diff --git a/sgl-model-gateway/README.md b/sgl-model-gateway/README.md
index 25b34ce6e..4c4f92da0 100644
--- a/sgl-model-gateway/README.md
+++ b/sgl-model-gateway/README.md
@@ -729,7 +729,7 @@ Router flags map to these values:
 - **Retries**: Default max retries = 5 with exponential backoff (`--retry-max-retries`, `--retry-initial-backoff-ms`, `--retry-max-backoff-ms`, `--retry-backoff-multiplier`, `--retry-jitter-factor`). Retries trigger on 408/429/500/502/503/504.
 - **Circuit Breakers**: Per worker thresholds (`--cb-failure-threshold`, `--cb-success-threshold`, `--cb-timeout-duration-secs`, `--cb-window-duration-secs`). Disable via `--disable-circuit-breaker`.
 - **Rate Limiting**: Token bucket driven by `--max-concurrent-requests`. Set `--rate-limit-tokens-per-second` to override refill rate. Configure request queue via `--queue-size` and `--queue-timeout-secs`; queued requests observe FIFO order and respect cancellation.
-- **Health Checks**: Runtime probes via `--health-check-interval-secs`, `--health-check-timeout-secs`, failure/success thresholds, and `--health-check-endpoint`.
+- **Health Checks**: Runtime probes via `--health-check-interval-secs`, `--health-check-timeout-secs`, failure/success thresholds, and `--health-check-endpoint`. Use `--disable-health-check` to skip health checks entirely.
 - **Cache Management**: `/flush_cache` ensures LRU eviction when redeploying PD workers.
 
