General medical condition

This regulation sets the general medical standards for a third-class medical certificate, which most private pilots hold.

First, you cannot have diabetes that requires insulin or other blood sugar-lowering medications. This is an automatic disqualification for third-class.

Beyond that, the Federal Air Surgeon evaluates whether any medical condition, medication, or treatment makes you unable to safely fly—either now or during the period your medical certificate would be valid. This is a case-by-case determination based on your specific medical history and qualified medical judgment.

The key practical point: many conditions aren't automatically disqualifying. The FAA looks at whether your specific situation prevents safe flight operations. If you have a medical condition or take medication not specifically prohibited, the Aviation Medical Examiner (AME) and potentially the Federal Air Surgeon will assess whether it affects your ability to fly safely. Some conditions may require additional documentation or a special issuance authorization.

*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.*