According to FAA rules in 2026, a student pilot can begin their flight instruction without a medical certificate, but they cannot fly solo without one. To legally act as Pilot-in-Command (PIC) during your solo cross-country or local flights, you must hold at least a Third-Class Medical Certificate. For many students, the peer-recommended "best practice" is to obtain a medical before starting training to ensure they don't have a disqualifying condition (like specific vision or heart issues) that could prevent them from ever finishing. In 2026, some students may qualify for BasicMed—a high-value alternative that allows you to fly without a traditional FAA medical if you have a valid U.S. driver's license and follow specific aircraft weight and passenger limits. However, even under BasicMed, you must have held an FAA medical at least once after July 2006, making the initial medical exam a high-value "clearing" event for every new pilot's career.