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Having a past medical condition doesn’t automatically disqualify you from getting a Class 1 medical certificate whether under DGCA (India) or FAA (USA). What matters most is how well the condition is managed and whether it poses a safety risk in flight.

When you come in for the medical assessment the aviation medical examiner (AME) will carefully review your medical history and supporting documentation. They’ll want to see:

  • Whether the condition is stable or well controlled (for example if it’s asthma diabetes or the aftermath of surgery).

  • Recent diagnostic tests or follow up reports showing good control or full recovery. For chronic conditions, this might include lab results imaging specialist evaluations, or evidence of adherence to treatment.

  • If any residual risks remain such as complications, side-effects of medication, or potential acute exacerbations that could interfere with safe flying.

In many cases if the medical examiner determines that your condition is stable and you pose no undue risk during flight duties, you can still be issued a Class 1 medical certificate. Doctors are not aiming to reject candidates arbitrarily safety is the key criterion.

However, depending on the condition, the AME may require:

  • Additional documentation or specialist clearance

  • Periodic follow-up exams or monitoring (e.g. more frequent ECGs blood sugar logs pulmonary function tests)

  • Restrictions or special issuance (in some cases  a withhold until further evaluation or a conditional medical certificate, depending on how the national aviation authority handles that specific medical issue)

If you're upfront about your medical history bring all your past medical records and recent test reports and can show good control or resolution, your chances of approval are much higher. Preparing in advance consulting a physician or aeromedical specialist before your medical examn can help you present your case clearly and improve the likelihood of getting the Class 1 certificate.

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