Modern high-speed aviation and space flight are fraught with many problems and require a high standard of health and fitness. Those responsible for the health of pilots must appreciate the importance of early diagnosis even before symptoms appear. This is particularly true in terms of preventing spinal injuries where even a single Schmorl's node may make a pilot unfit for high-speed flying. Spinal fractures are frequent during emergency ejection and landing. Helicopter crews are particularly prone to spinal disc degeneration due to vibration. By effective lowering of vibration by changes in the seats, a reduction in such lesions is possible. The osteoporosis and muscle atrophy occurring among astronauts subjected to prolonged weightlessness can be prevented by regular physical exercises.