
Your legal status can affect how you access organised screening and whether you receive an automatic invitation. If you don't receive an invitation, contact healthcare to ask what applies to you:
- Invitations begin around age 60–74
- Uses home stool test kits (FIT test)
- Completely no cost
- Follow-up colonoscopy covered if needed

One of the lesser-known parts of Sweden's healthcare system is its bowel cancer screening programme.
Eligible residents receive a home testing kit by post, making it easy to take part without visiting a healthcare centre. The process is quick, free, and designed to detect early signs of bowel cancer before symptoms appear — when treatment is often most effective.
step 1
☐ you're invited to take part
If you're eligible, you'll receive a letter and a bowel screening kit in the post. The invitation explains why you're being screened, how to complete the test, and where to get help if you have questions.
There's no need to book an appointment or visit a healthcare centre—the first stage of the screening is done entirely at home.
step 2
☐ complete the home test
The kit asks you to collect a very small stool sample using the equipment provided. The instructions are straightforward, and once you've completed the sample, you simply return it using the prepaid packaging.
The laboratory checks the sample for tiny traces of blood that aren't visible to the naked eye. These traces don't necessarily mean you have bowel cancer—they can have many causes—but they can be an early sign that further investigation is needed.
step 3
☐ if blood is detected
If the laboratory finds traces of blood, you'll be contacted and offered a colonoscopy. This allows doctors to examine the inside of your bowel more closely.
Most people who are invited for a colonoscopy do not end up being diagnosed with bowel cancer. However, the examination can detect polyps or other changes that can often be removed before they become cancerous.
step 4
☐ ongoing screening
If your test result is normal, you don't need to do anything else until you're invited again as part of the national programme. Regular screening helps detect changes early, often before symptoms develop, when treatment is usually simpler and more effective.
residents (personnummer)
- People aged 60–74 are automatically invited to complete a stool test every 2 years
- Screening cost: Free
non-e.u. residents with permits
- If registered in Sweden, eligible people should normally receive an invitation
- Screening cost: Free
asylum seekers and people under t.p.d.
- Access to planned preventive screening may differ from the standard programme for registered residents
- Ask a healthcare provider about your options rather than assuming you will receive an invitation
- Screening cost: Free
undocumented migrants
- You should not assume you will receive an automatic screening invitation
- If you have bowel symptoms, seek healthcare rather than waiting for screening
- Screening cost: Free or subsidised
David, 61, receives a letter containing a bowel screening kit. At first, he assumes it's been sent by mistake — he feels healthy and has no symptoms.
After reading the information, he realises it's part of Sweden's national bowel cancer screening programme. He completes the test in a few minutes at home and posts it back the same day. Whether the result is normal or requires further investigation, the programme is designed to detect potential problems as early as possible.
- Your legal status can affect how you access organised screening and whether you receive an automatic invitation. If you don't receive an invitation, contact healthcare to ask what applies to you
- People without a registered address, or with protected personal information, don't automatically receive the stool-test invitation, but can contact the cancer-prevention/screening unit to find out how to participate
This information is general guidance, does not constitute medical advice, and should not replace advice from a healthcare professional.
- Don’t ignore the kit — it’s life-saving screening
- Keep your address updated if you move regions
↗︎ National colorectal screening programme
↗︎ 1177 screening overview
↗︎ Riksdag (Swedish parliamentary website)
a test kit arrived in the mail — is this real?
Yes. Many internationals think it’s a mistake or spam, but it is part of Sweden’s national screening programme.
do I really need to do this if I feel fine?
Yes. The entire purpose is early detection before symptoms appear.
what if I don’t understand the instructions?
You can call 1177 for help in English or request interpretation.
what if I ignore the kit?
You may receive reminders or future invitations, but it’s strongly recommended to complete it for your own sake.
