#15Overall
#9ROI
#6Highest Paying

Orthopedic Surgeon

Orthopedic Surgeons specialize in the musculoskeletal system — bones, joints, ligaments, tendons, muscles, and nerves.

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Getting Started

How to Become a Orthopedic Surgeon

At 13 years to get started, this takes longer than the 10.8 years average for Doctoral Degree-level careers.

1

Complete Education

Earn your Doctoral Degree (typically 13 years) at an estimated cost of $250k–$375k.

2

Get Licensed or Certified

Complete any state-required licensing or certification exams for orthopedic surgeon practice.

3

Begin Working

Orthopedic Surgeon earn a median salary of $239k/yr, with entry-level positions starting somewhat lower.

Education costs from College Scorecard. Training timelines from BLS Occupational Outlook Handbook.

Pathway quick answers

  • How do you become a Orthopedic Surgeon?Complete required education, licensing, and supervised training for Orthopedic Surgeon.
  • How long does it take?Typical path to first paid role: 13 years.
  • How much does it cost?Estimated education and training cost range: $250k-$375k (living expenses excluded).

Estimates use College Scorecard tuition data plus cited pathway and licensing requirements.

Overview

What Does a Orthopedic Surgeon Do?

Orthopedic Surgeons specialize in the musculoskeletal system — bones, joints, ligaments, tendons, muscles, and nerves. They treat conditions ranging from traumatic fractures and sports injuries to degenerative diseases like arthritis. Orthopedic surgery is among the highest-paid medical specialties, driven by high surgical volumes and aging demographics.

On the Job

Evaluate patients with musculoskeletal conditions and injuries
Interpret diagnostic imaging including X-rays, MRI, and CT scans
Perform surgical procedures including joint replacement and fracture repair
Conduct arthroscopic surgeries for joint injuries
Manage post-operative care and rehabilitation plans
Provide non-surgical treatment options including injections and bracing
Consult on trauma cases in the emergency department
Follow patients through recovery in outpatient clinic settings

Compensation

How Much Does a Orthopedic Surgeon Make?

At $239k/yr, orthopedic surgeon earn more than most Doctoral Degree-level careers, where the average is $207k/yr.

$239k/yr

median annual salary

10th percentile90th percentile
$144k/yr$239k/yr median$359k/yr

How It Compares

CareerMedian Salary
Orthopedic Surgeon$239k/yr
Physician Assistant$133k/yr
Internal Medicine Physician$239k/yr
Cardiologist$239k/yr
Family Medicine Physician$239k/yr

Source: Bureau of Labor Statistics, May 2024

After investing roughly $313k in education, orthopedic surgeon typically begin earning within 13 years. Based on entry-level salaries of $179k/yr growing toward a $239k/yr median. The average education cost for Doctoral Degree-level careers is $289k.

Orthopedic Surgeon ROI

Net earnings over 20 years

$1.7M

Pre-tax 20-year estimate after required education and training costs; taxes and living expenses excluded.

How the 20-year estimate is calculated

Gross earnings$2.0M
Education/training costs-$349k
Net earnings$1.7M

Orthopedic Surgeon Career ROI (20-year net earnings)

Track how education costs and earnings typically accumulate from enrollment through year 20.

EducationTraining/LicensingCareer

Cumulative net earnings (USD)

The full chart keeps 20-year context. The detail chart below zooms in on early pathway years.

Sources: Accreditor, Accreditor, AccreditorSee Sources and methods.

Early-years detail

Years 0-15

Years 0-15. Scaled to early-year values. Black markers show key checkpoints.

Quick answers

  • Is becoming a Orthopedic Surgeon financially worth it?Typical 20-year net estimate: $1.7M (pre-tax, living expenses excluded).
  • How much does training cost for a Orthopedic Surgeon?Estimated required education and licensing cost to become a Orthopedic Surgeon: $349k (range used: $252k-$445k). Breakdown: Bachelor's Degree (Pre-Med): $130k; Medical School (MD/DO): $215k; Medical Licensure and Board Certification: $4k.
  • How long does it take to become a Orthopedic Surgeon?Typical time to first paycheck is about 8 years. Typical time to enter the target Orthopedic Surgeon role is about 13 years.
  • How do you become a Orthopedic Surgeon?See How to Become for pathway steps, timing, and credential requirements.
Detailed math

How 20-year net is built from each training and career phase.

PhaseTime windowGross earningsEducation/training costNet contributionSources

Bachelor's Degree (Pre-Med)

Education

Years 0-3 (m0-m47)$0-$130,000-$130,000

Medical School (MD/DO)

Education

Years 4-7 (m48-m95)$0-$215,000-$215,000

Residency Training

Training/Licensing

Years 8-12 (m96-m152)$356,250$0$356,250

Medical Licensure and Board Certification

Training/Licensing

Year 13 (m156-m156)$0-$3,500-$3,500

Orthopedic Surgeon

Career

Years 13-19 (m156-m239)$1,674,372$0$1,674,372

Model reconciliation

Reconciliation

Years 0-20 (m0-m239)$18,778$0$18,778None
20-year totals$2,049,400-$348,500$1,700,900Matches 20-year ROI formula
Sources and methods

Assumptions

  • Pathway sequence and timing follow the cited training and licensing pathway for this role.BLSBLS
  • Earnings benchmarks come from cited occupation wage references.BLSBLS
  • Education and training cost uses College Scorecard tuition and cited pathway fees when needed.Source unavailable
  • Cost allocation follows a model rule: short completed steps post in completion year; longer tuition steps are spread across phase years.Model ruleBLSBLS
  • Taxes and living expenses are excluded from this estimate.Model rule

Future-Proofing

Orthopedic Surgeon Job Outlook (2024–2034)

Employment Growth

The BLS projects 3% growth over the next decade, roughly in line with the 4.8% average for Doctoral Degree-level careers.

10-Year Growth

3%

About as fast as average

Current Employment

20k

jobs nationwide

AI Impact

High AI Impact

Orthopedic Surgeon roles face significant AI impact — higher AI exposure than most Doctoral Degree-level careers. AI independently handles one or more major task components in this field. Core responsibilities like state licensing requirements require human presence and judgment that AI cannot replicate.

Why It's Safe

  • +Performing general physical activities
  • +Handling and moving objects
  • +Repairing and maintaining mechanical equipment
  • +Repairing and maintaining electronic equipment
  • +Establishing and maintaining interpersonal relationships
State Licensed

What Could Be Automated

  • Getting information
  • Monitoring processes, materials, or surroundings
  • Processing information
  • Evaluating information to determine compliance with standards
  • Analyzing data or information

Based on evidence-based AI impact methodology and Bureau of Labor Statistics projections

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Sources

These references are used to build salary, training-path, and job-outlook estimates shown on this page.

Advanced Methodology

Education cost source id: pathway_sum_2026

Source update dates: BLS OEWS: 2024-05 · BLS Projections: 2024-09 · O*NET: 2024-12