 ## Load Balancing Policies
diff --git a/sgl-model-gateway/bindings/python/src/lib.rs b/sgl-model-gateway/bindings/python/src/lib.rs
index fec324fa5..e10d602b2 100644
--- a/sgl-model-gateway/bindings/python/src/lib.rs
+++ b/sgl-model-gateway/bindings/python/src/lib.rs
@@ -391,6 +391,7 @@ struct Router {
     health_check_timeout_secs: u64,
     health_check_interval_secs: u64,
     health_check_endpoint: String,
+    disable_health_check: bool,
     enable_igw: bool,
     queue_size: usize,
     queue_timeout_secs: u64,
@@ -591,6 +592,7 @@ impl Router {
                 timeout_secs: self.health_check_timeout_secs,
                 check_interval_secs: self.health_check_interval_secs,
                 endpoint: self.health_check_endpoint.clone(),
+                disable_health_check: self.disable_health_check,
             })
             .tokenizer_cache(config::TokenizerCacheConfig {
                 enable_l0: self.tokenizer_cache_enable_l0,
@@ -692,6 +694,7 @@ impl Router {
         health_check_timeout_secs = 5,
         health_check_interval_secs = 60,
         health_check_endpoint = String::from("/health"),
+        disable_health_check = false,
         enable_igw = false,
         queue_size = 100,
         queue_timeout_secs = 60,
@@ -777,6 +780,7 @@ impl Router {
         health_check_timeout_secs: u64,
         health_check_interval_secs: u64,
         health_check_endpoint: String,
+        disable_health_check: bool,
         enable_igw: bool,
         queue_size: usize,
         queue_timeout_secs: u64,
@@ -875,6 +879,7 @@ impl Router {
             health_check_timeout_secs,
             health_check_interval_secs,
             health_check_endpoint,
+            disable_health_check,
             enable_igw,
             queue_size,
             queue_timeout_secs,
diff --git a/sgl-model-gateway/bindings/python/src/sglang_router/router_args.py b/sgl-model-gateway/bindings/python/src/sglang_router/router_args.py
index 88b48caf3..e9413bfc4 100644
--- a/sgl-model-gateway/bindings/python/src/sglang_router/router_args.py
+++ b/sgl-model-gateway/bindings/python/src/sglang_router/router_args.py
@@ -86,6 +86,7 @@ class RouterArgs:
     health_check_timeout_secs: int = 5
     health_check_interval_secs: int = 60
     health_check_endpoint: str = "/health"
+    disable_health_check: bool = False
     # Circuit breaker configuration
     cb_failure_threshold: int = 10
     cb_success_threshold: int = 3
@@ -599,6 +600,12 @@ class RouterArgs:
             default=RouterArgs.health_check_endpoint,
             help="Health check endpoint path",
         )
+        health_group.add_argument(
+            f"--{prefix}disable-health-check",
+            action="store_true",
+            default=RouterArgs.disable_health_check,
+            help="Disable all worker health checks at startup",
+        )
         # Tokenizer configuration
         tokenizer_group.add_argument(
             f"--{prefix}model-path",
diff --git a/sgl-model-gateway/e2e_test/router/test_worker_api.py b/sgl-model-gateway/e2e_test/router/test_worker_api.py
index 2fc9f3adf..61bc697b6 100644
--- a/sgl-model-gateway/e2e_test/router/test_worker_api.py
+++ b/sgl-model-gateway/e2e_test/router/test_worker_api.py
@@ -157,3 +157,64 @@ class TestIGWMode:
                 logger.info("Worker: id=%s, url=%s", w.id, w.url)
         finally:
             gateway.shutdown()
+
+
+@pytest.mark.e2e
+class TestDisableHealthCheck:
+    """Tests for --disable-health-check CLI option."""
+
+    def test_disable_health_check_workers_immediately_healthy(
+        self, model_pool: ModelPool
+    ):
+        """Test that workers are immediately healthy when health checks are disabled."""
+        http_instance = model_pool.get("llama-8b", ConnectionMode.HTTP)
+
+        gateway = Gateway()
+        gateway.start(
+            igw_mode=True,
+            extra_args=["--disable-health-check"],
+        )
+
+        try:
+            # Add worker - should be immediately healthy since health checks are disabled
+            success, worker_id = gateway.add_worker(
+                http_instance.worker_url,
+                wait_ready=True,
+                ready_timeout=10,  # Short timeout since it should be immediate
+            )
+            assert success, f"Failed to add worker: {worker_id}"
+            logger.info("Added worker with health checks disabled: %s", worker_id)
+
+            # Verify worker is healthy
+            workers = gateway.list_workers()
+            assert len(workers) >= 1, "Expected at least one worker"
+
+            for worker in workers:
+                logger.info(
+                    "Worker: id=%s, status=%s, disable_health_check=%s",
+                    worker.id,
+                    worker.status,
+                    worker.metadata.get("disable_health_check"),
+                )
+                # Worker should be healthy immediately
+                assert (
+                    worker.status == "healthy"
+                ), "Worker should be healthy when health checks disabled"
+        finally:
+            gateway.shutdown()
+
+    def test_disable_health_check_gateway_starts_without_health_checker(
+        self, model_pool: ModelPool
+    ):
+        """Test that gateway starts successfully with health checks disabled."""
+        gateway = Gateway()
+        gateway.start(
+            igw_mode=True,
+            extra_args=["--disable-health-check"],
+        )
+
+        try:
+            assert gateway.health(), "Gateway should be healthy"
+            logger.info("Gateway started with health checks disabled")
+        finally:
+            gateway.shutdown()
diff --git a/sgl-model-gateway/src/config/types.rs b/sgl-model-gateway/src/config/types.rs
index 75cabacc2..6c22ebfff 100644
--- a/sgl-model-gateway/src/config/types.rs
+++ b/sgl-model-gateway/src/config/types.rs
@@ -554,6 +554,7 @@ pub struct HealthCheckConfig {
     pub timeout_secs: u64,
     pub check_interval_secs: u64,
     pub endpoint: String,
+    pub disable_health_check: bool,
 }
 
