This document reflects the current medical standards for retention, flying classes, and special operational duty for the USAF. These are the standards referenced in AFI 48-123 and are reviewed annually (at a minimum) through the Medical Standards Working Group. The Chief of Physical Standards Development at the Air Force Medical Readiness Agency is the MAJCOM/SGP point of contact for any updates. If a service member does not meet applicable medical standards, refer to AFI 48-123 for AF required actions.