What happens if you fail pilot medical?

If pilot's clearly do not meet FAA medical standards, particularly if they have conditions that are specifically grounding in Part 67 of the FARs or the Guide to Aviation Medical Examiners, the aviation medical examiner may issue a denial letter to the pilot revoking the pilot's current medical privileges.



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An Examiner's denial of a medical certificate is not a final FAA denial. An applicant may ask for reconsideration of an Examiner's denial by submitting a request in writing to: Federal Aviation Administration. Aerospace Medical Certification Division.

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Yes. Section 67.409 under 14 CFR sets forth the appeal process within the FAA for applicants who are denied medical certification.

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If you have been denied a medical because of a disqualifying medical condition and are caught flying, the penalty will probably be revocation of all your airman certificates and ratings.

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Unless otherwise directed by the FAA, the Examiner must deny or defer if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medication; (2) Angina pectoris; (3) Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant; (4) Myocardial ...

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What the AME May Look at During Your FAA Medical Exam: Eyesight – Your near, intermediate, peripheral, far, and color vision will be tested. Hearing – According to FAA regulations, you must be able to acceptably understand speech and be able to hear a conversational voice in a quiet room at a distance of 6 feet away.

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Prepared pilots are more likely to pass. In 2021, FAA data showed that 78% of all PPL pilots passed on their first attempt. In that same year, 79.5% of pilots passed their commercial pilot checkride, and the pass rate for CFI checkrides was 77.9%.

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Depends to be honest the EASA ATPL Theory is some of the toughest out there, it takes a lot of hard work and dedication to even get the 75% pass mark.

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Who should not travel by air? Diseases that prevent you from boarding a plane
  • Chronic obstructive pulmonary disease (COPD)
  • A recent stroke.
  • Infectious diseases, such as chickenpox, influenza or even COVID-19.
  • A recent surgery.
  • A pregnancy of over 28 weeks.
  • Angina (chest pain at rest)


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According to CFR Part 40.85, the standard urine samples are tested for marijuana metabolites, cocaine metabolites, amphetamines, opioids, and phencyclidine (PCP).

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Criminal Background Check Required
  • Aircraft piracy.
  • Aircraft piracy outside the special aircraft jurisdiction of the United States.
  • Armed robbery.
  • Assault with intent to murder.
  • Carrying a weapon or explosive aboard an aircraft.
  • Commission of certain crimes aboard aircraft in flight.
  • Conveying false information and threats.


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Sleep apnea has significant safety implications due to cognitive impairment secondary to the lack of restorative sleep and is disqualifying for airman medical certification. The condition is part of a group of sleep disorders with varied etiologies.

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Due to the risks to flight safety posed by ADHD, regulatory authorities worldwide consider ADHD a disqualifying condition for pilots.

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