 impl Default for HealthCheckConfig {
@@ -564,6 +565,7 @@ impl Default for HealthCheckConfig {
             timeout_secs: 5,
             check_interval_secs: 60,
             endpoint: "/health".to_string(),
+            disable_health_check: false,
         }
     }
 }
diff --git a/sgl-model-gateway/src/core/job_queue.rs b/sgl-model-gateway/src/core/job_queue.rs
index 6412f7d6e..a98486ae9 100644
--- a/sgl-model-gateway/src/core/job_queue.rs
+++ b/sgl-model-gateway/src/core/job_queue.rs
@@ -590,6 +590,9 @@ impl JobQueue {
                                 health_failure_threshold: router_config
                                     .health_check
                                     .failure_threshold,
+                                disable_health_check: router_config
+                                    .health_check
+                                    .disable_health_check,
                                 max_connection_attempts: router_config
                                     .health_check
                                     .success_threshold
@@ -652,6 +655,7 @@ impl JobQueue {
                         health_check_interval_secs: router_config.health_check.check_interval_secs,
                         health_success_threshold: router_config.health_check.success_threshold,
                         health_failure_threshold: router_config.health_check.failure_threshold,
+                        disable_health_check: router_config.health_check.disable_health_check,
                         max_connection_attempts: router_config.health_check.success_threshold * 10,
                         dp_aware: router_config.dp_aware,
                     };
diff --git a/sgl-model-gateway/src/core/steps/worker/external/create_workers.rs b/sgl-model-gateway/src/core/steps/worker/external/create_workers.rs
index e23c240f4..cc91a9344 100644
--- a/sgl-model-gateway/src/core/steps/worker/external/create_workers.rs
+++ b/sgl-model-gateway/src/core/steps/worker/external/create_workers.rs
@@ -60,6 +60,7 @@ impl StepExecutor<ExternalWorkerWorkflowData> for CreateExternalWorkersStep {
                 endpoint: cfg.endpoint.clone(),
                 failure_threshold: cfg.failure_threshold,
                 success_threshold: cfg.success_threshold,
+                disable_health_check: cfg.disable_health_check || config.disable_health_check,
             }
         };
 
@@ -98,7 +99,11 @@ impl StepExecutor<ExternalWorkerWorkflowData> for CreateExternalWorkersStep {
             }
 
             let worker = Arc::new(builder.build()) as Arc<dyn Worker>;
-            worker.set_healthy(false);
+            if health_config.disable_health_check {
+                worker.set_healthy(true);
+            } else {
+                worker.set_healthy(false);
+            }
 
             info!(
                 "Created wildcard worker at {} (accepts any model, user auth forwarded)",
@@ -132,7 +137,11 @@ impl StepExecutor<ExternalWorkerWorkflowData> for CreateExternalWorkersStep {
                 }
 
                 let worker = Arc::new(builder.build()) as Arc<dyn Worker>;
-                worker.set_healthy(false);
+                if health_config.disable_health_check {
+                    worker.set_healthy(true);
+                } else {
+                    worker.set_healthy(false);
+                }
 
                 debug!(
                     "Created external worker for model {} at {}",
diff --git a/sgl-model-gateway/src/core/steps/worker/local/create_worker.rs b/sgl-model-gateway/src/core/steps/worker/local/create_worker.rs
index 1fc20fc87..12b577d7a 100644
--- a/sgl-model-gateway/src/core/steps/worker/local/create_worker.rs
+++ b/sgl-model-gateway/src/core/steps/worker/local/create_worker.rs
@@ -106,7 +106,7 @@ impl StepExecutor<LocalWorkerWorkflowData> for CreateLocalWorkerStep {
         let circuit_breaker_config = build_circuit_breaker_config(app_context);
 
         // Build health config
-        let health_config = build_health_config(app_context);
+        let health_config = build_health_config(app_context, config);
 
         // Normalize URL
         let normalized_url = normalize_url(&config.url, connection_mode);
@@ -270,7 +270,7 @@ fn build_circuit_breaker_config(app_context: &AppContext) -> CircuitBreakerConfi
     }
 }
 
-fn build_health_config(app_context: &AppContext) -> HealthConfig {
+fn build_health_config(app_context: &AppContext, config: &WorkerConfigRequest) -> HealthConfig {
     let cfg = &app_context.router_config.health_check;
     HealthConfig {
         timeout_secs: cfg.timeout_secs,
@@ -278,6 +278,7 @@ fn build_health_config(app_context: &AppContext) -> HealthConfig {
         endpoint: cfg.endpoint.clone(),
         failure_threshold: cfg.failure_threshold,
         success_threshold: cfg.success_threshold,
+        disable_health_check: cfg.disable_health_check || config.disable_health_check,
     }
 }
 
