President Donald Trump is in excellent health and fully fit for the duties of commander in chief, according to a comprehensive medical report released Friday following an examination at Walter Reed National Military Medical Center.
The evaluation marks the fourth publicly disclosed medical assessment since Trump returned to office for his second term. Presidential health disclosures have traditionally been a matter of public interest, though no legal requirement mandates that presidents release complete medical records.
What Happened
Trump’s physician noted that his “cognitive and physical performance are excellent” and confirmed he remains fully capable of carrying out the demands of the office. The report documented measurements and clinical findings from the comprehensive evaluation, including a body mass index of 29.7 at 6 feet 3 inches tall—just below the threshold that medical guidelines classify as obese at 30 or higher.
Trump underwent the Montreal Cognitive Assessment, a widely used screening tool for cognitive impairment and dementia. According to his physicians, he scored a perfect 30 out of 30, matching results reported during examinations in 2025 and 2018.
The examination revealed slight lower-leg swelling related to chronic venous insufficiency, a common age-related condition that causes blood to pool in the legs. Physicians noted the condition has improved since last year’s evaluation. The report also documented minor bruising on Trump’s hands, which the physician explained as “soft tissue irritation related to frequent handshaking,” a common effect associated with aspirin therapy.
Trump’s cholesterol levels showed significant improvement. His total cholesterol measured 143, down dramatically from 223 in 2018. The physician attributed the improvement in part to medications including rosuvastatin, which helps lower LDL cholesterol while increasing HDL cholesterol, and ezetimibe, which further reduces LDL levels. Trump takes three medications total: two for cholesterol management and aspirin.
The Reaction
The White House presented the medical report as demonstrating the president’s fitness heading into a critical midterm election cycle. The physician noted that Trump’s “demanding daily schedule, including multiple high-level meetings, public engagements, and regular physical activity, continues to support his overall well-being.”
Physicians provided recommendations regarding diet, physical activity, and weight management, though they emphasized that the president remains in strong overall health with no abnormal findings identified during the comprehensive evaluation.
What This Means
Trump, who turns 80 next month, was the oldest person ever elected president at the time of his election. His predecessor, President Joe Biden, left office at age 82 following concerns about his age and fitness for another term. Biden ended his 2024 reelection campaign after a debate performance in June 2024 that raised questions about his cognitive ability, subsequently endorsing Vice President Kamala Harris.
Presidential health assessments carry particular weight in electoral politics, particularly when candidates approach or exceed ages at which cognitive decline becomes a public concern. The formal medical documentation released Friday provides clinical baselines against which future evaluations may be compared as the administration moves forward.
