16 Federal States – Which One Should You Choose?
Deciding where to apply for your medical license (Approbation) is more than just a formality. In Germany, the recognition of medical degrees is handled by the individual federal states, each with its own processes. Different authorities, deadlines, language courses, and funding programs can significantly impact your path to licensure.
Maybe you already have a preferred state — or you’re unsure how to choose from the 16 options. This guide will clarify:
- Why your choice of federal state matters,
- How to decide based on your personal criteria,
- And what advantages each state offers specifically for you.
So you don’t have to guess — but can take the next step well-informed.
📍 What Does Federalism in Germany Mean — and Why Does It Matter for You?Germany is made up of 16 federal states (“Bundesländer”), each with its own rules and responsibilities — including the recognition of medical qualifications. That means the responsible authority, requirements, deadlines, and even funding programs vary depending on where you apply.
1. Why It Matters Where You Apply for Your Medical License
The decision of where to apply is about more than just where you live. Every federal state in Germany has its own rules, procedures — and opportunities for you.
How the States Differ:
- Recognition Process: Procedures vary: some are digital, others paper-based; some fast, some slow. The right choice can save you time, effort, and detours — helping you start your career sooner.
- Integration: Big city or countryside? International community or personal support? Cities offer global networks and counseling centers, rural areas more personal connections — but also greater visibility. Attitudes toward foreign professionals also vary noticeably.
- Career Opportunities: Some regions desperately need doctors; others offer specializations but more competition.
- Life & Daily Routine: Your new home will be more than just a workplace. You’ll live, shop, perhaps raise a family, and spend your free time there. Whether you prefer vibrant cities, quiet towns, nature, or cultural offerings, you know best where you feel comfortable.
- Costs & Support: From rent to language courses and childcare — living expenses vary widely. Some states offer financial support, others do not.
In short: Your start in Germany will be easier if you consciously choose a federal state that fits your lifestyle.
2. Which Federal State Fits You?
You have 16 options — but only one life. Maybe you have favorites already. Maybe it’s all open. What matters is that your choice fits your daily life, character, and goals.
Ask yourself:
- City or countryside?
- Is proximity to family or a particular culture important to you?
- Do you need support with courses or want to start working quickly?
- Are you looking for community connection — or peace and quiet?
You’re not alone. In our Get2Germany community, you’ll find:
- Forums for each federal state
- Experiences shared by other doctors
- Honest tips from people on the same journey
Use the knowledge of those who are already where you want to be.
3. Each Federal State Is Different — And Has Its Own Advantages
Medical licensing follows the same law everywhere, but implementation is state-specific. That means processing times, language exams, or requirements differ. Here’s a compact overview of all 16 states — with key highlights for your recognition process:
- Baden-Württemberg: Highly innovative with a strong hospital system and professional welcome centers.
- Bavaria: Known for medical excellence and good pay; procedures are thorough but transparent and structured.
- Berlin: International, diverse, and open with many language courses and support services for foreign doctors.
- Brandenburg: Offers nature and proximity to Berlin — plus targeted funding and personal advice.
- Bremen: Small, manageable, with short paths and quick contacts to authorities and counseling.
- Hamburg: Combines big city life with maritime atmosphere; clinics experienced with international professionals.
- Hesse: Centrally located, economically strong, offering good career opportunities in urban and rural areas.
- Mecklenburg-Western Pomerania: Quiet, nature-rich, affordable living; high demand especially in rural areas.
- Lower Saxony: Large and diverse; with welcome services, funding programs, and good entry chances.
- North Rhine-Westphalia: The largest selection of clinics, language courses, and jobs — ideal for career start.
- Rhineland-Palatinate: Warm and well-connected; centralized recognition office ensures consistent processes.
- Saarland: Small, family-oriented, and inclusive; excellent chances due to doctor shortages, especially in smaller institutions.
- Saxony: Scientifically strong; funded prep courses and solid career prospects.
- Saxony-Anhalt: Affordable living, personal care; recognition offices are particularly dedicated.
- Schleswig-Holstein: Coastal location with high quality of life; medical demand is growing — you’re needed.
- Thuringia: Central, affordable, down-to-earth; urgent need for doctors in rural areas.
Once you find a federal state that suits you, explore our detailed articles and interactive map for more info.
According to the National Association of Statutory Health Insurance Physicians (KBV), there is a particularly high shortage of doctors in rural areas: tps://www.kbv.de/html/themen_1076.php The link also provides information on which medical specialists are especially in demand in each region.
4. Make an Informed Choice for the Right Federal State
Choosing where to apply may feel overwhelming at first.
But you don’t need to know everything right away. You just need to know where to start:
- Use our Federal State Calculator to discover which region fits your needs — whether you want speed, affordability, or family friendliness.
- Get real contacts: We show you whom to call, email, or ask for each state.
- Connect with others on the same path, who are already a few steps ahead.
- Find structure, not stress: Our articles and tools help you decide clearly — not by chance, but with confidence.
With Get2Germany, find the path that fits you — not just any path.
Because you are needed. Everywhere in Germany.
FAQ
- Which federal state is best for medical licensing? It depends on your personal goals: some states offer faster processing, others financial support or good chances in rural areas. Our calculator helps you find the best state to start.
- Are there differences in the recognition process between states? Yes. Although the licensing law applies nationwide, each of the 16 states regulates details like processing time, required documents, language exams, and responsibilities differently. Your choice of state can greatly influence your path.
- How do I find out which state to apply in? Consider your career plans, preferred living environment, and language skills. Our digital tool gives you a recommendation in minutes based on your answers.
📌 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.
