diff --git a/desktop/app/src/chrome/DoctorBar.tsx b/desktop/app/src/chrome/DoctorBar.tsx
index bc7dbcdb6..779fb665b 100644
--- a/desktop/app/src/chrome/DoctorBar.tsx
+++ b/desktop/app/src/chrome/DoctorBar.tsx
@@ -141,13 +141,9 @@ class DoctorBar extends Component<Props, State> {
 }
 
 export default connect<StateFromProps, DispatchFromProps, {}, Store>(
-  ({
-    settingsState: {enableAndroid, enableIOS},
-    healthchecks: {healthcheckReport},
-  }) => ({
-    enableAndroid,
-    enableIOS,
+  ({settingsState, healthchecks: {healthcheckReport}}) => ({
     healthcheckReport,
+    settings: settingsState,
   }),
   {
     setActiveSheet,
diff --git a/desktop/app/src/chrome/DoctorSheet.tsx b/desktop/app/src/chrome/DoctorSheet.tsx
index e898a4a85..e1d035c6c 100644
--- a/desktop/app/src/chrome/DoctorSheet.tsx
+++ b/desktop/app/src/chrome/DoctorSheet.tsx
@@ -406,13 +406,9 @@ class DoctorSheet extends Component<Props, State> {
 }
 
 export default connect<StateFromProps, DispatchFromProps, OwnProps, Store>(
-  ({
-    healthchecks: {healthcheckReport},
-    settingsState: {enableAndroid, enableIOS},
-  }) => ({
+  ({healthchecks: {healthcheckReport}, settingsState}) => ({
     healthcheckReport,
-    enableAndroid,
-    enableIOS,
+    settings: settingsState,
   }),
   {
     startHealthchecks,
diff --git a/desktop/app/src/chrome/SettingsSheet.tsx b/desktop/app/src/chrome/SettingsSheet.tsx
index e58471af7..08df6622d 100644
--- a/desktop/app/src/chrome/SettingsSheet.tsx
+++ b/desktop/app/src/chrome/SettingsSheet.tsx
@@ -85,6 +85,7 @@ class SettingsSheet extends Component<Props, State> {
       enableAndroid,
       androidHome,
       enableIOS,
+      enablePhysicalIOS,
       enablePrefetching,
       idbPath,
       reactNative,
@@ -138,16 +139,29 @@ class SettingsSheet extends Component<Props, State> {
               content={'iOS development is only supported on MacOS'}
             />
           )}
-          <FilePathConfigField
-            label="IDB binary location"
-            defaultValue={idbPath}
-            isRegularFile={true}
+          <ToggledSection
+            label="Enable physical iOS devices"
+            toggled={enablePhysicalIOS}
+            frozen={false}
             onChange={(v) => {
               this.setState({
-                updatedSettings: {...this.state.updatedSettings, idbPath: v},
+                updatedSettings: {
+                  ...this.state.updatedSettings,
+                  enablePhysicalIOS: v,
+                },
               });
-            }}
-          />
+            }}>
+            <FilePathConfigField
+              label="IDB binary location"
+              defaultValue={idbPath}
+              isRegularFile={true}
+              onChange={(v) => {
+                this.setState({
+                  updatedSettings: {...this.state.updatedSettings, idbPath: v},
+                });
+              }}
+            />
+          </ToggledSection>
         </ToggledSection>
         <LauncherSettingsPanel
           isPrefetchingEnabled={enablePrefetching}
diff --git a/desktop/app/src/chrome/settings/configFields.tsx b/desktop/app/src/chrome/settings/configFields.tsx
index 7e80d2514..143ad19a7 100644
--- a/desktop/app/src/chrome/settings/configFields.tsx
+++ b/desktop/app/src/chrome/settings/configFields.tsx
@@ -17,6 +17,8 @@ import path from 'path';
 const ConfigFieldContainer = styled(FlexRow)({
   paddingLeft: 10,
   paddingRight: 10,
+  marginBottom: 5,
+  paddingTop: 5,
 });
 
