McDonald’s has come a long way since 1940 when brothers Richard and Maurice McDonald opened the first store in San Bernadino, California. Today, McDonald’s is one of the most recognizable brands in the world, with more than 40,000 locations in 120 countries and more than $6 billion in sales during the first quarter of 2024. The fast food giant is primarily known for it’s burgers and while it offers a variety of other options, they aren’t typically known for their healthy dining.
French fries, cheeseburgers, crispy chicken sandwiches, and other calorie-laden items aren’t exactly enticing to calorie-conscious diners, and McDonald’s isn’t exactly the first choice for those focused on healthy dining. However, there are menu items that do qualify as healthy dining (or perhaps healthy-ish depending on your definition). By researching each item, we’ve made it easy, and listed the top picks for you.
To determine the best choices for healthy dining at McDonald’s, MomsWhoThink.com reviewed data on nutrition for menu items from MenuStat, a program of the U.S. Department of Health and Human Services, the Centers for Disease Control and Prevention, and the Harvard Pilgrim Health Care Institute. McDonald’s food menu items with at least 50 calories were ranked based on the ratio of combined protein and dietary fiber to calories.
50. Honey Mustard Snack Wrap (Crispy)

©Jed RT/Shutterstock.com
- Protein: 14g
- Dietary fiber: 1g
- Calories: 330g
- Carbohydrates: 34g
49. Southern Style Chicken Biscuit (Regular Size Biscuit)

©Courtesy of McDonald's - Original
- Protein: 17g
- Dietary fiber: 2g
- Calories: 410g
- Carbohydrates: 41g
48. Bacon, Egg & Cheese Bagel

©Linda Hughes Photography/Shutterstock.com
- Protein: 24g
- Dietary fiber: 3g
- Calories: 560g
- Carbohydrates: 56g
47. Mac Snack Wrap

©smspsy/Shutterstock.com
- Protein: 15g
- Dietary fiber: 1g
- Calories: 330g
- Carbohydrates: 26g
46. McSkillet™ Burrito with Sausage

©Courtesy of McDonald's - Original
- Protein: 27g
- Dietary fiber: 3g
- Calories: 610g
- Carbohydrates: 44g
45. Chicken McNuggets (6 piece)

©Courtesy of McDonald's - Original
- Protein: 13g
- Dietary fiber: 1g
- Calories: 280g
- Carbohydrates: 18g
44. McRib

©Courtesy of McDonald's - Original
- Protein: 22g
- Dietary fiber: 3g
- Calories: 500g
- Carbohydrates: 44g
43. Chicken McNuggets (10 piece)

©Courtesy of McDonald's - Original
- Protein: 22g
- Dietary fiber: 2g
- Calories: 470g
- Carbohydrates: 30g
42. Sausage McMuffin with Egg

©Andrea Skjold Mink/Shutterstock.com
- Protein: 21g
- Dietary fiber: 2g
- Calories: 450g
- Carbohydrates: 30g
41. Big Mac

©Courtesy of McDonald's - Original
- Protein: 25g
- Dietary fiber: 3g
- Calories: 540g
- Carbohydrates: 45g
40. Chicken McNuggets (4 piece)

©Courtesy of McDonald's - Original
- Protein: 9g
- Dietary fiber: 1g
- Calories: 190g
- Carbohydrates: 12g
39. Premium Crispy Chicken Classic Sandwich

©gowithstock/Shutterstock.com
- Protein: 24g
- Dietary fiber: 3g
- Calories: 510g
- Carbohydrates: 56g
38. Angus Deluxe Snack Wrap

©"McDonald's Angus Snack Wraps (4881951064)" by theimpulsivebuy is licensed under BY-SA 2.0. - Original / License
- Protein: 20g
- Dietary fiber: 2g
- Calories: 410g
- Carbohydrates: 27g
37. Steak, Egg & Cheese Bagel

©FotoFeast/Shutterstock.com
- Protein: 33g
- Dietary fiber: 3g
- Calories: 660g
- Carbohydrates: 56g
36. Premium Crispy Chicken Club Sandwich