@@ -334,7 +335,11 @@ fn create_dp_aware_workers(
         }
 
         let worker = Arc::new(builder.build()) as Arc<dyn Worker>;
-        worker.set_healthy(false);
+        if health_config.disable_health_check {
+            worker.set_healthy(true);
+        } else {
+            worker.set_healthy(false);
+        }
         workers.push(worker);
 
         debug!(
@@ -358,6 +363,8 @@ fn create_single_worker(
     config: &WorkerConfigRequest,
     final_labels: &HashMap<String, String>,
 ) -> Vec<Arc<dyn Worker>> {
+    let health_check_disabled = health_config.disable_health_check;
+
     let mut builder = BasicWorkerBuilder::new(normalized_url.to_string())
         .model(model_card)
         .worker_type(worker_type)
@@ -374,7 +381,11 @@ fn create_single_worker(
     }
 
     let worker = Arc::new(builder.build()) as Arc<dyn Worker>;
-    worker.set_healthy(false);
+    if health_check_disabled {
+        worker.set_healthy(true);
+    } else {
+        worker.set_healthy(false);
+    }
 
     debug!(
         "Created worker object for {} ({:?}) with {} labels",
diff --git a/sgl-model-gateway/src/core/steps/worker/local/update_worker_properties.rs b/sgl-model-gateway/src/core/steps/worker/local/update_worker_properties.rs
index d5b40bf9d..48a459876 100644
--- a/sgl-model-gateway/src/core/steps/worker/local/update_worker_properties.rs
+++ b/sgl-model-gateway/src/core/steps/worker/local/update_worker_properties.rs
@@ -80,6 +80,9 @@ impl StepExecutor<WorkerUpdateWorkflowData> for UpdateWorkerPropertiesStep {
                 success_threshold: request
                     .health_success_threshold
                     .unwrap_or(existing_health.success_threshold),
+                disable_health_check: request
+                    .disable_health_check
+                    .unwrap_or(existing_health.disable_health_check),
             };
 
             // Determine API key: use new one if provided, otherwise keep existing
diff --git a/sgl-model-gateway/src/core/worker.rs b/sgl-model-gateway/src/core/worker.rs
index 86310df80..4c7c2cc48 100644
--- a/sgl-model-gateway/src/core/worker.rs
+++ b/sgl-model-gateway/src/core/worker.rs
@@ -531,6 +531,8 @@ pub struct HealthConfig {
     pub failure_threshold: u32,
     /// Number of consecutive successes before marking healthy
     pub success_threshold: u32,
+    /// Whether to disable health checks for this worker
+    pub disable_health_check: bool,
 }
 
 impl Default for HealthConfig {
@@ -541,6 +543,7 @@ impl Default for HealthConfig {
             endpoint: "/health".to_string(),
             failure_threshold: 3,
             success_threshold: 2,
+            disable_health_check: false,
         }
     }
 }
@@ -698,6 +701,13 @@ impl Worker for BasicWorker {
     }
 
     async fn check_health_async(&self) -> WorkerResult<()> {
+        if self.metadata.health_config.disable_health_check {
+            if !self.is_healthy() {
+                self.set_healthy(true);
+            }
+            return Ok(());
+        }
+
         let health_result = match &self.metadata.connection_mode {
             ConnectionMode::Http => self.http_health_check().await?,
             ConnectionMode::Grpc { .. } => self.grpc_health_check().await?,
@@ -1249,6 +1259,7 @@ pub fn worker_to_info(worker: &Arc<dyn Worker>) -> WorkerInfo {
         chat_template: worker.chat_template(model_id).map(String::from),
         bootstrap_port,
         metadata: worker.metadata().labels.clone(),
+        disable_health_check: worker.metadata().health_config.disable_health_check,
         job_status: None,
     }
 }
@@ -1322,6 +1333,7 @@ mod tests {
         assert_eq!(config.endpoint, "/health");
         assert_eq!(config.failure_threshold, 3);
         assert_eq!(config.success_threshold, 2);
+        assert!(!config.disable_health_check);
     }
 
     #[test]
@@ -1332,12 +1344,14 @@ mod tests {
             endpoint: "/healthz".to_string(),
             failure_threshold: 5,
             success_threshold: 3,
+            disable_health_check: true,
         };
         assert_eq!(config.timeout_secs, 10);
         assert_eq!(config.check_interval_secs, 60);
         assert_eq!(config.endpoint, "/healthz");
         assert_eq!(config.failure_threshold, 5);
         assert_eq!(config.success_threshold, 3);
+        assert!(config.disable_health_check);
     }
 
