UK pathway cost and timeline for Pakistani doctors
A realistic view of how long the PLAB/GMC route takes and where the money actually goes — not just the exam fees.
On this page
Realistic overall timeline
From starting serious English preparation to the first paid NHS post commonly takes 12–24 months. The range depends on exam slots, document processing, visa timing and how quickly a job offer appears after GMC registration.
Main cost categories (indicative)
- IELTS Academic or OET
- PLAB 1 fee
- PLAB 2 fee + travel and stay in Manchester
- EPIC / degree verification
- GMC registration fee
- Visa application and related costs
- Living costs during the UK visit for PLAB 2 and any gap before starting work
Exact figures change. Budget with a buffer. The largest variable is usually the time spent in the UK around PLAB 2 and job search, not a single exam fee.
What lengthens the timeline
- Multiple English test attempts
- Slow university response for primary source verification
- House job evidence that does not clearly show medicine and surgery components
- Delay between PLAB 2 pass and securing a sponsored post
Practical advice
Start English and document preparation early. Do not treat PLAB 2 as the finish line — registration and a job offer still remain. See the full UK PLAB and GMC guide for the process steps.
Read next: Career options after MBBS · FCPS vs MRCP vs USMLE · UK PLAB and GMC · Canada PR via Express Entry.
Frequently asked questions
Can I work while waiting for GMC registration?
You cannot practise as a doctor without the licence. Some people do observerships or non-clinical work, but options are limited.
Is the UK pathway cheaper than others?
Not necessarily. Exam and travel costs add up, and the time to first salary can be long. Compare total cost and lifestyle, not only exam fees.