It's okay to get a marriage license without a physical exam. Since October 1, 2003, China's marriage registration has cancelled the compulsory marriage examination, after the new marriage certificate, you can directly go to the marriage registration office to register for the license, there is no need for premarital physical examination. Pre-marital examination is voluntary, but the main purpose of pre-marital examination is to ensure the physical health of both men and women and the health of the next generation of children, it is recommended to do pre-marital examination.