PakistanOfficial Name: Islamic Republic of Pakistan
6 Months beyond the date of arrival
BLANK PASSPORT PAGES:
Two blank pages are required for entry stamp
TOURIST VISA REQUIRED:
Polio vaccination up to 1 year before travel may be required. See Entry, Exit & Visa Requirements below and our Polio Fact Sheet
CURRENCY RESTRICTIONS FOR ENTRY:
CURRENCY RESTRICTIONS FOR EXIT:
Embassies and Consulates
Diplomatic Enclave, Ramna 5
Telephone: +(92)(51) 208-0000
Visa Infoline: +(92)(51) 208-2700
Emergency After-Hours Telephone: +(92)(51) 208-0000
Fax: +(92)(51) 282-2632
U.S. Consulate General Karachi
Plot 3-5 New TPX Area, Mai Kolachi Road
U.S. Consulate General Lahore
50, Shahrah-e-Abdul Hameed Bin Badees,
(Old Empress Road) near Shimla Hill Rotary,
Emergency After-Hours Telephone:+(92)(42) 3603-4212
Provision of consular services at the U.S. Consulate General in Lahore have been suspended since August 2013. For Consular Services, please contact the U.S. Embassy in Islamabad or, for Balochistan and Sindh provinces, the U.S. Consulate General in Karachi.
Pakistan is a parliamentary federal republic in South Asia, with a population of more than 180 million people. Pakistan held elections in May 2013, and the government is led by the Pakistan Muslim League–Nawaz (PML-N). Pakistan is a developing country with some tourist facilities in major cities but limited facilities in outlying areas. Many parts of the country are affected by militancy and violent extremism. Read the Department of State’s Fact Sheet on Pakistan for additional information on U.S.-Pakistani relations.
Entry, Exit & Visa Requirements
U.S. citizens must have a valid passport and valid Pakistani visa to enter and exit Pakistan for any purpose. U.S. citizens must obtain visas at a Pakistani Embassy or Consulate in the country of their usual residence prior to entering Pakistan. Those arriving without a valid passport and a valid visa are subject to fine, arrest, incarceration, and/or deportation. The U.S. Embassy and Consulates in Pakistan are unable to assist with Pakistan visa issues or when U.S. citizens arrive without proper documentation.
Persons holding dual U.S. and Pakistani nationalities may have different visa requirements for Pakistan, and may not require a Pakistani visa. Requirements may also differ by age or parentage, and in some cases, Pakistan may require renunciation of foreign citizenship. For more information on these requirements, see the Embassy of the Islamic Republic of Pakistan’s information regarding National Identity Cards for Overseas Pakistanis (NICOP) and Pakistan Origin Cards (POC). U.S. citizens that travel to Pakistan using NICOP or POC cards may be subject to all the obligations of Pakistan citizenship while in Pakistan, and are usually considered citizens of Pakistan should they be arrested - which may limit the amount of assistance and communication the U.S. Embassy or Consulates can provide in case of arrest or emergency services. For more information on dual national immigration issues in Pakistan, review the available information from the Government of Pakistan Directorate General of Immigration and Passports.
There are no required vaccinations for entry into Pakistan from the United States. U.S. citizens are urged to review the U.S. Centers for Disease Control and Prevention (CDC) website for recommended vaccinations and health tips for travel to Pakistan.
U.S. citizens in Pakistan are responsible for monitoring their own visa status and for ensuring that they are in compliance with Pakistani immigration regulations. The U.S. Mission in Pakistan is unable to intervene with the Government of Pakistan in helping U.S. citizens extend or adjust their visas or immigration status in Pakistan. For more information regarding extensions of stay in Pakistan, please see the Ministry of Interior website or call +92-51-920-7290.
U.S. citizens can apply for extensions of stay with the Ministry of Interior in the following cities:
U.S. citizens who overstay their visa, or otherwise violate Pakistani visa regulations, might require a clearance from the Ministry of Interior to leave the country. Such travelers generally must pay a fine, and in some cases, might be jailed until their deportation can be arranged. If a traveler loses the U.S. passport on which he or she entered Pakistan, the traveler, in addition to obtaining a new U.S. passport, may have to obtain an exit visa from the Ministry of Interior to leave the country. Travelers are urged to keep copies of their passport photo page, visa page, and the page containing the entry stamp in a separate, safe place as it can facilitate the process of applying for an exit visa, if necessary. Additional information on visas can be obtained from the Embassy of Pakistan at 3517 International Court NW, Washington, DC 20008; tel. 202-243-6500. The Embassy of Pakistan can also be contacted via email.
