Advances in antiretroviral therapy have transformed HIV into a well‑managed chronic condition, yet significant regulatory and operational barriers persist for pilots living with HIV, including inconsistent certification practices and restrictions that may prevent entry into or continuation of an aviation career. IFALPA highlights the misalignment between current aeromedical guidance and contemporary medical evidence. Outdated policies on flying with HIV can create unnecessary limitations, operational complexity, and stigma, while potentially discouraging transparent health disclosure. Aligning regulatory frameworks with current science and human rights principles will enhance both equity and flight safety by enabling qualified pilots living with HIV to operate without unnecessary restriction or stigma.
