Recreational cannabis is illegal, but since August 2022 any licensed doctor can prescribe medical cannabis, filled at ordinary pharmacies. Small city-run adult-use pilots exist (Zurich, Basel, Bern) but only for enrolled local residents.
Recreational cannabis remains illegal in Switzerland outside a small number of registered scientific pilot programs. Since August 2022, municipal 'cannabis trials' (Pilotversuche) — running in cities including Zurich, Basel, Bern, Lausanne and Geneva under the oversight of the Federal Office of Public Health (BAG/FOPH) — allow pre-registered adult residents to buy tracked, quality-controlled cannabis flower and hash from licensed pharmacies, dispensaries or associations, typically capped around 10 grams of THC per month. Enrollment is limited to adult residents of the participating city who consent to periodic health surveys; it is not open to tourists or short-term visitors. Roughly 7,000 people are estimated to be enrolled across the pilots, and some, including Zurich's, have had their participant caps raised (Zurich's from 2,100 to 3,000 in July 2025). Outside these trials, cannabis with more than 1% THC is a controlled substance and simple possession/use is punishable, though Swiss practice generally treats small personal amounts as a minor offense resulting in a fine rather than prosecution. Forbes, Business of Cannabis
Switzerland liberalized medical cannabis considerably on 1 August 2022, when a revision of the Narcotics Act lifted the previous ban and removed the requirement that patients or doctors obtain an individual exemption permit from the Federal Office of Public Health. Since then, any doctor with a valid Swiss cantonal practice license can issue a standard narcotics prescription for a cannabis-based medicine, and the patient fills it at a pharmacy holding the necessary cantonal narcotics license — no special federal authorization is needed for either the doctor or the patient. Approved uses include chronic pain, multiple sclerosis-related spasticity, chemotherapy-induced nausea and treatment-resistant epilepsy, using both imported and Swiss-manufactured products. Cost reimbursement through mandatory basic health insurance is still assessed case by case and is not automatic for all products. Global Compliance News / Baker McKenzie, MedCan.ch
Switzerland is not an EU member but is a full Schengen Area participant, so the Article 75 Schengen Implementing Convention framework should in principle apply to travelers carrying prescribed medical cannabis into or out of the country for stays of up to 30 days, in the same way it applies among EU Schengen states. However, no Swiss federal authority publication was found during this research that specifically confirms the certificate process, the responsible issuing body, or documentation requirements for incoming foreign patients — this point is unconfirmed, and travelers should contact Swissmedic or the Federal Office of Public Health directly, or their own country's competent authority, before traveling with medical cannabis to or from Switzerland. As a general precaution, carrying the original pharmacy packaging, a copy of the prescription and a doctor's letter, and keeping the supply within a reasonable personal-use quantity, is advisable regardless.
The municipal adult-use pilots expanded participant numbers in 2025 (for example Zurich's increase to 3,000 participants), and early published results describe a trend toward 'lower-risk consumption' patterns among participants, which supporters cite as evidence for eventually broadening the model; no timeline for a nationwide adult-use law has been set. On the medical side, the 2022 reform remains the current framework, with ongoing incremental growth in the number of licensed products and dispensing pharmacies. Cannabis Health News
Can a tourist buy cannabis legally in Zurich or Basel?
No. The city pilot programs are restricted to pre-registered adult residents of the participating municipality and are not open to visitors.
How does a resident patient get medical cannabis in Switzerland?
Any licensed doctor can write a standard narcotics prescription for an approved cannabis-based medicine, filled at a pharmacy with a cantonal narcotics license — no separate federal permit is required since August 2022.
Do I need a special certificate to bring my medical cannabis into Switzerland?
Switzerland is in the Schengen area, so the Article 75 certificate framework should apply in principle, but no official Swiss confirmation of the exact process for incoming patients was found; verify directly with Swissmedic or the FOPH before traveling.
Is recreational cannabis fully legal in Switzerland?
No. Outside the registered municipal pilot trials, cannabis with more than 1% THC remains illegal, though enforcement for small personal amounts is generally limited to a fine.