©nelea33/Shutterstock.com
- Protein: 31g
- Dietary fiber: 3g
- Calories: 620g
- Carbohydrates: 57g
35. Angus Chipotle BBQ Bacon Snack Wrap

©freeskyline/Shutterstock.com
- Protein: 21g
- Dietary fiber: 1g
- Calories: 400g
- Carbohydrates: 30g
34. Premium Crispy Chicken Ranch BLT Sandwich

©P Maxwell Photography/Shutterstock.com
- Protein: 27g
- Dietary fiber: 3g
- Calories: 540g
- Carbohydrates: 56g
33. Angus Mushroom & Swiss Snack Wrap

©"ANGUS MUSHROOM & SWISS SNACK WRAP & NUGGETS(10pcs) & MEDIUM MOCHA FRAPPE" by inazakira is licensed under BY-SA 2.0. - Original / License
- Protein: 22g
- Dietary fiber: 2g
- Calories: 430g
- Carbohydrates: 27g
32. Hamburger

©Courtesy of McDonald's - Original
- Protein: 12g
- Dietary fiber: 2g
- Calories: 250g
- Carbohydrates: 31g
31. Angus Bacon & Cheese Snack Wrap

©"McDonald's Bacon & Cheese Angus Snack Wrap" by theimpulsivebuy is licensed under BY-SA 2.0. - Original / License
- Protein: 21g
- Dietary fiber: 1g
- Calories: 390g
- Carbohydrates: 28g
30. Cheeseburger

©Courtesy of McDonald's - Original
- Protein: 15g
- Dietary fiber: 2g
- Calories: 300g
- Carbohydrates: 33g
29. Chicken Selects Premium Breast Strips (3 pc)

©MaryLucky/Shutterstock.com
- Protein: 23g
- Dietary fiber: 0g
- Calories: 400g
- Carbohydrates: 23g
28. Chicken Selects Premium Breast Strips (5 pc)

©Hihitetlin/Shutterstock.com
- Protein: 38g
- Dietary fiber: 0g
- Calories: 660g
- Carbohydrates: 39g
27. Angus Deluxe

©By Gesalbte - Own work, Public Domain, https://commons.wikimedia.org/w/index.php?curid=10420998 - Original / License
- Protein: 40g
- Dietary fiber: 4g
- Calories: 750g
- Carbohydrates: 61g
26. Big N’ Tasty With Cheese

©By مانفی - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=43555270 - Original / License
- Protein: 24g
- Dietary fiber: 3g
- Calories: 460g
- Carbohydrates: 37g
25. Big N’ Tasty

©"BIG N TASTY CHEESE - good" by inazakira is licensed under BY-SA 2.0. - Original / License
- Protein: 27g
- Dietary fiber: 3g
- Calories: 510g
- Carbohydrates: 38g
24. Angus Chipotle BBQ Bacon

©"McDonald's Chipotle BBQ Bacon Angus Third Pounder Booyah" by theimpulsivebuy is licensed under BY-SA 2.0. - Original / License
- Protein: 45g
- Dietary fiber: 4g
- Calories: 800g
- Carbohydrates: 66g
23. Double Cheeseburger

©Courtesy of McDonald's - Original
- Protein: 25g
- Dietary fiber: 2g
- Calories: 440g
- Carbohydrates: 34g
22. McDouble

©Courtesy of McDonald's - Original
- Protein: 22g
- Dietary fiber: 2g
- Calories: 390g
- Carbohydrates: 33g
21. Angus Bacon & Cheese

©Paulo PFZ STUDIO/Shutterstock.com
- Protein: 45g
- Dietary fiber: 4g
- Calories: 790g
- Carbohydrates: 63g
20. Angus Mushroom & Swiss

©"McDonald's Mushroom & Swiss Angus Snack Wrap" by theimpulsivebuy is licensed under BY-SA 2.0. - Original / License
- Protein: 44g
- Dietary fiber: 4g
- Calories: 770g
- Carbohydrates: 59g
19. Southern Style Crispy Chicken Sandwich

