PLAB exam fees 2026
PLAB 1 costs £283 and PLAB 2 costs £1,036: the GMC’s fees from 1 April 2026.
- PLAB 1
- £283
- PLAB 2
- £1,036
- GMC registration
- £481
- Route total with OET
- £2,103
Do you need PLAB?
It depends on where you got your medical degree and which GMC route you can use. One or two taps for your answer.
Question 1
No PLAB for you
UK graduates join the register without PLAB, with provisional registration for the Foundation Programme: £26.
You probably don’t need PLAB
Doctors with a relevant European qualification apply on the GMC’s European route. If your degree isn’t one, the GMC treats you as an international graduate and PLAB applies. You still need to show your English: OET Medicine with B (350) in all four sub-tests, in the same sitting, or IELTS Academic.
No PLAB on the sponsorship route
You apply for full registration with a Sponsorship Registration Certificate from your sponsor, and need three of the last five years in medical practice. On this route the GMC can’t extend an older English certificate, so your OET or IELTS must be from the last two years.
You may not need PLAB
The GMC has its own routes for an accepted postgraduate qualification, and for some USMLE, MCCQE and AMC passes, with date limits on the exams. You still need to show your English: OET Medicine with B (350) in all four sub-tests, in the same sitting, or IELTS Academic.
Yes, PLAB is your route
- OET
- £303
- PLAB 1
- £283
- PLAB 2
- £1,036
- Registration
- £481
English comes first: the GMC needs OET Medicine with B (350) in all four sub-tests, in the same sitting, or IELTS Academic, before you can book PLAB 1. Then PLAB 1, PLAB 2 and your registration.
What does the whole PLAB route cost?
From your English test to your GMC registration, in the order you pay. Tell us where you are now.
- 1
English test
£303
OET Medicine in the UK. You enter your result in GMC Online before you can book PLAB 1. See OET exam fees.
- 2
PLAB 1
£283
The written exam: 180 questions in three hours, in the UK or one of a number of other countries.
- 3
PLAB 2
£1,036
The clinical exam: 16 scenarios at the GMC Clinical Assessment Centre in Manchester, within two years of passing PLAB 1.
- 4
EPIC verification
In US$
ECFMG checks your medical degree with your university before the GMC grants registration. ECFMG sets this fee in US dollars and you pay it directly.
- 5
GMC registration
£481
Full registration with a licence to practise, approved within two years of passing PLAB 2. See GMC registration fees.
Every year after
£481
Your PLAB route total
£2,103
Plus the EPIC fee in US dollars, then £481 a year to keep your licence.
OET Medicine CourseWhat are the PLAB fees in rupees and naira?
Approximate figures for doctors in India, Pakistan and Nigeria. The GMC charges in pounds.
| Fee | Pounds | Indian rupees | Pakistani rupees | Nigerian naira |
|---|---|---|---|---|
| PLAB 1 | £283 | ₹36,046 | Rs 105,257 | ₦517,518 |
| PLAB 2 | £1,036 | ₹131,955 | Rs 385,324 | ₦1,894,517 |
| Both parts | £1,319 | ₹168,000 | Rs 490,581 | ₦2,412,035 |
| GMC registration | £481 | ₹61,265 | Rs 178,900 | ₦879,597 |
PLAB 1
£283
- Indian rupees
- ₹36,046
- Pakistani rupees
- Rs 105,257
- Nigerian naira
- ₦517,518
PLAB 2
£1,036
- Indian rupees
- ₹131,955
- Pakistani rupees
- Rs 385,324
- Nigerian naira
- ₦1,894,517
Both parts
£1,319
- Indian rupees
- ₹168,000
- Pakistani rupees
- Rs 490,581
- Nigerian naira
- ₦2,412,035
GMC registration
£481
- Indian rupees
- ₹61,265
- Pakistani rupees
- Rs 178,900
- Nigerian naira
- ₦879,597
Converted from pounds at the ExchangeRate-API rate of 6 November 2026: £1 is ₹127.37, Rs 371.93 and ₦1,828.68. Your bank’s rate on the day decides what you pay.
What does it cost to cancel or change a PLAB date?
To change your date you cancel and book again, so the cancellation fee applies. The closer the exam, the more the GMC keeps.
PLAB 1
£283
- Over 42 days before£28.30
- 42 days or less£283
PLAB 2
£1,036
- Over 42 days before£103.60
- 42 to 29 days before£518
- 28 days or less£1,036
The GMC may refund the cancellation fee if exceptional circumstances stop you attending. You have four attempts at each part, and one more if the GMC agrees after a fourth fail. Source: the GMC’s fees for doctors, checked 9 November 2026.
What English test do you need before PLAB 1?
OET Medicine or IELTS Academic, entered in GMC Online before you can book.
For OET, the GMC needs B (350) in all four sub-tests, in the same sitting. The GMC does not combine sittings: you need B in all four in one test, and it must be your most recent sitting. Your certificate counts for two years: on the day you sit PLAB 1, or when the GMC approves your registration. For IELTS Academic it needs 7.5 overall and 7.0 in each part.
What each grade means: the OET pass score. OET costs about £303 in the UK: OET exam fees. Try a test first: OET practice tests.
Pass OET first time with expert British teachers
Live online OET Medicine lessons for the English step before PLAB 1.
Frequently asked questions
Common questions our students ask us.
- £283, the GMC fee from 1 April 2026, up from £273. You book and pay in GMC Online once the GMC has checked your English test result.
- £1,036 from 1 April 2026, up from £998. PLAB 2 is held only at the GMC Clinical Assessment Centre in Manchester, so add your travel and accommodation.
- About £2,103: OET about £303, PLAB 1 £283, PLAB 2 £1,036 and GMC registration £481 (see GMC registration fees). Add the EPIC verification fee in US dollars, your travel to Manchester, your visa and any resits.
- PLAB 1 is about ₹36,046, Rs 105,257 or ₦517,518. PLAB 2 is about ₹131,955, Rs 385,324 or ₦1,894,517. The GMC charges in pounds, so your bank’s rate on the day decides what you pay.
- Yes, less a cancellation fee. PLAB 1: £28.30 more than 42 days before the exam, the whole fee after that. PLAB 2: £103.60 more than 42 days before, £518 from 42 to 29 days, the whole fee in the last 28 days.
- Only by cancelling and booking again, so the cancellation fee applies. The GMC may refund it if exceptional circumstances stop you attending.
- Yes. The GMC needs OET Medicine with B (350) in all four sub-tests, in the same sitting, or IELTS Academic with 7.5 overall and 7.0 in each part. Your certificate must still be valid on the day you sit PLAB 1. See the OET pass score for every grade.
- Four attempts at each part. After a fourth fail you can apply to the GMC for one more, and failing that fifth attempt ends your eligibility.
- The GMC’s own pages, checked on 9 November 2026: its fees for doctors, its PLAB 1 and PLAB 2 guides, its registration guides for international graduates, its English language guidance and its guide to primary source verification. The fees are on gmc-uk.org. The OET fee is the pound figure on our OET exam fees page. Rupees and naira are converted at the ExchangeRate-API rate of 6 November 2026: £1 is ₹127.37, Rs 371.93 and ₦1,828.68.
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