Yes, you can bring cold packs or gel ice packs on a plane, but their acceptance by security (like the TSA) depends on their physical state at the checkpoint. According to 2026 guidelines, gel packs must be completely frozen solid to be exempt from the 3-1-1 liquids rule. If the pack is slushy, partially melted, or has liquid at the bottom, it will be treated as a liquid and must be 3.4 oz (100ml) or less. However, there is a major "Medical Necessity" exception: if you are using the cold packs to keep essential medication (like insulin) or baby food/breast milk at a specific temperature, they are permitted even if they are liquid or partially melted. In these cases, you should notify the security officer at the start of the screening process. It is a high-value strategy to freeze your packs for at least 24 hours before travel to ensure they remain rock-solid during your time in the security queue, minimizing the chance of confiscation while keeping your perishables safe for your long-haul journey.