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The Pilots Desk
US-FAA14 CFR 67.215

Discretionary issuance

Read the official rule

This regulation provides a pathway for pilots who don't meet the standard medical requirements for a second-class medical certificate. If you fail to meet any of the specific medical standards listed in sections 67.203 through 67.213 (covering vision, ear/nose/throat, mental health, neurological conditions, cardiovascular health, and general medical conditions), you're not automatically disqualified.

Instead, you can apply for what's called "discretionary issuance" under section 67.401. This means the FAA can evaluate your individual case and potentially issue a medical certificate anyway, often with special limitations or requirements. This process typically involves submitting additional medical documentation to demonstrate that despite not meeting the standard requirements, you can safely perform the duties of a commercial pilot or other second-class certificate holder. It's essentially the FAA's special issuance process for second-class medicals.

*This is a plain-English summary for study only. The official 14 CFR text on this page is controlling — always read the current regulation and consult a CFI.*

This is an original plain-English explanation for training and reference, not legal advice and not for navigation. Always rely on the current official rule linked above. Last reviewed June 20, 2026.