Last updated: 23 October 2026

Many cargo ship passengers are retired, but freighter travel has age limits and medical rules that cruises don’t. The reason is simple: there is usually no doctor on board, and the ship can be days from the nearest port. Here is what shipping lines typically ask for in 2026.

• No ship’s doctor: a cargo ship’s crew includes officers trained in first aid, but not a doctor.
• Days from land: on ocean crossings, the nearest port may be several days away.
• Steep ladders and stairs: you’ll climb steep internal stairs and an external gangway or pilot ladder.
• Cost of deviation: if the ship has to change course for a medical emergency, it is very expensive.

Typical age limits

Rules vary by shipping line and are reviewed regularly. Your booking agent will confirm the current rules for your voyage.

Families can read cargo ship travel with children.

The medical certificate

Most lines provide their own form, which your doctor completes and signs. It usually asks:

• Whether you are fit to travel on a cargo ship, far from medical help
• Whether you can climb stairs and ladders independently
• Your heart, lung and other health conditions
• Your current medication

It usually has to be dated within a few months of sailing, so don’t get it too early.

Medication and health planning

1. Bring enough medication for the whole voyage, plus extra for delays.
2. Keep medicine in original packaging, with a copy of the prescription.
3. Plan for seasickness. See seasickness on a cargo ship.
4. Get a dental check-up before long voyages.
5. Pack a small first-aid kit.

Insurance for seniors

Medical and deviation insurance is usually compulsory. Prices rise with age and medical history, and some insurers have upper age limits. Read cargo ship travel insurance and our cruise travel insurance guide.

Is freighter travel right for you?

Freighter travel suits independent, reasonably fit people who enjoy peace and quiet, and many passengers are in their 60s and 70s. It is less suitable if you need regular medical care, have limited mobility, or want entertainment and organised activities.

Read is freighter travel safe?, how to book a cargo ship voyage and the cargo ship travel guide.

Frequently asked questions