Travelers may also contact one of the Consulates General of Pakistan in:
- Boston: 1032 Main St., Suite 5, Millis, MA 02054; telephone: (617) 267-9000; fax: (617) 266-6666; Email: firstname.lastname@example.org
- Chicago: 333 North Michigan Ave., Suite 728, Chicago, IL, 60601; telephone: (312) 781-1831; fax: (312) 781-1838 or (312) 781-1839; Email: email@example.com
- Houston: 11850 Jones Road, Houston, TX, 77070; telephone: (281) 894-6606; fax: (281) 890-1433; Email: firstname.lastname@example.org
- Los Angeles: 10850 Wilshire Blvd., Suite 1250, Los Angeles, CA 90024; telephone: (310) 441-5114; fax: (310) 441-9256; Email: email@example.com
- New York: 12 East 65th St., New York, NY 10021; telephone: (212) 879-5800; fax: (212) 517-6987; Email: firstname.lastname@example.org
The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for U.S. citizens traveling to Pakistan.
Information about dual nationality or the prevention of international child abduction can be found on our website. For further information about customs regulations, please read our Customs Information page.
Safety and Security
A number of extremist groups within Pakistan continue to target U.S. citizens, other Western interests, and Pakistani officials. Terrorists have demonstrated a willingness and capability to attack targets where U.S. citizens or other westerners are known to congregate or visit. Terrorist actions might include, but are not limited to, suicide operations, bombings – including vehicle-borne explosives and improvised explosive devices – assassinations, carjackings, assaults, and kidnappings.
The presence of al-Qaida, Taliban elements, and indigenous militant extremist and sectarian groups pose a potential danger to U.S. citizens throughout Pakistan, especially in the western border regions of the country. Although the Pakistani government has heightened its security measures, particularly in the major cities, terrorist groups continue to seek opportunities to launch attacks, including locations such as shopping areas, markets, hotels, clubs and restaurants, places of worship, schools, train stations, minority neighborhoods, and outdoor recreation events. A U.S. citizen, and several other foreign citizens, were murdered by terrorists while mountain climbing in the Gilgit-Baltistan region in June 2013.
U.S. government personnel and other official visitors in Pakistan adhere to strict operational and personal security policies that change frequently. Visits by U.S. government personnel to Peshawar are limited, and movements by U.S. government personnel assigned to Peshawar are severely restricted. In Karachi, visits by U.S. government personnel are often postponed or modified based on constantly evolving security considerations, and movements by U.S. government personnel to many areas and venues in the city are restricted or prohibited. Operations at the Consulate General in Lahore are currently suspended and visits to the city by U.S. government personnel are restricted. The security situation in many rural areas is extremely dangerous.
U.S. citizens, including officials, are required to obtain advance permission from local or federal authorities to travel to the Federally Administered Tribal Area (FATA), large parts of Khyber Pakhtunkhwa (KP) Province, and Balochistan Province. U.S. officials in all areas of Pakistan are instructed to restrict the frequency of movements and to minimize the duration of trips to public markets, shopping centers, restaurants, and other locations. Depending on ongoing security assessments, and as part of routine operational security measures, the U.S. Embassy and Consulates occasionally place areas such as hotels, markets, and/or restaurants off limits to official personnel. All U.S. Government and official travelers to Pakistan usually receive lodging on the Embassy and Consulate compounds. U.S. citizens in Pakistan are strongly urged to avoid hotels that do not apply stringent security measures, and to maintain good situational awareness and operational security wherever they travel in Pakistan.
Suicide bombing attacks and political violence continue to occur throughout the country on a regular basis, often targeting government facilities such as police checkpoints and military installations, as well as public areas such as mosques and shopping areas. On September 22, 2013, a suicide bomb attack outside of a Peshawar church killed 119 people. In Pakistan’s election period from March 17 to May 11, 2013, 149 incidents of election-related violence were recorded. On January 10, 2013, a string of bombings in Quetta in a Shia neighborhood killed over 100 people. On September 3, 2012, unidentified terrorists attacked a U.S. government vehicle convoy in Peshawar, injuring U.S. and Pakistani personnel. On April 24, 2012, an explosion at the Lahore Railway Station killed three people and injured at least 30.
