Get your medical first
The one requirement a flight school cannot fix, cannot refund, and has every reason not to mention early.
There is one requirement in flight training that no school can teach you through, no amount of money can fix, and no instructor can talk a regulator out of. It is also the one most people leave until after they have paid for a course.
Book your initial medical before you spend anything on flying. It is the cheapest insurance in aviation and almost nobody sells it to you.
Why the order matters this much
A commercial licence requires the higher class of medical certificate. If you cannot hold one, you cannot fly commercially — not at that school, not at any school, not next year. Every hour and every fee before that discovery was spent on a career you cannot have.
Most people pass. That is genuinely true and worth saying, because this is not a reason to be afraid of the exam. But “most” is not “all”, and the cost of being in the small group is catastrophic in a way that the cost of a medical appointment is not. The asymmetry is the whole argument.
There is a second reason, less obvious. Some conditions do not fail you outright but need review, further reports, or a restriction — and that takes weeks or months. Discovering it at the start costs you a delay. Discovering it mid-course costs you a delay while a schedule you have already paid for runs on without you.
Which medical, and who issues it
Every authority runs the same two-tier idea under different names: a lower class for flying privately and a higher class for flying for a living. The higher one is the one that matters if this is a career.
The United States
An FAA medical certificate from an Aviation Medical Examiner — third class to fly privately, first class for airline flying.
The United Kingdom
A UK CAA Class 2 medical for private flying, or a Class 1 for commercial — from a CAA-approved medical examiner or an Aero-Medical Centre.
Australia
A CASA Class 2 medical for private flying, or a Class 1 for commercial — from a CASA-designated aviation medical examiner (DAME). You will also need an Aviation Reference Number before you start.
Canada
A Category 3 medical for private flying, or a Category 1 for commercial — from a Civil Aviation Medical Examiner.
New Zealand
A Class 2 medical certificate for private flying, or a Class 1 for commercial — from a CAA-approved medical examiner.
Germany
An EASA Class 2 medical for private flying, or a Class 1 if you intend to fly commercially — issued by an Aero-Medical Centre or an approved aeromedical examiner.
South Africa
A Class 2 medical for private flying, or a Class 1 for commercial — from a SACAA-designated examiner.
India
A DGCA Class 2 medical to begin, and a Class 1 for a commercial licence — from a DGCA-authorised examiner.
The Philippines
A CAAP medical certificate from an authorised aviation medical examiner.
Brazil
A Certificado Médico Aeronáutico (CMA) from an ANAC-accredited examiner.
Training somewhere else? The country pages in the flight school finder name the authority and its medical for 60 countries.
Before you book the appointment
- If you already know about a condition, ask the authority first — not the examiner. Most authorities have a route for asking about a specific condition before you sit a formal assessment. Using it costs you a letter. Not using it can mean a recorded outcome you then have to work back from.
- Use an examiner your authority approves. Each authority publishes its own list. A medical from someone not on it is not a medical.
- Gather your medical history first. Initial assessments ask about things from years ago, and “I think I had something like that as a child” turns a one-visit process into a three-month one.
- Be straight on the form. An omission found later is treated very differently from a condition disclosed and assessed — and authorities do cross-check.
If a school offers to sort it for you
Plenty of schools will arrange your medical as part of enrolment, and there is nothing sinister about that — it is convenient, and they know the local examiners. The thing to establish, in writing, before you accept, is simple:
If the medical comes back and I cannot hold it, what happens to the money I have already paid you?
A school that answers that clearly is one worth training with. A school that changes the subject has told you something useful for the price of asking. It is the same test as everything else in choosing a flight school: the questions worth asking are the ones with a checkable answer.
Afterwards
A medical certificate expires, and how often depends on your class, your age and your authority. From the day you hold one it becomes a date you have to track — along with your flight review, your ratings and everything else that can ground you. Our free pilot logbook tracks the main ones, and AvLog Plus keeps a register of fifteen.
Nothing here is medical advice, and none of it is your authority speaking. It is the order of operations that saves people money. Your authority and your examiner are the only sources that decide anything.
The other guides
- How to choose a flight schoolThe eight things that cost student pilots money, and the questions that have a checkable answer.
- Integrated or modular?The first real decision in flight training, what each route actually commits you to, and how to tell which one suits you.
- Building hours after your licenceThe gap between a commercial licence and a job that will have you, and the honest trade-offs of each way across it.
- What an airline application asks forThe figures, documents and dates every pilot application wants, and the ones people get wrong under time pressure.
- Where to train if you want to fly somewhere elseThe licence you earn belongs to the country you train in. What that means if you plan to work elsewhere.

