If you're flying the same or similar airframe/platform, you'll need to pass AF FCII standards IAW AFI 48-123 para 6.24.7.1. Yes, you will need a separate AF Waiver. The condition is listed in the AF waiver Guide under "Kidney Disease, Chronic." Thankfully, the FCII waiver is very achievable. For FCII and Trained, Kidney Disease stages 1-3 are waive-able and all exams can be accomplished locally, Stage 4 requires a TDY to WPAFB (ACS) and waiver is unlikely. Stage 5 is not waive-able. You will need a recent Nephrology consult. Contact your Navy FS and coordinate with an AF FS to discuss the AF-approved Hypertension and Pain medications available to you, and make sure you are taking the right meds. You need to demonstrate control on these medications for the waiver to pass. The list is known as the "Official Air Force Aerospace Medicine Approved Medications," last updated on 30 May 2015. Separate of all this is the (non-flying) Accession/Retention standard for the Air Force. I believe you are very lucky that you are currently serving, and you must not have a break in service in your conversion to the AF. AFI 48-123 para 4.2.1. would not apply to you because you are already Commissioned. Therefore, DODI 6130.03 (Accession) does not apply, just the normal retention standard of the Medical Standards Directory, which states: Because you are well controlled and at the earliest stages, I think you might get away with not needing an MEB also. Either way, your Recruiter will probably need to push a waiver for you and it will similarly probably be approved. Get your gaining unit to write a nice memorandum of support, including some statement of needing Pilots to meet mission requirements and that you are excellently qualified among their applicants. Those letters do help. If unfortunately your condition and prognosis is poor, you MUST get any LOD benefits through the Navy. The Air Force Reserve would deny your LOD because the Navy owned you at the time of diagnosis and development. Are you AD Navy or Reserve Navy? Finally, I looked for similar cases in the AF flying waiver system and your chances are very good.