©Ant DM/iStock via Getty Images
- Protein: 24g
- Dietary fiber: 1g
- Calories: 400g
- Carbohydrates: 39g
18. Quarter Pounder with Cheese

©Courtesy of McDonald's - Original
- Protein: 29g
- Dietary fiber: 3g
- Calories: 510g
- Carbohydrates: 40g
17. Egg McMuffin

©Courtesy of McDonald's - Original
- Protein: 18g
- Dietary fiber: 2g
- Calories: 300g
- Carbohydrates: 30g
16. Double Quarter Pounder with Cheese

©Courtesy of McDonald's - Original
- Protein: 48g
- Dietary fiber: 3g
- Calories: 740g
- Carbohydrates: 40g
15. Ranch Snack Wrap (Grilled)

©Mateusz Gzik/Shutterstock.com
- Protein: 18g
- Dietary fiber: 1g
- Calories: 270g
- Carbohydrates: 26g
14. Honey Mustard Snack Wrap (Grilled)

©Enez Selvi/Shutterstock.com
- Protein: 18g
- Dietary fiber: 1g
- Calories: 260g
- Carbohydrates: 27g
13. Chipotle BBQ Snack Wrap (Grilled)

©"McDonald’s Chipotle BBQ Snack Wrap" by theimpulsivebuy is licensed under BY-SA 2.0. - Original / License
- Protein: 18g
- Dietary fiber: 1g
- Calories: 260g
- Carbohydrates: 28g
12. Premium Southwest Salad with Crispy Chicken

©Timolina/Shutterstock.com
- Protein: 26g
- Dietary fiber: 6g
- Calories: 430g
- Carbohydrates: 38g
11. Premium Grilled Chicken Club Sandwich

©Joyce Mar/Shutterstock.com
- Protein: 35g
- Dietary fiber: 4g
- Calories: 460g
- Carbohydrates: 43g
10. Premium Bacon Ranch Salad (without chicken)

©Brent Hofacker/Shutterstock.com
- Protein: 9g
- Dietary fiber: 3g
- Calories: 140g
- Carbohydrates: 10g
9. Premium Southwest Salad (without chicken)

©Ostranitsa Stanislav/Shutterstock.com
- Protein: 6g
- Dietary fiber: 6g
- Calories: 140g
- Carbohydrates: 20g
8. Premium Grilled Chicken Classic Sandwich

©Toufic Araman/Shutterstock.com
- Protein: 27g
- Dietary fiber: 4g
- Calories: 360g
- Carbohydrates: 41g
7. Premium Bacon Ranch Salad with Crispy Chicken

©Slawomir Fajer/Shutterstock.com
- Protein: 29g
- Dietary fiber: 3g
- Calories: 370g
- Carbohydrates: 20g
6. Premium Caesar Salad with Crispy Chicken

- Protein: 26g
- Dietary fiber: 3g
- Calories: 330g
- Carbohydrates: 20g
5. Premium Grilled Chicken Ranch BLT Sandwich

©ilolab/Shutterstock.com
- Protein: 31g
- Dietary fiber: 4g
- Calories: 380g
- Carbohydrates: 41g
4. Premium Caesar Salad (without chicken)

©Lisovskaya/iStock via Getty Images
- Protein: 7g
- Dietary fiber: 3g
- Calories: 90g
- Carbohydrates: 9g
3. Premium Southwest Salad with Grilled Chicken

©Courtesy of McDonald's - Original
- Protein: 30g
- Dietary fiber: 6g
- Calories: 320g
- Carbohydrates: 30g
2. Premium Bacon Ranch Salad with Grilled Chicken

©Brent Hofacker/Shutterstock.com
- Protein: 33g
- Dietary fiber: 3g
- Calories: 260g
- Carbohydrates: 12g

©Hope Phillips/Shutterstock.com
1. Premium Caesar Salad with Grilled Chicken

©craig mckie/Shutterstock.com
- Protein: 30g
- Dietary fiber: 3g
- Calories: 220g
- Carbohydrates: 12g
The image featured at the top of this post is ©Allard1 / iStock Editorial via Getty Images.