Threats of violent activity against U.S. citizens are reported to the U.S. Embassy and Consulates daily. The U.S. Embassy and Consulates in Pakistan routinely advise U.S. citizens who are the subjects of threats and feel they are in danger to report the threats to local police authorities and consider immediately changing locations to minimize the possibility of violent activity. This may involve moving to another location within the country or departing Pakistan until the threat subsides. In cases of threats against U.S. citizen minor children, note that these threats are not a guarantee of obtaining a non-immigrant visa for Pakistan citizen parents or relatives.
U.S. citizens throughout Pakistan have been kidnapped for ransom or for personal reasons, such as family disputes over property. The risk of kidnapping is growing. In December 2013, a U.S. citizen was released after being kidnapped for two months from his neighborhood outside of Peshawar. In May 2013, a U.S. citizen was rescued by local police after being kidnapped for ransom and in August 2012, a U.S. citizen in Karachi was kidnapped from a car outside of a friend’s residence. , In all of these cases, the U.S. citizens were released after their families paid a ransom. In August 2011, a U.S. citizen in Lahore was kidnapped from his residence and has not yet been released. Al-Qaida later claimed responsibility and issued a list of demands in exchange for his release. The kidnapping of Pakistani citizens and other foreign nationals, usually for ransom, continues to increase nationwide.
We remind U.S. citizens that even demonstrations intended to be peaceful can turn confrontational and possibly escalate into violence. Rallies, demonstrations, and processions occur regularly throughout Pakistan on very short notice and have often taken on an anti-American or anti-Western character. Additionally, rolling electrical blackouts – known locally as "load-shedding" – are commonplace for many hours a day and have led to sporadic demonstrations and violence in many cities throughout Pakistan. U.S. citizens are urged to avoid demonstrations if possible, and to exercise caution if within the vicinity of any demonstrations. Because of the possibility of violence, U.S. citizens are urged to avoid all public places of worship and areas where westerners are known to congregate. U.S. citizens should follow media coverage of local events and be aware of their surroundings at all times. Information regarding demonstrations in Pakistan can be found on the websites of U.S. Embassy-Islamabad and Consulates General Karachi and Lahore.
During the Islamic (Shia) religious observance of Muharram, hostilities targeting religious sects often increase. We advise U.S. citizens to avoid areas where large crowds of religious observers gather in order to avoid this threat.
Avoid public transportation. For security reasons, U.S. Mission personnel are prohibited from using trains, taxis, and buses. (See the Traffic Safety and Road Conditions section below.)
Men and women are advised to dress conservatively, with arms and legs covered, and to avoid walking alone. It is unwise for anyone to travel on the streets late at night.
Visitors to Pakistan should always maintain a low profile and be constantly aware of their surroundings and vulnerability.
Gilgit-Baltistan (formerly known as the Northern Areas): Northern Pakistan has the greatest concentration of the highest peaks in the world. This environment attracts trekkers and mountain climbers from all over the world. Trekking in Pakistan involves walking over rugged, steep terrain, where one is exposed to the elements, often at high altitudes. The Ministry of Tourism has defined trekking as walking below 6000 m. It has designated three trekking zones: open, restricted, and closed. U.S. citizens can trek anywhere in the open zone without a permit or the services of a licensed mountain guide. For trekking in the restricted zone, U.S. citizens must pay a $20 per person fee (subject to change) to obtain a trekking permit from the Ministry of Tourism. To hike in the restricted zone, U.S. citizens must also hire a licensed mountain guide, buy a personal accident insurance policy for the guide and the porters, and attend a mandatory briefing and de-briefing at the Ministry of Tourism. No trekking is allowed in closed zones, which are located near the Pakistan-Afghan border and near the Line of Control between Pakistan-administered and India-administered Kashmir.
U.S. citizens should exercise extreme caution when trekking at high altitudes. Only experienced trekkers should go to the northern mountains of the Hindukush, the Karakorams, and the Himalayas.
