Jan 28, 2025

New rules put many osteopathic practices in Switzerland at risk

Since 2020, the GesbG has regulated osteopathy. From 2025, a permit based on a master's degree or a recognized diploma is required for independent work.

New legal regulations for osteopaths from 2025

From February 1, 2025, Switzerland will have new legal regulations for osteopaths. Anyone who wants to exercise their profession on their own responsibility needs a cantonal professional permit by this point in time. This regulation is based on the Health Professions Act (GesBG), which is intended to ensure the quality of healthcare professions and ensure uniform standards. However, the new regulations pose major challenges for many practitioners, particularly those with foreign degrees. More information about GesbG is available at the BAG website available.

The GesbG came into force back in 2020 and created a legal framework for health professions such as osteopathy. It states that only those who have a recognized degree receive a professional practice permit. For osteopaths, this specifically means that a master's degree in osteopathy from a recognized Swiss university or a foreign diploma recognized by the Swiss Red Cross (SRK) is required. This creates high hurdles for many existing practitioners who have worked successfully on the basis of other degrees so far.

Challenges for foreign diplomas

The situation is particularly complicated for those who have completed their education abroad. In order to receive recognition of their diploma, they must undergo an extensive examination process by the SRK. This process includes, among other things, a detailed review of the training content to ensure that it meets Swiss standards. In many cases, the SRC requires so-called compensatory measures. These can be additional exams, specific modules or practical assignments that must be completed in addition to the training already completed. These requirements are not only time-consuming, but often also involve considerable financial burdens. Current information on this is provided by Swiss Association of Osteopathy.

Time pressure and effects

The transition period, which has been in force since 2020, is about to expire. The osteopaths concerned only have until February 2025 to complete the recognition of their qualifications. For many who come to terms with the recognition process late, time could be running out, as the review process at the SRK can take several months or even years. This poses the risk that numerous practices that have made an important contribution to healthcare so far will have to cease their activities.

For specialists trained in Switzerland, the situation is less problematic. Your education usually automatically meets legal requirements. However, anyone who worked before the introduction of the new regulations must check whether previous financial statements are still sufficient. The Conference of Cantonal Health Directors (GDK) provides assistance in this context.

The new regulations illustrate the importance of long-term planning and clear communication when introducing legal regulations. While GesBG is intended to ensure the quality and consistency of healthcare professions, many practitioners are coming under pressure due to the tight time frame. It is now up to osteopaths to use the remaining time to secure the future of their practices.