Study Medicine in Bulgaria as a UK Student: Sofia, Plovdiv, Varna or Pleven?
28.10.2026
Short answer
Study medicine in Sofia, Plovdiv, Varna or Pleven as a UK student: 9,000 to 10,000 euros a year, six-year English programmes and how to choose your city.
Which Bulgarian city is best for a UK student of medicine?
There is no single best city. Sofia suits students who want a capital with international flights and the largest student community. Plovdiv and Varna suit students who prefer a mid-sized city with a strong student identity. Pleven suits those who want the lowest tuition and a quieter town.
All four programmes run six years in English, lead to a European medical degree and are open to UK applicants. The choice is therefore about fees, lifestyle and distance from home, not about the value of the degree.
| City | Tuition per year | Tuition over six years | Character of the city |
|---|---|---|---|
| Sofia | 10,000 euros | 60,000 euros | Capital, largest international community |
| Plovdiv | 10,000 euros | 60,000 euros | Mid-sized, compact and student-friendly |
| Varna | 10,000 euros | 60,000 euros | Black Sea coast, summer season |
| Pleven | 9,000 euros | 54,000 euros | Smaller town, lowest tuition |
Study medicine in Sofia
Sofia is the largest of the four and the easiest to reach from the UK. As the capital, it has the biggest international student community, which makes settling in simpler for a first-time expat. It also has the most expensive housing of the four cities.
For UK students who plan to return to the NHS, Sofia is often the default choice because the international cohort is large and the logistics are straightforward.
Study medicine in Plovdiv
Plovdiv is the second-largest city in Bulgaria and works well for students who want a compact city with everything within reach. Tuition is the same as in Sofia, living costs are usually lower, and Sofia is within reach by train or bus when you want the capital for a weekend.
Study medicine in Varna
Varna sits on the Black Sea coast. Students enjoy the beach in the warm months and a quieter city in winter. Tuition is 10,000 euros a year, and the programme runs six years in English like the others. It suits students who want a seaside setting during the years of study.
Study medicine in Pleven
Pleven has the lowest tuition of the four, 9,000 euros a year. It is a smaller town, which many families see as an advantage: lower living costs, a close-knit student group and fewer distractions. The trade-off is fewer leisure options and a longer trip from the main airports.
How do the cities compare on total cost?
Tuition over six years runs from 54,000 euros in Pleven to 60,000 euros in the other three cities. Living costs come on top and vary with the city and your lifestyle. Our six-year cost comparison for UK students shows how to add accommodation, food and travel and how the total compares with a UK degree funded by a student loan.
Will a Bulgarian degree let me work in the NHS?
Bulgaria is an EU member, and a medical degree from a Bulgarian university is a European qualification. The GMC currently accepts relevant European qualifications for registration without PLAB, as explained in our hub on studying medicine abroad from the UK. The full registration process is in our guide to GMC registration after studying medicine abroad.
For the national overview of the country, see our page on studying medicine in Bulgaria for UK students.
How do I choose between the four cities?
Start with three questions. What is your total budget over six years? Do you want a capital, a mid-sized city or a seaside setting? How close to a major airport do you want to be? Shortlist two cities, then compare them in the consultation. Placement at our 25+ partner universities is independent of A-level grades, and the consultation is free: book a conversation with Medschool Experts.
International perspective: how other countries compare
Students from many countries choose Bulgaria for the same reasons: English-taught programmes, a European degree and lower tuition than in Western Europe. Compared with private medical schools in Western Europe or the Caribbean, where tuition per year is often far higher, the Bulgarian price level explains why the country attracts students from the UK, Scandinavia, Israel, India and many other countries.
The author's view
I studied dentistry in Sofia from 2015 and started at 24, so I know how the first weeks in a new country feel. For most UK families, I would shortlist Sofia and one smaller city, because the contrast shows what matters to the student.
My assessment: the degree is equal in all four, so choose the city where the student will be happy for six years, and treat the 6,000 euro gap in Pleven as one factor among several.
Summary
- Sofia, Plovdiv and Varna cost 10,000 euros a year, Pleven 9,000 euros.
- Six years of tuition: 60,000 euros, or 54,000 euros in Pleven.
- All four teach medicine in English and award a European degree.
- The GMC currently accepts relevant European qualifications without PLAB.
- Choose by budget, city size and distance from home, then compare two cities in the consultation.
Conclusion
The degree is the same kind of European qualification in all four cities, so the decision is about daily life and budget. Book your free consultation with Medschool Experts and we compare your two favourite cities.
Frequently asked questions about studying medicine in Bulgaria from the UK
Which is the cheapest Bulgarian city for medicine?
Pleven, at 9,000 euros a year. Sofia, Plovdiv and Varna cost 10,000 euros a year.
How long does medicine take in Bulgaria?
Six years, taught in English.
Is Sofia better than Varna or Plovdiv?
The tuition is the same in all three. Sofia is the capital with the largest international community, Plovdiv is compact and student-friendly, and Varna is on the Black Sea coast.
Can I work in the NHS after a Bulgarian degree?
The GMC currently accepts relevant European qualifications for registration without PLAB. Check the current rules when you apply.
Do I need A-level grades?
Placement at our 25+ partner universities is independent of A-level grades. The consultation explains the next steps for your situation.
How much does it cost over six years?
Tuition is 60,000 euros in Sofia, Plovdiv and Varna and 54,000 euros in Pleven. Living costs are additional.
Further reading
More guides
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Over 500 placements at 25+ partner universities across 10+ countries. See how our students experienced their path into medical school abroad in our student stories.
About the author

Marcel Kloos
Founder and owner of Medschool Experts, federally recognised dentist
Marcel Kloos is the founder and owner of Medschool Experts, a placement agency for medicine, dentistry, veterinary medicine and pharmacy degrees abroad. Since 2021 the team has secured more than 500 study places at 25+ partner universities in Europe and worldwide.
Study medicine abroad: Marcel's own path
Born in Stuttgart, Marcel started his degree late: at 24 he enrolled at the Medical University of Sofia, Faculty of Dental Medicine, and graduated in 2021 from the English-language programme. He went through the same steps his clients face today — nostrification of school certificates, entrance interviews, finding a flat in Sofia and later the recognition of a foreign degree. He is a federally recognised dentist.
What Marcel does at Medschool Experts
Today Marcel lives in Bern and runs Medschool Experts full-time. He visits every partner university in person, negotiates placement agreements directly with faculties and deans, and leads the free consultations in which applicants learn at which university they can start next semester. His YouTube channel on studying medicine abroad has helped thousands of applicants compare universities, costs and recognition.
Topics Marcel writes about
- Study medicine abroad independent of your high school diploma grades: universities, costs and admission
- Study dentistry, veterinary medicine or pharmacy in Europe in English
- Tuition fees and living costs at medical schools in Europe and worldwide
- Recognition of foreign medical degrees in the EU, Switzerland, the UK and the US
- Transferring between medical schools and returning home into a higher semester
All articles by Marcel Kloos are based on first-hand visits to the universities and conversations with current students. Book a free consultation to discuss your own path.
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