In June 2013, gunmen dressed as paramilitary police attacked a Nanga Parbat mountain base camp and killed ten foreign nationals, including one U.S. citizen. In addition to these murders, there have been occasional non-lethal assaults on foreigners in this area. As a result of the attack, the U.S. Mission to Pakistan instructed its staff to suspend all personal travel to Gilgit-Baltistan until further notice. We continue to discourage non-essential travel to Pakistan. For trekkers who decide otherwise, the safest option is to join an organized group or use a reputable firm that provides experienced guides and porters. We also strongly encourage trekkers to obtain air ambulance insurance that covers air evacuation from remote areas. Make sure that the air ambulance firm you contract has a local agent in Pakistan who can ensure that local rescue teams provide the required emergency services. Advance payment of the total evacuation cost is required from the insurance company before the rescue teams will perform rescue operations. Over the past year, at least one local rescue subcontractor refused to perform air rescue operations because the U.S.-based air ambulance insurance company could not render timely payment, stranding the trekkers for days. In these situations, the Embassy is unable to intervene or provide rescue services.
Trekkers are also advised to sign-up with the Department of State’s traveler registration system (STEP) and to provide a detailed copy of their itinerary to family or friends in the United States.
Unrest and sectarian violence in Gilgit-Baltistan led to unsafe conditions along roadways and the cancellation of all flights into and out of the region in April 2012. U.S. citizens should be aware that adverse weather conditions often delay or cause flights to be cancelled without notice. Visit the Pakistan Tourism Development Cooperation website for the most current trekking and mountaineering information.
Khyber Pakhtunkhwa (KP) Province (formerly known as the Northwest Frontier Province (NWFP)) and the Federally Administered Tribal Area (FATA): In light of the high security threat level, the U.S. Consulate in Peshawar no longer provides routine consular services. The U.S. government currently allows only mission-critical travel within the FATA and KP Province by U.S. officials. Security and logistical challenges affect the Consulate’s ability to provide emergency consular services in this area. Pakistani security forces are currently conducting campaigns against extremist elements across many areas of the FATA and parts of KP Province. Access to many areas of Pakistan, including the FATA along the Afghan border, is highly restricted by local government authorities for non-Pakistanis. Travel to any restricted region requires official permission by the Government of Pakistan. Failure to obtain permission in advance can result in arrest and detention by Pakistani authorities. Even in the settled areas of KP Province, terrorist activity and sectarian violence are common. Terrorists and their sympathizers regularly attack civilian, government, and foreign targets. U.S. citizens are also frequently targeted. There have been numerous bombings in Peshawar in the last few years. On September 29, 2013, 42 people were killed and over 100 injured after a car bomb blast in the crowded Kissa Khawani Bazaar in Peshawar. On September 22, a suicide bomb attack in a Peshawar church killed 119 people. Members and supporters of the Taliban, al-Qaida, and other extremist groups prone to terrorism and violent activity are known to operate freely in the FATA, and in the settled areas.
Pakistan-administered Kashmir: While direct military hostilities between India and Pakistan across the Line of Control (LOC) are infrequent, militant groups engaged in a long-running insurgency on the Indian side of the LOC have bases and supporters operating from the Pakistani side. Most of these groups are anti-American, and some have attacked U.S. citizens and other Westerners. The Government of Pakistan restricts access to many parts of this region and requires that U.S. citizens obtain a permit from the Ministry of Interior before traveling.
Punjab Province: Operations at the U.S. Consulate General in Lahore have been suspended since August 2013, following a threat to the Consulate. Persons requiring consular assistance should contact the U.S. Embassy in Islamabad. The security situation in Lahore and throughout Punjab province – Pakistan’s most populous and prosperous – remains unpredictable despite an overall decrease in acts of terrorism . In addition to the incidents cited in the sections above and below, acts of violence occur frequently, though most are not anti-American in nature. However, in September 2012, anti-U.S. demonstrations caused large-scale civil unrest and the deaths of several Pakistani citizens following the release of the film “The Innocence of Muslims.” Many of the protests in Lahore occurred near the U.S. Consulate General office building, blocking the main road, and leading to a temporary suspension of public services for U.S. citizens. Although the government took proactive measures in 2012 to protect the life and property of its citizens, anger over power outages, fuel shortages, and corruption all continue to contribute to civil unrest.
Sectarian violence and attacks against government officials and other organizations remain a cause for significant concern. In February 2013, a prominent Shia doctor and his son were shot to death by gunmen as he was driving his son to school in an upper-class neighborhood in Lahore. On August 1, 2012, two bombs exploded, injuring 20 people, at a fruit and vegetable stand in Lahore. On July 12, 2012, masked Tehrik-e-Taliban (TTP) gunmen attacked a Lahore police academy, killing nine unarmed police cadets.On February 19, 2012, two foreign nationals working for an NGO were kidnapped in Multan. The TTP claimed responsibility. Their whereabouts are unknown. As a precaution against these dangers, U.S. citizens are advised to maintain good situational awareness and personal security measures.
