How to Prepare for Your SACAA Aviation Medical: A Pilot’s Guide

For every pilot, your Aviation medical exam in South Africa is more than just a box to tick — it’s the foundation of your flying career. The South African Civil Aviation Authority (SACAA) requires that all pilots and cabin crew hold a valid medical certificate before taking to the skies. This ensures not only your personal health and safety, but also the safety of your passengers and crew.

If you’re preparing for your next check, here’s everything you need to know to arrive confident and ready.

Understanding SACAA Medical Classes

The SACAA has four categories of aviation medical certificates, depending on the type of flying you do:

  • Class 2 – Required for Private Pilot Licence (PPL), Student Pilot Licence (SPL), and recreational pilots.

  • Class 4 – For Cabin Crew and some student pilots.

At the Aviation Medical Centre, we currently provide Class 2 and Class 4 medicals, with Class 1 and 3 examinations coming soon.

What to Expect During Your Appointment

Your pilot medical certificate in South Africa follows a structured process:

  1. Check-In & Paperwork

    • Bring your ID or passport.

    • Our friendly staff will explain the process and help with forms.

  2. Medical Examination & Tests

    • Physical examination by our Designated Aviation Medical Examiner (DAME).

    • Vision and hearing screening.

    • ECG (resting and effort test) to check heart function.

    • Lung function testing and audiometry.

    • Blood tests as per SACAA guidelines.

    • X-rays if required (completed by a radiology partner in the area).

  3. Certification & Results

    • Your medical is reviewed by Dr. Tejis Devchand.

    • You receive your SACAA-compliant pilot medical certificate, usually on the same day.

How to Prepare for Your Aviation Medical

Being well-prepared can make the process quicker and more comfortable. Here’s what to do before your appointment:

  • Bring your ID or passport – essential for SACAA documentation.

  • Avoid caffeine and alcohol for at least 12 hours before your ECG, as both can affect heart rhythm.

  • Wear your glasses or contact lenses if you need vision correction.

  • Bring past medical records or your previous aviation medical certificate if available.

  • Get a good night’s rest to help with accurate blood pressure and overall wellbeing.

Common Concerns Pilots Have

It’s natural to feel anxious before a medical, but most pilots pass without difficulty. Common worries include:

  • Failing the medical – In reality, most conditions can be managed with proper treatment or follow-up.

  • Borderline results – If something comes up, our doctor will guide you on the next steps rather than simply disqualify you.

  • Existing medical conditions – Having a condition doesn’t always mean you can’t fly. SACAA often allows certification with monitoring or additional requirements.

Why Choose Aviation Medical Centre?

Choosing the right medical examiner can make all the difference. At our centre, we provide:

  • On-site testing – Physicals, ECG, lung function, audiometry, and blood tests all under one roof.

  • Trusted radiology partner – Conveniently located in the same area for any X-rays.

  • Efficient, pilot-friendly process – We know your time is valuable and aim to make the process smooth.

  • Supportive care – We explain results clearly and provide guidance for any follow-ups.


Book your SACAA Aviation Medical today at the Aviation Medical Centre and take the next step towards a safe, healthy, and successful flying career.

Book Class 2 Medical

PPL, SPL and recreational pilots

Book Class 4 Medical

Cabin crew


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How Often Do Pilots and Crew Need to Renew Their Aviation Medical?

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Becoming Cabin Crew? Here’s What You Need to Know About the Class 4 Aviation Medical