@David *******
, I just renewed my 5year drivers license for the second time last November, and you do need the medical certificate, but, just ask one of the motorbike taxi drivers to take you to get it. Takes about 30 minutes, and bt170. You also now need a residency certificate, you can get either at CW, or from your embassy. CW is free, and your embassy charges their regular notary fee. At US embassy that is US$50, or bt1800. cW mails it to you and the embassy gives it to you on the spot. Five years ago I was allowed to use my utility bill, but not any more. Still have to take depth perception test, and the reaction test, then watch the safety video again. If your license is expired there is the bt100 fine still.