The Wagah border crossing into India near Lahore remains open daily (from 9:30 a.m. to 3:30 p.m.) for travel to and from India if the passport holder has valid visas for both countries. U.S. citizens are advised to confirm with Pakistani authorities the current status of the border crossing prior to commencing travel. U.S. citizens traveling to Jhang, Attock, Dera Ghazi Khan, and Khushab Tehsils, as well as Jauharabad Tehsil in Muzaffargarh district, require permission from the Ministry of Interior.
Sindh Province: In Karachi there has been recurring violence characterized by bombings, violent demonstrations, and shootings. While most violence in Karachi stems from political, ethnic, and sectarian rivalries, some is anti-Western and anti-American, and there is a significant Taliban presence in the city. On March 3, 2013, a bomb attack in a predominately Shiite area of Karachi destroyed several buildings and killed more than 50 people. The most notorious attack occurred in October 2007, when a suicide attack on former Prime Minister Benazir Bhutto killed more than 130 and injured about 375 people in Karachi. Armed groups, including some linked to political parties, routinely engage in the targeted killing of their opponents. In these targeted killings, it is not uncommon for bystanders to become victims. Kidnapping-for-ransom and violent threats are a common practice. The security situation in rural areas and other cities in Sindh province is dangerous, especially for those engaged in overland travel.
U.S. citizens and other westerners continue to be potential targets of hostility and anti-Western mob violence in Karachi and other parts of Sindh. The U.S. Consulate General in Karachi has been the target of terrorist attacks or plots in the past decade. Both Sindh and Balochistan are trans-shipment routes for U.S. military equipment en route to and from Afghanistan. Personnel, ports, vehicles, and storage areas believed to be or perceived to be supporting U.S. military shipments have been the subject of terrorist attacks and local political parties have coordinated temporary blockades of cross-border traffic.
Balochistan Province: The province of Balochistan, which borders both Iran and Afghanistan, is home to an active separatist movement that clashes regularly with the military and law enforcement. Members of the Taliban, al-Qaida, and other extremist groups are also believed to be residing in the province. The U.S. government currently allows only mission-critical travel within Balochistan province by U.S. officials. Travelers wishing to visit the interior of Balochistan should consult with the province’s Home Secretary and should note that police presence is limited in many parts of the province. Advance permission from provincial authorities is required for travel into many areas and local authorities have detained travelers who lacked proper permission. Quetta, the provincial capital, has experienced an increase in bombings and occasional gun battles in the streets. In January and February 2013, two bomb attacks in Quetta targeted members of the Hazara community; each killed over 80 people. Terrorist attacks against Pakistani government installations and infrastructure have been reported.
To stay connected:
- Enroll in the Smart Traveler Enrollment Program so we can keep you up to date with important safety and security announcements.
- Follow the Bureau of Consular Affairs on Twitter and Facebook.
- Bookmark the Bureau of Consular Affairs website, which contains the current Travel Warnings and Travel Alerts as well as the Worldwide Caution.
- Follow the U.S. Embassy in Pakistan on Twitter and visiting the Embassy’s website.
- In the event of an emergency, contact us at 1-888-407-4747 toll-free within the United States and Canada, or via a regular toll line, 1-202-501-4444, from other countries.
- Take some time before traveling to consider your personal security and checking for useful tips for traveling safely abroad
CRIME: Crime is a serious concern for foreigners throughout Pakistan. Carjacking, armed robberies, home invasions, and other violent crimes occur in many major urban areas. These crimes have also occurred infrequently in other areas. Petty crime, especially theft of personal property, is common. U.S. citizen travelers to Pakistan are strongly advised to avoid traveling by taxi and other forms of public transportation and to have members of their host organizations or families meet them at the airport. In the past, several U.S. citizen travelers arriving at the international airport in Lahore, who were met by their families, were robbed outside the airport of cash and jewelry after being stopped by a car with fake government license plates. Such schemes are common. Travel outside urban centers should only be undertaken during daylight hours. The U.S. Embassy and Consulates have seen a large increase in the number of U.S. citizens alleging the loss of property or financial investment due to the unfair business practices of their Pakistani partners. The U.S. Embassy and Consulates in Pakistan can offer only very limited assistance with business disputes and will usually refer inquirers to local legal representation resources.
