February 26, 2026

When Can You Drive After Pacemaker Surgery?

Man sitting in a car

Getting a pacemaker is a big step toward a healthier heart. It’s natural to wonder how soon you can return to your normal routine after the procedure. For many people, driving is a top priority because it represents independence. However, you need to be patient during the initial recovery phase.

This article provides general guidelines on when it’s typically considered safe to drive after a pacemaker implant procedure. However, each person’s experience is unique. There may also be rules and regulations in your area regarding driving with a pacemaker, and your care team can help you understand what applies to you.

General Timing for Your Return to the Road

Most people find they can get back behind the wheel within a week or two after their surgery. This period of rest gives the incision time to start healing and allows your body to adjust to the device.

If your heart rhythm issues did not cause you to lose consciousness before the surgery, your provider might clear you to drive relatively quickly. Every situation is different, so your specific timeline depends on your personal health history.

Fainting History and Your Driving Timeline

Did you experience fainting or blackouts before you got your device? If so, the rules are probably stricter to protect you and others on the road. Your healthcare provider may recommend waiting several weeks or even months before you resume driving.

This waiting period is important because it helps confirm that the pacemaker is functioning properly and preventing dangerous episodes. Safety is the most important factor for you and other drivers.

Physical Comfort and Seatbelt Safety

Beyond heart safety, you have to think about the physical wound. The area where the device was implanted will likely be sore or tender for a few days. You need to make sure you have a full range of motion in your left arm to steer and react to traffic.

Many people find that the shoulder strap of a seatbelt rubs against the incision site. It’s best to wait until the wound is healed and you can wear a seatbelt comfortably before driving. You should never skip the seatbelt to avoid irritation.

Special Rules for Commercial Drivers

If you drive for a living, the rules are often more rigorous. People who drive trucks, buses, or other large commercial vehicles usually face longer waiting periods.

Some regulations require commercial drivers to wait at least six weeks or even several months. In some cases, certain heart conditions may permanently restrict a commercial license. It’s essential to check the specific legal requirements for your role and location.

Symptoms to Watch for During Recovery

You should stay off the road if you feel any symptoms that could make driving unsafe. Contact your provider if you experience:

  • Dizziness
  • Fainting (syncope)
  • Lightheadedness
  • Chest pain
  • Shortness of breath
  • Persistent hiccups
  • Palpitations
  • Skin redness
  • Increased swelling
  • Wound drainage
  • Fever

Final Steps Before You Drive

Before you pick up your keys, talk with your healthcare team or electrophysiology specialist. They’ll check the device and make sure the incision is healing properly. Starting with short trips can help you rebuild confidence and gauge how you feel.

If you don’t have a pacemaker but have concerns about your heart health, talk with your primary care provider. They can perform an exam and recommend testing if appropriate. If you don’t have a Baptist Health primary care provider, call 1.844.6BAPTIST or visit our provider directory. Download a patient packet to prepare for your next primary care appointment.