In this expert consensus statement of the Czech Society of Cardiology official guidelines are given on how to assess cardiovascular patients' fitness to drive motor vehicles properly. The document also summarizes common legal framework on this topic in the Czech Republic, e.g. the Act no. 297/2011 Coll. (so called Road Traffic Act) and the Decree no. 277/2004 Coll. on assessing medical fitness to drive motor vehicles and draws attention to some of the existing controversies.