Claustrophobia, deafness, and having an abnormally large head are among the reasons cyclists have been excused from wearing a helmet.
New Zealand Transport Agency data released under the Official Information Act shows 90 people have been granted exemptions from wearing bike helmets since 2000.
This year three exemptions have been granted, all for claustrophobia and/or headaches.
In the previous 13 years, riders have been excused from wearing a helmet for medical reasons including epilepsy, spinal damage, deafness, excessive sweating, head or face injuries, respiratory problems and asthma from the strap, and being physically unable to fasten the strap.
Riders with abnormally large heads accounted for 11 exemptions, while the most common reason, headaches and/or claustrophobia, was claimed by 36 riders.