# first-class medical certificate — How long medical certificates last for pilots, commercial drivers and merchant mariners — by class, age and service type For first-class medical certificate, occupation / regulator is pilot (FAA); age / service condition is Under age 40; operation / activity covered is a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification); valid for is 60th month after the month of the date of examination shown on the medical certificate; citation is 14 CFR 61.23, recorded from its source on 2026-08-11. - **Occupation / regulator:** pilot (FAA) _(our reading, not quoted from the source)_ - **Certificate and class:** first-class medical certificate _(verified: appears in the quote below)_ - **Age / service condition:** Under age 40 _(verified: appears in the quote below)_ - **Operation / activity covered:** a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification) _(verified: appears in the quote below)_ - **Valid for:** 60th month after the month of the date of examination shown on the medical certificate _(verified: appears in the quote below)_ - **Citation:** 14 CFR 61.23 _(verified: appears in the quote below)_ ## What the source says > (1) A first-class medical certificate | (i) Under age 40 | an airline transport pilot certificate for pilot-in-command privileges, or for second-in-command privileges in a flag or supplemental operation in part 121 requiring three or more pilots | 12th month after the month of the date of examination shown on the medical certificate. | | (ii) Age 40 or older | an airline transport pilot certificate for pilot-in-command privileges, for second-in-command privileges in a flag or supplemental operation in part 121 requiring three or more pilots, or for a pilot flightcrew member in part 121 operations who has reached his or her 60th birthday. | 6th month after the month of the date of examination shown on the medical certificate. | | (iii) Any age | a commercial pilot certificate (other than a commercial pilot certificate with a balloon rating when conducting flight training), a flight engineer certificate, or an air traffic control tower operator certificate | 12th month after the month of the date of examination shown on the medical certificate. | | (iv) Under age 40 | a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification) | 60th month after the month of the date of examination shown on the medical certificate. ## Source - https://www.ecfr.gov/current/title-14/chapter-I/subchapter-D/part-61/subpart-A/section-61.23 Last verified: 2026-08-11. Review by: 2027-08-11. Part of [How long medical certificates last for pilots, commercial drivers and merchant mariners — by class, age and service type](https://referencesource.org/medical-certificate-validity-by-occupation/).