While generally a peaceful experience, certain individuals should avoid hot air ballooning in 2026 for safety reasons. Pregnant women are strictly prohibited from flying due to the risk of "jarring" landings, which can occur if the wind picks up unexpectedly. Additionally, people with severe heart conditions, high blood pressure, or recent surgeries (especially on the back, neck, or knees) should not fly, as the landing involves a slight impact and requires passengers to stand for the duration of the flight (approx. 1 hour). Those with a severe fear of heights (acrophobia) or panic disorders may also find the experience overwhelming, as you are in an open-air basket at several thousand feet. Small children (usually under age 5 or under 42 inches tall) are often excluded because they cannot see over the edge of the basket and can become restless or frightened. Finally, if you have inner ear issues or are prone to severe motion sickness, the gentle swaying may be uncomfortable, though most people find it much smoother than a traditional aircraft flight.