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Orthopedic Surgeon Salary: A Comprehensive Guide to Earnings in 2024

Orthopedic surgery is one of the most sought-after medical specialties. With an aging population, increased sports participation, and growing rates of musculoskeletal disorders, the demand for orthopedic surgeons continues to rise. One of the most compelling factors that attract individuals to this profession is the salary. In this guide, we will break down the key factors affecting an orthopedic surgeon’s salary, the average salary in different regions, and the highest-paying states, as well as give insights into how an orthopedic surgeon’s salary has evolved in 2024.

What Is the Average Salary of an Orthopedic Surgeon in 2024?

The average salary of an orthopedic surgeon in 2024 is estimated at around $536,000 per year in the United States. However, this figure can vary significantly based on a multitude of factors, such as location, experience, subspecialty, and type of practice (private vs. group practice or hospital employment).

Key Salary Influencers for Orthopedic Surgeons

Several factors determine how much an orthopedic surgeon can earn. Understanding these can give you a better idea of how salaries are structured and what to expect if you’re entering this lucrative field.

1. Geographic Location

Location plays a significant role in determining the salary of an orthopedic surgeon. Surgeons practicing in urban areas with a higher cost of living often command higher salaries, while those in rural areas may earn less but benefit from other forms of compensation, such as lower living expenses and incentives for working in underserved areas.

Some of the highest-paying states for orthopedic surgeons in 2024 include:

  • New York: $620,000
  • California: $610,000
  • Texas: $590,000
  • Florida: $575,000

Surgeons practicing in Midwestern states like Iowa or Nebraska may see lower base salaries but could benefit from lower living costs and attractive relocation packages.

2. Years of Experience

An orthopedic surgeon’s salary tends to increase with experience. Entry-level surgeons might start with salaries ranging from $300,000 to $400,000 per year, while surgeons with more than 10 years of experience can expect earnings in the range of $550,000 to $700,000 annually.

  • Entry-Level Surgeons (0-5 years): $300,000 – $400,000
  • Mid-Level Surgeons (5-10 years): $450,000 – $550,000
  • Experienced Surgeons (10+ years): $600,000 – $700,000+
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3. Subspecialties Within Orthopedics

Orthopedic surgeons who specialize in areas such as spine surgery, joint replacement, or sports medicine tend to earn higher salaries than those in general orthopedics. Subspecialties require additional training but often result in increased demand and compensation.

  • Spine Surgery: $680,000
  • Pediatric Orthopedics: $520,000
  • Sports Medicine: $610,000
  • Joint Replacement: $640,000

Surgeons specializing in high-risk, high-reward procedures, such as complex reconstructive surgeries, typically command the highest pay in the field.

4. Type of Practice

The type of practice an orthopedic surgeon chooses also impacts their salary. Surgeons in private practice tend to earn more than those employed by hospitals or healthcare systems. However, private practice comes with additional responsibilities, such as managing overhead costs and staff, which may offset some of the salary advantages.

  • Private Practice: $600,000 – $700,000
  • Hospital Employment: $500,000 – $600,000
  • Academic Institutions: $350,000 – $450,000

Hospital-employed surgeons often receive additional benefits such as retirement plans, healthcare benefits, and paid time off, which can make up for the lower salary compared to private practitioners.

5. Hours Worked

Orthopedic surgeons generally work long hours, often exceeding 50-60 hours per week. Surgeons who take on additional shifts or emergency cases can see a corresponding increase in their annual earnings. Surgeons involved in on-call duties, especially those affiliated with trauma centers, tend to earn more due to the nature of the cases they handle and the urgency of care required.

Salary Growth Trends in Orthopedic Surgery

Orthopedic surgery has consistently been one of the highest-paying medical specialties. According to recent reports, the demand for orthopedic services is expected to grow at a rate of 5-7% annually, fueled by an aging population and advancements in medical technology that enable new surgical techniques.

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In the last five years, the salary for orthopedic surgeons has seen a steady increase of 2-3% per year, and 2024 continues this trend. Surgical innovation, robot-assisted procedures, and minimally invasive techniques have expanded the scope of orthopedic surgeries, increasing the earning potential for surgeons trained in these advanced procedures.

What Are the Job Outlook and Demand for Orthopedic Surgeons?

The demand for orthopedic surgeons is projected to grow significantly over the next decade. The aging baby boomer population is increasing the need for joint replacements, spine surgeries, and rehabilitative care. Moreover, with the rise of sedentary lifestyles and sports injuries, there is a consistent demand for orthopedic sports medicine specialists.

In fact, the U.S. Bureau of Labor Statistics (BLS) predicts a growth rate of 7% for physicians and surgeons, including orthopedic surgeons, through 2031. The high demand for these specialists is likely to keep salaries competitive in the coming years.

Orthopedic Surgeon Salary in Different Countries

Orthopedic surgeons’ salaries vary dramatically across different countries. While the U.S. remains the highest-paying country for orthopedic surgeons, other countries offer competitive compensation packages.

  • Canada: $450,000
  • United Kingdom: $320,000
  • Australia: $410,000
  • Germany: $380,000
  • India: $120,000

The variance in salaries can be attributed to healthcare system structures, demand for services, and differences in the cost of living.

What Benefits Do Orthopedic Surgeons Typically Receive?

In addition to a lucrative salary, orthopedic surgeons often receive a comprehensive benefits package. This can include:

  • Healthcare coverage for the surgeon and their family.
  • Retirement plans such as 401(k) with employer matching.
  • Malpractice insurance, often covered by the employer.
  • Paid time off (PTO) and vacation days.
  • Continuing education stipends to keep up with the latest medical advancements.
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Some practices may also offer signing bonuses, relocation assistance, and student loan repayment programs to attract top talent.

How to Increase an Orthopedic Surgeon’s Salary?

There are several ways orthopedic surgeons can increase their earning potential over time.

1. Pursue a Subspecialty

Subspecialties such as spine surgery, pediatric orthopedics, or oncological orthopedics are highly specialized and in-demand, allowing surgeons to command higher salaries.

2. Seek Employment in High-Demand Regions

Orthopedic surgeons who are willing to relocate to regions with a shortage of specialists, such as rural or underserved areas, may be offered higher salaries and bonuses to attract their services.

3. Private Practice Ownership

Running a private practice can significantly increase earnings. However, it comes with additional risks and responsibilities, such as managing business operations, hiring staff, and covering overhead costs.

4. Participate in Research and Academic Work

Orthopedic surgeons involved in academic research or those who publish papers in medical journals can increase their visibility and reputation, leading to opportunities for consulting and speaking engagements that supplement their income.

Conclusion: The Future of Orthopedic Surgeon Salaries

As healthcare continues to evolve, orthopedic surgeons are expected to remain among the highest-paid professionals in the medical field. With advancements in surgical techniques, robotics, and biomedical technology, the scope of orthopedic surgery is expanding, making this an exciting and financially rewarding field for those who choose to pursue it.

By staying informed about geographic demand, emerging subspecialties, and new technologies, orthopedic surgeons can maximize their earning potential in 2024 and beyond.

For more insights on the healthcare industry, visit the American Academy of Orthopaedic Surgeons and the U.S. Bureau of Labor Statistics for up-to-date information.


This article is updated as of September 2024 and provides comprehensive details based on the latest available data. Stay informed to make educated decisions in your medical career.

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