VICTIMS OF CRIME: If you or someone you know becomes the victim of a crime abroad, you should contact the local police and the nearest U.S. embassy or consulate. We can:
- Replace a stolen passport.
- Help you find appropriate medical care if you are the victim of violent crimes such as assault or rape.
- Put you in contact with the appropriate police authorities, and if you want us to, contact family members or friends.
- Help you understand the local criminal justice process and direct you to local attorneys, although it is important to remember that local authorities are responsible for investigating and prosecuting the crime.
If your passport is stolen, we can help you replace it. Although the Embassy or Consulate is able to replace a stolen or lost passport, the Ministry of Interior is responsible for approving an exit visa. You should immediately report the theft or loss to the police in the location where your passport was stolen. The Pakistani government requires a police report, called a First Information Report (FIR), to obtain an exit visa to leave Pakistan in the event of a lost or stolen passport. This entire process can take three to four working days.
The local equivalent to the “911” emergency line in Pakistan is 15. In addition, local medical emergency responders in Punjab province can be reached by dialing 1122.
Please see our information on victims of crime, including possible victim compensation programs in the United States.
Local Laws & Special Circumstances
CRIMINAL PENALTIES: While you are traveling in Pakistan, you are subject to its laws even if you are a U.S. citizen. Foreign laws and legal systems can be vastly different than our own. You might be taken in for questioning if you don’t have your passport with you. If you break local laws in Pakistan, your U.S. passport will not help you avoid arrest or prosecution. It is illegal to take pictures of certain buildings or structures, particularly sensitive places like military installations, but the law on this subject is vague and applied indiscriminately. Driving under the influence of alcohol or drugs could land you immediately in jail, and proceed to very severe penalties. There are also some things that might be legal in the country you visit, but still illegal in the United States. You can be prosecuted under U.S. law if you purchase or obtain pirated goods. The Computer Crime and Intellectual Property Division in the U.S. Department of Justice has more information on this problem. Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime prosecutable in the United States. It’s very important to know what’s legal and what’s not wherever you are going.
Persons violating Pakistani laws, even unknowingly, might be expelled, arrested, or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Pakistan are severe, and convicted offenders can expect long jail sentences in local prisons and heavy fines.
Arrest notifications in host country: While some countries will automatically notify the nearest U.S. embassy or consulate if a U.S. citizen is detained or arrested in a foreign country, that does not happen in Pakistan. To ensure that the United States government is aware of your circumstances, request that the police and prison officials notify the nearest U.S. embassy or consulate as soon as you are arrested or detained. Please note that a consular officer might not be able to visit you for 15 working days or longer after your arrest in Pakistan due to Pakistan’s regulations governing the travel of foreign diplomats and the procedures for gaining access to arrested individuals.
Forced Marriage: The U.S. government considers forced marriage to be a violation of basic human rights and, in the case of minors, a form of child abuse. Forced marriage is defined as one in which one or both parties have not consented to the marriage; it differs from arranged marriage. Often, victims of forced marriage are subjected to non-consensual sex, physical and emotional abuse, isolation, and threats of violence. International law and conventions also support an individual's right to self-determination, minimum marriage ages, and the rejection of abuse of women and honor-based violence. Both Sharia and Pakistani civil law require the consent of both parties for a legitimate marriage.
SPECIAL CIRCUMSTANCES: Pakistan is largely a cash economy. Personal checks are not commonly accepted. Most Pakistanis do not use checking accounts for routine transactions. Outside major cities, credit cards and travelers’ checks are generally not accepted, and there have been numerous reports of credit card fraud. There are bank branches as well as registered currency exchangers in all international airports. ATMs can also be found in major airports. English is widely spoken by professional-level airport staff.
The U.S. and Pakistani educational systems are very different. U.S. citizen medical students, in particular, should carefully review the fee and coursework structure prior to enrolling in a course of study.
If you are a woman traveling abroad, please review our travel tips for Women Travelers.
