Sofia or Plovdiv? Comparing Bulgaria's Two Medical Study Destinations
17.09.2026
Medical University of Sofia
Sofia is home to the country's oldest and largest medical university. Founded in 1917, it now has capacity for more than 10,000 students and offers programs in medicine, dentistry and pharmacy. The program lasts six years for medicine, five and a half years for dentistry, and five years for pharmacy.
In 2026, tuition fees are around €9,950 per year for human medicine, €10,000 for dentistry, and around €8,000 for pharmacy, payable in two installments. Admission is via an entrance exam in biology, chemistry and English, which can now also be taken online. Human medicine offers around 300 places per year for international students, and dentistry around 120 to 150.
Medical University of Plovdiv
Plovdiv is Bulgaria's second-largest city and one of the oldest cities in Europe. The university was founded in 1945 and trains more than 3,800 students each year, including many international students. The faculty includes a hospital with around 2,000 beds, and the Faculty of Dentistry has a new building with 27 clinical treatment rooms and 168 workstations.
Medicine and dentistry are offered in English, with fees of around €9,000 to €10,000 per year. Dentistry takes five and a half years and includes a one-year clinical rotation year.
Head-to-head comparison
| Criterion | Sofia | Plovdiv |
|---|---|---|
| Founded | 1917 | 1945 |
| Programs in English | Medicine, Dentistry, Pharmacy | Medicine, Dentistry |
| Tuition per year | approx. €9,950–€10,000 | approx. €9,000–€10,000 |
| Cost of living per month | €500–€700 | €450–€600 |
| German-speaking community | Large | Modest |
| Connections to Germany | Year-round direct flights | Usually via Sofia |
| Pre-clinical recognition in Germany | Full after 5 semesters | Full after 4 semesters |
| City size | approx. 1.3 million | approx. 340,000 |
Which of the two locations suits your profile, budget and plans best is something we can discuss in a free consultation.
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Who Sofia is the right choice for
Sofia is the country's political, economic and cultural center. Anyone who wants a true metropolis benefits from a wide range of culture, sport and nightlife, as well as good part-time job opportunities with international companies. Direct flights to Berlin, Munich, Frankfurt, Düsseldorf, Cologne, Hamburg and Stuttgart make trips home easy.
Just outside the city lies the Vitosha mountain range with hiking and ski areas, and within day-trip distance are the Rila Monastery, a UNESCO World Heritage site, the Seven Rila Lakes, and Koprivshtitsa with more than 300 historic houses.
I chose Sofia myself because I wanted to study at the country's oldest university and have good flight connections to Germany. Looking back, that was the right decision for my situation.
Who Plovdiv is the right choice for
Plovdiv is more compact, quieter and cheaper. The city has a Roman theater, a lively old town, and was once European Capital of Culture. If you want to study with fewer distractions, value short distances, and don't see the German-speaking community as a priority, you'll feel at home here.
A practical advantage for anyone planning to transfer back: after four completed semesters, Plovdiv typically recognizes four semesters' worth of credit, compared with two in Sofia. Anyone planning a transfer to Germany from the outset gains a full year of study by choosing Plovdiv. Nearby are the Bachkovo Monastery, the Rhodope Mountains, and the Valley of the Thracian Kings.
Which university has the better reputation?
Both are state, EU-accredited universities listed in Annex V of Directive 2005/36/EC. Sofia is considered the country's most established address, while Plovdiv stands out with modern facilities and practice-oriented teaching. For later recognition purposes, it makes no difference.
How big are the class groups?
Teaching at both locations takes place in small groups, usually up to a maximum of ten students per instructor in practical subjects. Patient contact begins early.
Where is the cost of living lower?
In Plovdiv, with a difference of about €50 to €100 per month in rent. In Sofia, however, there are more part-time job opportunities, which can help offset the difference.
Author's Opinion
I studied in Sofia, and I would make the same choice again — but not because Sofia is the "better" university. For me, the reasons were personal: the large community, the many direct flights, and the fact that I feel more at home in a city of over a million people.
If you come to me for consultation today and are comfortable with a smaller city, I recommend Plovdiv without hesitation. The training is at the same level, the distances are shorter, and the lower cost of living adds up over six years to an amount you'd need half a year of work in Germany to earn. So the real question isn't Sofia or Plovdiv — it's: which city do you want to live in for the next six years?
Conclusion
Whether Sofia or Plovdiv suits you best is something we're happy to work out together. At Medschool Experts, we have the largest network of official partner universities, and we individually assess the highest possible year of entry for every student — entry is often possible even in the final two years of study. Get in touch and book a free consultation to find your best path forward.
Frequently asked questions about Sofia and Plovdiv
What does it cost to study in Sofia and Plovdiv?
In Sofia, 2026 tuition fees are around €9,950 per year for human medicine, €10,000 for dentistry, and around €8,000 for pharmacy. In Plovdiv, fees range from about €9,000 to €10,000 per year. Both are paid in two installments per academic year.
Where is the cost of living lower?
In Plovdiv. Total monthly costs there run about €450 to €600, compared with €500 to €700 in Sofia. The difference comes mainly from rent and adds up to several thousand euros over six years of study.
Which university has the better reputation?
Both are state medical universities with degrees recognized across the EU. Sofia was founded in 1917, Plovdiv in 1945. Academically, the programs are very similar; the difference lies in city size, community and cost of living, not in the value of the diploma.
Is teaching in English?
Yes, both universities offer their programs entirely in English. Bulgarian is a compulsory subject in the first years of study so that you can later communicate with patients at the bedside. No prior knowledge is required.
How long does the program take?
Human medicine takes six years, dentistry five and a half years including a one-year clinical rotation, and pharmacy five years. This structure follows the European standard of 360 ECTS credits.
Do I need a numerus clausus?
No. Admission is based on an entrance exam in biology and chemistry, not your school-leaving grade average. With focused preparation, you have a realistic chance of a study place regardless of your grades.
Is the degree recognized in Germany?
Yes. Bulgaria is an EU member state, and the degrees fall under the Professional Qualifications Directive 2005/36/EC, recognized in Germany, Austria and Switzerland. You apply for licensure after your studies with the relevant state examination office.
Which location is the better choice for whom?
Sofia suits you if a big city, international connections and a large German-speaking community matter to you. Plovdiv suits you if you prefer something more manageable and affordable, and value short distances between university, clinic and home.
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About the author

Marcel Kloos
Swiss-licensed dentist and founder of Medschool Experts
Marcel Kloos founded Medschool Experts while studying abroad; since then, over 500 study places have been secured. The Stuttgart-born dentist studied dentistry from 2015 to 2021 in Sofia and holds a Swiss dental licence.
Today he lives in Bern and runs Medschool Experts full-time as its owner.
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