Background: Developing immunoassay for Her2 assessment suitable for Formalin Fixed Paraffin Embedded (FFPE) samples promises improved objectivity, consistency and accuracy in daily clinical practice. Yet, this effort is hindered by lacking available technique. The feasibility of Quantitative Dot Blot (QDB) method to meet this demand was evaluated in this study. Methods: QDB-based Immunoassay was developed for quantitative measurement of Her2 protein levels in this retrospective study using clinically validated antibody for immunohistochemistry (IHC antibody). Total protein lysates were extracted from 2X15 um FFPE slices collected from 332 breast cancer patients sequentially and non-selectively from local hospital. The absolutely quantitated Her2 levels in these samples were compared with the results from methods of Immunohistochemistry (IHC) and Fluorescence in situ hybridization (FISH) analyses using Receiver Operative Characteristics (ROC) analysis. Results: Her2 levels measured with two IHC antibodies of EP3 and 4B5 were strongly correlated (r=0.963, p=0.0000). We also achieved area under the curve (AUC) at 0.9753±0.01026 (95% CI: 0.9551 to 0.9954, p<0.0001, n=322) using provided results from IHC and FISH analyses, with 99.6% concordance with IHC and 88.1% with FISH at optimized cutoff of 0.261 nmole/g. The concordance rate with FISH analysis was improved to 94.1% when disagreed samples were re-analyzed by third party independently. Conclusions: We introduced the first immunoassay for absolute quantitation of protein biomarker levels in FFPE samples. This method fits well with daily clinical practice with its objectivity, simplicity and consistency, especially for local hospitals and hospitals in developing countries. The quantitatively measured Her2 protein levels in FFPE samples also allow statistically analysis at population level to meet the need of precision medicine. .