How to convince airport security that I am not dangerous when having metallic parts in my body?

As others have stated, there is a not very official looking card (a so called Implantatepass in german), in which implants of all kind you have are listed.

However, for example in Austria, it’s also possible to have an addition about your implants in your passport. As [1] states:

Im Reisepass können – müssen aber nicht – folgende nachträglichen Änderungen durchgeführt werden: […]

• Eintragung von Implantaten (Nachweis durch Vorlage z.B. einer ärztlichen Bestätigung; das Vorweisen eines Reisepasses mit einer derartigen Eintragung entbindet nicht von der Verpflichtung der Duldung einer Fluggastsicherheitskontrolle.)

which means (my translation):

The following changes to your passport can – but need not – be made later:

• Additional comments about implants (Proof by showing e.g. a confirmation from a doctor; showing the passport with such a comment does not discharge from the requirement of the toleration of a passenger security control.)

Of course, you can also get these comments in your passport when you get a new one (see [2]). Of course, as others have stated, you might still be checked more thoroughly than others, but it won’t hurt to have this.

I don’t know about the situation in your country but it might pay off to check.

[1] https://www.help.gv.at/Portal.Node/hlpd/public/content/2/Seite.020300.html

[2] https://www.help.gv.at/Portal.Node/hlpd/public/content/2/Seite.020100.html

tl;dr: “I have a medical implant in my X” appears to be the magic phrase in the USA.

Since 1999, I have a 12-inch titanium rod in my right femur that extends up from a full knee replacement. Contrary to previous posters, I always set off a metal detector. I fly predominantly in the USA, although my security strategy outlined below has worked everywhere I’ve traveled around the world (except Israel). I do not have any extra documents from doctors or government authorities.

I have two strategies:

1. Always use the millimeter wave scanner. Even if the security agent waves me toward a metal detector, I say “I have a medical implant” and stay in line for the scanner. They have always understood what that means wrt the metal detector.

2. If there is only a metal detector, I walk through the detector, set it off, look the security agent in the eye and say “I have a medical implant in my right leg”. Then during the extended screening, I demonstrate to the screener the area that will set off the wand.

Using this procedure, I have never had to do any further screening or drop trou to show scars (except in Israel).

P.S. Israel is a beautiful place, filled with beautiful and brilliant people. But they take their security VERY seriously. 🙂

Your Doctor / Hospital / Surgeon should be able to provide you with a letter confirming the fact they have undergone the relevant operation and that you have these pins/screws in your body. If they don’t them you should go to another Doctor.

P.s. I know this because I and numerous members of my family have worked in Airports and Airport security in the UK. A Doctor should be giving you the letter without any fuss provided you have the medical records to back up your story.

P.p.s. Even if you have to take a lot of medication with you on holiday, you require a Doctors letter to confirm that you need that much. So, there really is no reason why your Dr wont provide the equivalent for yourself.

This is becoming more and more common with more modern surgery, and things being done that couldn’t be done in the past. Naturally with increased security these days, it’s also more common that you’ll get picked up as having metal on/in you.

There are a few things you can do (and I have personal experience with this, with quite a bit of metal in my chest):

• a letter from your doctor. This is actually almost never looked at, but if they start getting curious and seem to challenge your surgery claims, an official letterhead on a letter from your doctor will go a long way towards helping.
• if the metal is visible, show them, or explain. This is harder as it’s usually internal, but if not, it’s an easy way to ease their concerns.
• I never get picked up unless I get a secondary scan. I guess their detectors aren’t sensitive enough, but if I forget to take off my belt, they always then bring out the hand-held scanner, and when that’s waved over my chest it picks it up. My response is usually just to explain the surgery I’ve had, and even dip my shirt slightly to show the scar. That’s always been enough to satisfy them.

If you have an implanted device, such as a pace-maker or ICD (internal defibrillator), you can get an internationally-recognised card indicating you have this device and should NOT be going through a metal detector. At that point, you’ll be hand-searched instead. However I’ve not got these, and have often wondered how successful those cards are in third-world countries with foreign languages.

Above all, be honest and clear. Be prepared, with letters if need be. And make sure you’ve removed all your keys and all the other metal so that you’re not already annoying them with extra miscellaneous stuff. It’s easier to deal with / talk to someone who’s not already frustrated with you 🙂

I have a titanium rod in my femur, 2 plates and 16 screws in my right forearm and 1 plate and 6 screws on my left clavicle. I have never set off the metal detector at an airport when going through security. The only time a metal detector was able to pick up the implants was when I asked a security guard at a place I used to work at to see if his wand could detect the implants. Only when he rested the wand on the area did he find anything. I think you’re safe especially since you have scars that are more then healed.

I have a friend with implants in each knee. He showed me a card from his orthopedic surgeon that he keeps in his wallet when the securities scanners go berserk.

It looks about as official as a Cub Scout card (which is to say, not very official).

Best to explain the implants before you walk through the metal detector.

Keep in mind that security doesn’t care about your screws. What they care about is that the rest of you is clear. When they do the scan, pointing out your belt buckle, or the metal button on your jeans isn’t helpful. They need to clear the rest of you. Tell them you have screws in the shoulder. But, what this does is essentially render the walk through scanner useless. You’ll still need to go through the hand scan to make sure you don’t have anything else stashed away in your underwear.

When I flew from Vienna to Amsterdam and back, my fears were
confirmed: The security staff inspected me very precise, and I had to
explain them my story. Thank god I have some scars left so they
believed me!

It is not a problem. There are many, many people with metal implants
and the standard procedure is simply explaining your condition after
an alert is raised. You are singled out and checked with a hand
induction device. You need not to be afraid, this is standard practice.

However this is not a permanent solution for the future. Is there any
international “passport” which my doctor and hospital do not know
about? If not, what else are my possibilities?

You are wrong on this account, it is the permanent solution. The idea
of checking you is to rule out the possibility that you smuggle something
on board.

Think about it:
If there were “passports” from a doctor, the very first thing people who
want to smuggle something into the plane is to falsify such
documents to avoid detection. Or even nastier, coerce people with a
real “passport” to smuggle something involuntarily on board.

It also does not help that the personnel will not be able to check the
given “passport” in a reasonable time because your condition is part
of medical confidentiality and your personal privacy.

So simply explain your condition and wear comfortable clothes which makes
it easy to check your shoulder.

EDIT: Another problem with the idea of “passports”: Even if you have a passport, the personnel still needs to check you because you can still try to smuggle another thing on board. So a “passport” makes absolutely no difference. I suppose
the “passport” for bigger implants informs the personnel that their detector is functioning normally when it detects copious amounts of metal on your body.

EDIT II: If you have several metal implants on different body parts, I consider it a good idea to have X-rays with the implants available so that the personnel can easily cross-check their detector findings with the implant locations.