 const InfoText = styled(Text)({
diff --git a/desktop/app/src/dispatcher/iOSDevice.tsx b/desktop/app/src/dispatcher/iOSDevice.tsx
index 110f452d7..9ff132bfa 100644
--- a/desktop/app/src/dispatcher/iOSDevice.tsx
+++ b/desktop/app/src/dispatcher/iOSDevice.tsx
@@ -258,7 +258,9 @@ export default (store: Store, logger: Logger) => {
   isXcodeDetected().then((isDetected) => {
     store.dispatch(setXcodeDetected(isDetected));
     if (isDetected) {
-      startDevicePortForwarders();
+      if (store.getState().settingsState.enablePhysicalIOS) {
+        startDevicePortForwarders();
+      }
       return queryDevicesForever(store, logger);
     }
   });
diff --git a/desktop/app/src/reducers/settings.tsx b/desktop/app/src/reducers/settings.tsx
index 8966193ee..516ad71e2 100644
--- a/desktop/app/src/reducers/settings.tsx
+++ b/desktop/app/src/reducers/settings.tsx
@@ -21,6 +21,7 @@ export type Settings = {
   androidHome: string;
   enableAndroid: boolean;
   enableIOS: boolean;
+  enablePhysicalIOS: boolean;
   /**
    * If unset, this will assume the value of the GK setting.
    * Note that this setting has no effect in the open source version
@@ -57,6 +58,7 @@ const initialState: Settings = {
   androidHome: getDefaultAndroidSdkPath(),
   enableAndroid: true,
   enableIOS: os.platform() === 'darwin',
+  enablePhysicalIOS: os.platform() === 'darwin',
   enablePrefetching: Tristate.Unset,
   idbPath: '/usr/local/bin/idb',
   jsApps: {
diff --git a/desktop/app/src/utils/runHealthchecks.tsx b/desktop/app/src/utils/runHealthchecks.tsx
index 6c51350c6..0d49044c3 100644
--- a/desktop/app/src/utils/runHealthchecks.tsx
+++ b/desktop/app/src/utils/runHealthchecks.tsx
@@ -25,15 +25,19 @@ export type HealthcheckEventsHandler = {
 };
 
 export type HealthcheckSettings = {
-  enableAndroid: boolean;
-  enableIOS: boolean;
+  settings: {
+    enableAndroid: boolean;
+    enableIOS: boolean;
+    enablePhysicalIOS: boolean;
+    idbPath: string;
+  };
 };
 
 export type HealthcheckOptions = HealthcheckEventsHandler & HealthcheckSettings;
 
 async function launchHealthchecks(options: HealthcheckOptions): Promise<void> {
   const healthchecks = getHealthchecks();
-  if (!options.enableAndroid) {
+  if (!options.settings.enableAndroid) {
     healthchecks.android = {
       label: healthchecks.android.label,
       isSkipped: true,
@@ -41,7 +45,7 @@ async function launchHealthchecks(options: HealthcheckOptions): Promise<void> {
         'Healthcheck is skipped, because "Android Development" option is disabled in the Flipper settings',
     };
   }
-  if (!options.enableIOS) {
+  if (!options.settings.enableIOS) {
     healthchecks.ios = {
       label: healthchecks.ios.label,
       isSkipped: true,
@@ -57,7 +61,7 @@ async function launchHealthchecks(options: HealthcheckOptions): Promise<void> {
       continue;
     }
     for (const h of category.healthchecks) {
-      const checkResult = await h.run(environmentInfo);
+      const checkResult = await h.run(environmentInfo, options.settings);
       const metricName = `doctor:${h.key.replace('.', ':')}.healthcheck`; // e.g. "doctor:ios:xcode-select.healthcheck"
       if (checkResult.hasProblem) {
         hasProblems = true;
diff --git a/desktop/doctor/src/index.ts b/desktop/doctor/src/index.ts
index d98be88e5..cf132cb59 100644
--- a/desktop/doctor/src/index.ts
+++ b/desktop/doctor/src/index.ts
@@ -34,11 +34,19 @@ export type Healthchecks = {
   ios: HealthcheckCategory | SkippedHealthcheckCategory;
 };
 
+export type Settings = {
+  idbPath: string;
+  enablePhysicalIOS: boolean;
+};
+
 export type Healthcheck = {
   key: string;
   label: string;
   isRequired?: boolean;
-  run: (env: EnvironmentInfo) => Promise<HealthchecRunResult>;
+  run: (
+    env: EnvironmentInfo,
+    settings?: Settings,
+  ) => Promise<HealthchecRunResult>;
 };
 
 export type HealthchecRunResult = {
@@ -204,6 +212,41 @@ export function getHealthchecks(): Healthchecks {
                   };
                 },
               },
+              {
+                key: 'ios.idb',
+                label: 'IDB installed',
+                isRequired: false,
+                run: async (
+                  _: EnvironmentInfo,
+                  settings?: {enablePhysicalIOS: boolean; idbPath: string},
+                ) => {
+                  if (!settings) {
+                    return {
+                      hasProblem: false,
+                      message:
+                        'Not enough context to check IDB installation. Needs to be run through Flipper UI.',
+                    };
+                  }
+                  if (!settings.enablePhysicalIOS) {
+                    return {
+                      hasProblem: false,
+                      message:
+                        'Using physical iOS devices is disabled in settings. So IDB is not required.',
+                    };
+                  }
+                  const result = await tryExecuteCommand(
+                    `${settings?.idbPath} --help`,
+                  );
+                  const hasProblem = result.hasProblem;
+                  const message = hasProblem
+                    ? `IDB is required to use Flipper with iOS devices. It can be installed from https://github.com/facebook/idb and configured in Flipper settings. You can also disable physical iOS device support in settings. Current setting: ${settings.idbPath} isn't a valid IDB installation.`
+                    : 'Flipper is configured to use your IDB installation.';
+                  return {
+                    hasProblem,
+                    message,
+                  };
+                },
+              },
             ],
           }
         : {