LGBT RIGHTS: Consensual same-sex sexual relations are criminalized by Pakistan. Penalties include up to life imprisonment. Although the U.S. Embassy is not aware of any recent arrests or prosecutions of U.S. citizens for such activities, they remain illegal, and they may be prosecuted by the Pakistani authorities. For more detailed information about LGBT rights in Pakistan, you may review the State Department’s Country Reports on Human Rights Practices for 2012. For further information on Lesbian, Gay, Bisexual and Transgender (LGBT) travel, please read our LGBT Travel Information page.
ACCESSIBILITY: While in Pakistan, individuals with disabilities can find accessibility and accommodation very different from what you find in the United States. The law provides for equality of the rights of persons with disabilities, but the legal provisions are not always implemented in practice. Families typically care for most individuals with physical and mental disabilities.
Access for individuals with physical disabilities to public facilities is very limited in major cities and almost non-existent outside major population centers.
Adequate basic non-emergency medical care is available in major Pakistani cities but is limited in rural areas. Facilities in the cities vary in level and range of services, resources, and cleanliness, and U.S. citizens may find them below U.S. standards; facilities in rural areas are consistently below U.S. standards. Medical facilities require prepayment in cash as most do not accept credit cards.
Effective emergency response to personal injury and illness is virtually non-existent in most of Pakistan. Ambulances are few, lack medical equipment, and are not necessarily staffed by medical personnel. Any emergency case should be transported immediately to a recommended hospital emergency department. Many U.S.-brand medications are not widely available, but generic brands from well-known pharmaceutical companies usually are. The quality of the locally-produced medications is uneven. There is a significant presence of fake pharmaceuticals in Pakistan, so travelers should ensure they bring sufficient supplies, and when needed, obtain required medications from certified and reliable sources such as major respected medical institutions.
Pakistan is one of three countries in the world where polio is endemic and the only country where the number of polio cases increased from 2012 to 2013. Pakistan has been unable to sustain an effective polio immunization program. As a consequence, North Waziristan has been reported by the WHO to have the largest number of children being paralyzed by poliovirus in the world. Similarly, a polio virus outbreak which originated in Peshawar in 2013 left 65 children paralyzed. The Polio Global Eradication Initiative website reports that “in Pakistan, persistent wild poliovirus transmission is restricted to three groups of districts: (1) Karachi city, (2) a group of districts in Balochistan Province, and (3) districts in FATA and the KP. In addition, Pakistan and neighboring Afghanistan repeatedly re-infect one another with polio, due to the substantial population movements within and between the countries.
Water is not potable anywhere in Pakistan, and sanitation in many restaurants is inadequate. Stomach illnesses are common. You can find detailed information on vaccinations and other health precautions on the CDC website. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website. The WHO website also contains additional health information for travelers, including detailed country-specific health information.
Tuberculosis is an increasingly serious health concern in Pakistan. For further information, please consult the CDC's information on TB.
Despite Pakistan being a generally conservative country, there is a risk of transmission of STDs and other communicable diseases, such as hepatitis and HIV. Travelers are urged to use the same cautionary and protective health measures they would in their own country.
Travel & Transportation
TRAFFIC SAFETY AND ROAD CONDITIONS: While in Pakistan, you will encounter road conditions that differ significantly from those in the United States. The information below about Pakistan is provided for general reference only, and might not be totally accurate in a particular location or circumstance.
Traffic in Pakistan moves on the left; the opposite of U.S. traffic. In addition to this source of potential confusion, overland travel in Pakistan has a variety of other risks. Roads are crowded, drivers are often aggressive and poorly trained, and many vehicles, particularly large trucks and buses, are badly maintained. Local drivers are willing to drive head-on in your lane of traffic if they believe it helps them get to their destination more rapidly. Donkeys, cattle, horse carts, and even the occasional camel can pose roadside hazards in some areas. Roads, including most major highways, also suffer from poor maintenance and often have numerous potholes, sharp drop-offs, and barriers that are not sign-posted. Drivers should exercise extreme caution when traveling at night by road, since many vehicles do not have proper illumination or dimmers, nor are most roads properly illuminated or signed. Driving without experienced local drivers or guides is not recommended.
Avoid public transportation. For security reasons, U.S. Mission personnel are prohibited from using taxis or buses. (See Safety and Security section above.)
Please refer to our Road Safety page for more information. Also, we suggest that you visit the website of Pakistan’s national tourist office and Pakistan’s national authority responsible for road safety.
AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the government of Pakistan’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Pakistan’s air carrier operations. Further information may be found on the FAA’s safety assessment page.