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Syria, Russia, Brazil? Where do foreign doctors in Germany come from?

Insight into their origins, development, and significance for the healthcare system.

22 июля 2025 г.|5 min read
Kiana Nafarieh
Kiana Nafarieh
International doctors in Germany

Germany needs doctors from abroad. Currently, more than 68,000 foreign doctors work in German clinics and practices. This corresponds to over 15% of all practicing doctors in Germany (as of December 2024, German Medical Association).

In 1996, there were around 11,000. Since then, the number has increased more than fivefold: In 2024, more than 68,000 foreign-trained doctors are working in Germany, accounting for roughly 15–16% of all practicing physicians in the country (out of 437,162 total). Without their contribution, medical care in many regions would no longer be guaranteed today.

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Countries of origin: EU, Syria, and Asia in the lead

The largest group by far comes from Syria, with over 6,100 Syrian doctors currently practicing, followed by high numbers from Romania (4,668), Austria (2,993), Greece (2,943), Russia (2,941), and Turkey (2,628). In total, around 39,000 doctors hail from European countries — 24,300 of them from EU member states. Beyond Europe, many doctors arrive from the Middle East, North Africa, and Asia, with particularly strong representation from countries like Egypt, Iran, and Ukraine. This growing international workforce plays a vital role in Germany’s healthcare system, especially in rural areas and hospital settings, where they help fill critical gaps in medical staffing.

Infographic showing where international doctors in Germany come from.

The most important countries of origin in detail:

  • Syria: approx. 7,000
  • Romania: over 4,600
  • Turkey, Russia, Austria, Greece: 2,000–3,000 each
  • America (including the US, Colombia, Mexico): around 3,500

Why their contribution is so important

Demographic change and the ongoing shortage of doctors are causing major gaps in healthcare provision – especially in rural areas and in specialist fields such as anesthesia, cardiology, and pediatrics. In some regions, foreign specialists make up **up to 80% of the medical staff.

In 2023, 12% of all practicing physicians did not have German citizenship. Almost 40% of immigrants are younger than 35 – a clear benefit for the age spectrum and the future of the healthcare system.

Obstacles on the path to a career

Despite growing numbers, the challenges should not be underestimated:

  • Language and cultural barriers
  • Complex recognition procedures
  • Bureaucracy involved in obtaining a license to practice or a work permit

A license to practice is mandatory for permanent employment. It requires, among other things, proof of German language skills (B2 general, C1 medical), good health, and, in most cases, passing a knowledge test.

Conclusion: A gain with potential

Foreign doctors have long been indispensable to the German healthcare system.

They relieve the burden on clinics, strengthen care in underserved regions, and bring new perspectives to everyday professional life. However, for integration to succeed, better structures, clear processes, and targeted support with recognition, language, and settling in Germany are needed.

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FAQ about Foreign Doctors in Germany

How many foreign doctors currently work in Germany?

According to the German Medical Association, there are over 68,000 – that's around 15% of all practicing doctors in Germany (as of December 2024).

Where do most international doctors come from?

The largest group of foreign doctors working in Germany comes from Syria: 6,583 in total, with 5,745 employed in hospitals. Others work in outpatient care or other medical roles. Romania ranks second with 4,285 doctors, followed by Turkey (2,863), Russia (2,828), Austria (2,627), Greece (2,543), and Ukraine (2,280).

Why are foreign doctors so important for the German healthcare system?

They help to compensate for the shortage of doctors, especially in rural areas and certain specialties. In some clinics, they make up to 80% of the medical staff.

What challenges do doctors from abroad face?

Language barriers, lengthy recognition procedures, and bureaucratic hurdles in obtaining a license to practice or a work permit are common stumbling blocks.

What is a license to practice medicine and how do you obtain one?

A license to practice medicine is unrestricted authorization to practice medicine in Germany. To obtain one, you need, among other things, proof of language skills (B2 general, C1 medical), proof of good health, and, in most cases, a successfully passed knowledge test.

📌 A quick legal note

The information provided in this article is for general guidance only and does not replace legal advice or official sources. We strive for accuracy, but we recommend consulting the responsible authorities for the most up-to-date requirements.

All information provided without guarantee.