     #[test]
@@ -1376,6 +1390,7 @@ mod tests {
             endpoint: "/custom-health".to_string(),
             failure_threshold: 4,
             success_threshold: 2,
+            disable_health_check: false,
         };
 
         use crate::core::BasicWorkerBuilder;
diff --git a/sgl-model-gateway/src/core/worker_builder.rs b/sgl-model-gateway/src/core/worker_builder.rs
index f62cdd57c..5b04d28e4 100644
--- a/sgl-model-gateway/src/core/worker_builder.rs
+++ b/sgl-model-gateway/src/core/worker_builder.rs
@@ -397,6 +397,7 @@ mod tests {
             check_interval_secs: 60,
             failure_threshold: 3,
             success_threshold: 2,
+            disable_health_check: false,
         };
 
         let cb_config = CircuitBreakerConfig {
@@ -489,6 +490,7 @@ mod tests {
             check_interval_secs: 45,
             failure_threshold: 5,
             success_threshold: 3,
+            disable_health_check: false,
         };
 
         let worker = DPAwareWorkerBuilder::new("http://localhost:8080", 3, 16)
diff --git a/sgl-model-gateway/src/core/worker_registry.rs b/sgl-model-gateway/src/core/worker_registry.rs
index a81e02189..67a048f85 100644
--- a/sgl-model-gateway/src/core/worker_registry.rs
+++ b/sgl-model-gateway/src/core/worker_registry.rs
@@ -671,6 +671,7 @@ impl WorkerRegistry {
                 // This is especially important when there are many workers
                 let health_futures: Vec<_> = workers
                     .iter()
+                    .filter(|worker| !worker.metadata().health_config.disable_health_check)
                     .map(|worker| {
                         let worker = worker.clone();
                         async move {
diff --git a/sgl-model-gateway/src/main.rs b/sgl-model-gateway/src/main.rs
index aee652d37..aacea0d9e 100644
--- a/sgl-model-gateway/src/main.rs
+++ b/sgl-model-gateway/src/main.rs
@@ -378,6 +378,10 @@ struct CliArgs {
     #[arg(long, default_value = "/health", help_heading = "Health Checks")]
     health_check_endpoint: String,
 
+    /// Disable all worker health checks at startup
+    #[arg(long, default_value_t = false, help_heading = "Health Checks")]
+    disable_health_check: bool,
+
     // ==================== Tokenizer ====================
     /// Model path for loading tokenizer (HuggingFace ID or local path)
     #[arg(long, help_heading = "Tokenizer")]
@@ -987,6 +991,7 @@ impl CliArgs {
                 timeout_secs: self.health_check_timeout_secs,
                 check_interval_secs: self.health_check_interval_secs,
                 endpoint: self.health_check_endpoint.clone(),
+                disable_health_check: self.disable_health_check,
             })
             .tokenizer_cache(TokenizerCacheConfig {
                 enable_l0: self.tokenizer_cache_enable_l0,
diff --git a/sgl-model-gateway/src/protocols/worker_spec.rs b/sgl-model-gateway/src/protocols/worker_spec.rs
index 89601c8af..afd2340ea 100644
--- a/sgl-model-gateway/src/protocols/worker_spec.rs
+++ b/sgl-model-gateway/src/protocols/worker_spec.rs
@@ -80,6 +80,10 @@ pub struct WorkerConfigRequest {
     #[serde(default = "default_health_failure_threshold")]
     pub health_failure_threshold: u32,
 
+    /// Disable periodic health checks for this worker (default: false)
+    #[serde(default)]
+    pub disable_health_check: bool,
+
     /// Maximum connection attempts during worker registration (default: 20)
     #[serde(default = "default_max_connection_attempts")]
     pub max_connection_attempts: u32,
@@ -165,6 +169,9 @@ pub struct WorkerInfo {
     #[serde(skip_serializing_if = "HashMap::is_empty")]
     pub metadata: HashMap<String, String>,
 
