
+    # No args
+    record = logging.LogRecord(
+        name="uvicorn.access",
+        level=logging.INFO,
+        pathname="",
+        lineno=0,
+        msg="raw msg",
+        args=None,
+        exc_info=None,
+    )
+    assert f.filter(record) is True
+    # Args too short
+    record.args = ("10.0.0.1:12345", "GET")
+    assert f.filter(record) is True