Pisa's Galileo Galilei Airport is the main airport in Tuscany, handling domestic and European flights and a newly launched flight to New York operated by Delta Airlines. Other airlines operating to Pisa include British Airways, Thomsonfly, Ryanair, Easyjet, and Jet2.com.

Handling mainly European flights, Rome Ciampino Airport is situated 15km to the west of Rome. There is a bus and train service connecting the airport with Roma Termini main railway station. From Roma Termini there are regular direct trains for Livorno. The journey takes about 3 hours.

Rome has two international airports. Fiumicino (also known as Leonardo Da Vinci) is situated 32km to the west of Rome, on the coast. There are regular train connections from the airport to Roma Termini railway station. There is a regular train service from Roma Termini to Livorno and the journey takes about 3 hours.