+    /// Whether health checks are disabled for this worker
+    pub disable_health_check: bool,
+
     /// Job status for async operations (if available)
     #[serde(skip_serializing_if = "Option::is_none")]
     pub job_status: Option<JobStatus>,
@@ -191,6 +198,7 @@ impl WorkerInfo {
             chat_template: None,
             bootstrap_port: None,
             metadata: HashMap::new(),
+            disable_health_check: false,
             job_status,
         }
     }
@@ -271,6 +279,10 @@ pub struct WorkerUpdateRequest {
     /// Update health failure threshold
     #[serde(skip_serializing_if = "Option::is_none")]
     pub health_failure_threshold: Option<u32>,
+
+    /// Disable periodic health checks for this worker
+    #[serde(skip_serializing_if = "Option::is_none")]
+    pub disable_health_check: Option<bool>,
 }
 
 /// Generic API response
diff --git a/sgl-model-gateway/src/server.rs b/sgl-model-gateway/src/server.rs
index a785cbd34..cc4749941 100644
--- a/sgl-model-gateway/src/server.rs
+++ b/sgl-model-gateway/src/server.rs
@@ -880,13 +880,17 @@ pub async fn startup(config: ServerConfig) -> Result<(), Box<dyn std::error::Err
     let router_manager = RouterManager::from_config(&config, &app_context).await?;
     let router: Arc<dyn RouterTrait> = router_manager.clone();
 
-    let _health_checker = app_context
-        .worker_registry
-        .start_health_checker(config.router_config.health_check.check_interval_secs);
-    debug!(
-        "Started health checker for workers with {}s interval",
-        config.router_config.health_check.check_interval_secs
-    );
+    if !config.router_config.health_check.disable_health_check {
+        let _health_checker = app_context
+            .worker_registry
+            .start_health_checker(config.router_config.health_check.check_interval_secs);
+        debug!(
+            "Started health checker for workers with {}s interval",
+            config.router_config.health_check.check_interval_secs
+        );
+    } else {
+        info!("Global health checks disabled via CLI/config; skipping health checker");
+    }
 
     if let Some(ref load_monitor) = app_context.load_monitor {
         load_monitor.start().await;
diff --git a/sgl-model-gateway/src/service_discovery.rs b/sgl-model-gateway/src/service_discovery.rs
index 75c1538b9..986ab1f19 100644
--- a/sgl-model-gateway/src/service_discovery.rs
+++ b/sgl-model-gateway/src/service_discovery.rs
@@ -470,6 +470,7 @@ async fn handle_pod_event(
                     .check_interval_secs,
                 health_success_threshold: app_context.router_config.health_check.success_threshold,
                 health_failure_threshold: app_context.router_config.health_check.failure_threshold,
+                disable_health_check: app_context.router_config.health_check.disable_health_check,
                 max_connection_attempts: app_context.router_config.health_check.success_threshold
                     * 20,
                 dp_aware: app_context.router_config.dp_aware,
diff --git a/sgl-model-gateway/tests/routing/policy_registry_integration.rs b/sgl-model-gateway/tests/routing/policy_registry_integration.rs
index 9cf877f5f..77b028a50 100644
--- a/sgl-model-gateway/tests/routing/policy_registry_integration.rs
+++ b/sgl-model-gateway/tests/routing/policy_registry_integration.rs
@@ -41,6 +41,7 @@ async fn test_policy_registry_with_router_manager() {
         health_check_interval_secs: 60,
         health_success_threshold: 2,
         health_failure_threshold: 3,
+        disable_health_check: false,
         max_connection_attempts: 20,
         dp_aware: false,
     };
@@ -73,6 +74,7 @@ async fn test_policy_registry_with_router_manager() {
         health_check_interval_secs: 60,
         health_success_threshold: 2,
         health_failure_threshold: 3,
+        disable_health_check: false,
         max_connection_attempts: 20,
         dp_aware: false,
     };
@@ -101,6 +103,7 @@ async fn test_policy_registry_with_router_manager() {
         health_check_interval_secs: 60,
         health_success_threshold: 2,
         health_failure_threshold: 3,
+        disable_health_check: false,
         max_connection_attempts: 20,
         dp_aware: false,
     };