If you’re dreaming of becoming a pilot, there’s one essential step you can’t overlook: passing the FAA medical exam. Before you ever step into a cockpit as a student pilot, you’ll need to prove you’re healthy enough to fly. But don’t worry—it’s not as intimidating as it sounds.
Here’s everything you need to know about the FAA medical exam, including what it is, what to expect, and how to prepare.
What Is the FAA Medical Exam?
The FAA medical exam is a required health screening for all pilots in the U.S. It ensures that you meet the physical and mental standards necessary to fly safely. The exam is administered by FAA-authorized Aviation Medical Examiners (AMEs), and you’ll need to pass it to receive your medical certificate.
There are three classes of FAA medical certificates:
- First Class – Required for airline transport pilots (ATP)
- Second Class – Required for commercial pilots
- Third Class – Required for student, recreational, and private pilots
As a student pilot, you’ll need a Third Class Medical Certificate at a minimum.
Important Tip: If you plan on becoming a commercial pilot eventually, consider applying for a First Class Medical Certificate right from the start. If the examiner finds a medical issue that would disqualify you from obtaining a First Class certificate, you’ll want to know before investing thousands of dollars in flight training. It’s a smart way to ensure your long-term goals are medically achievable.
What Happens During the Exam?
The FAA medical exam covers basic physical and mental health checks, including:
- Vision test: Must have 20/40 vision or better (corrective lenses are allowed)
- Hearing test: Must be able to understand a normal conversation
- Blood pressure check: Generally must be below 155/95
- General physical exam: Includes checks for neurological function, heart and lung health, balance, and coordination
- Medical history review: Includes questions about past illnesses, medications, mental health, and substance use
Most exams take around 30–45 minutes and are fairly routine. If you’re in generally good health, you’ll likely pass without any issues.
How to Prepare
- Complete MedXPress Online – Before your appointment, fill out the FAA’s MedXPress application. This will generate a confirmation number you’ll bring to your exam.
- Gather Your Medical Records – If you have any medical conditions or take medication, bring documentation.
- Avoid Caffeine or Stress – These can temporarily elevate your blood pressure.
- Be Honest – It’s important to disclose your full medical history. Lying can result in disqualification or legal consequences.
What If You Have a Medical Condition?
Not all conditions are disqualifying. The FAA considers many on a case-by-case basis. Common conditions like asthma, ADHD, or anxiety may still be acceptable with proper documentation or a special issuance medical certificate.
If you’re unsure, talk to an AME before scheduling your exam. Some even offer pre-exam consultations.
When Do You Need to Renew It?
For student and private pilots under age 40, a Third Class Medical Certificate is valid for 60 months. If you’re over 40, it’s valid for 24 months. Keep track of your expiration date—you won’t be able to fly solo if it lapses.
Final Thoughts
The FAA medical exam is a critical first step on your journey to becoming a pilot—but it doesn’t have to be a stressful one. With a little preparation and the right mindset, most aspiring aviators pass with flying colors.
Ready to take the next step? Explore our directory of FAA-approved flight schools to find a program that fits your goals.
