No, not everyone receives a physical pat-down at the airport; it is typically a secondary screening measure used only in specific circumstances. In 2026, most passengers pass through primary screening via a Walk-Through Metal Detector or an Advanced Imaging Technology (AIT) scanner (the full-body scanner). A pat-down is required if the scanner alarms and the security officer cannot resolve the "threat" visually or through re-scanning, if a passenger is randomly selected for enhanced screening, or if a passenger opts out of the full-body scanner. Pat-downs are also common for travelers with certain medical implants (like pacemakers or insulin pumps) that may interfere with or be damaged by imaging technology. Per security protocols, pat-downs must be performed by an officer of the same gender as the passenger, and you have the right to request a private screening area and a witness. While it can feel invasive, it is a standard part of the "layered" security approach used to ensure that no prohibited items enter the sterile area of the terminal.