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Orthopedic Surgeon

An orthopedic surgeon evaluates, treats, and operates on musculoskeletal injuries and disorders.

Average salary
$350,000
Salary range
$250,000 – $550,000
Training time
About four years
Job market
As fast as average
6/10
Work-life balance
demanding

An orthopedic surgeon evaluates patients, reviews medical imaging, and performs surgical procedures to treat disorders of the bones, joints, ligaments, and tendons. These physicians also manage nonsurgical care, which includes prescribing medications or physical therapy. They coordinate closely with other healthcare professionals, monitor patient recovery over time, and update clinical documentation in electronic records. Work takes place in hospitals, clinics, and operating rooms, often demanding long hours, standing for extended periods, and on-call responsibilities.

A workday

A day in the life

What does a workday really look like?

A scheduled operating room day focused on inpatient and outpatient musculoskeletal surgeries, patient prep, and postoperative rounding.

  1. 6:30 AM
    Preoperative rounding

    Review patient charts and check on surgical candidates before entering the operating room.

  2. 7:30 AM
    First surgical case

    Perform scheduled joint replacement procedure in the operating room.

  3. 10:30 AM
    Postoperative discussion

    Update family members and dictate operative notes for the hospital record.

  4. 11:30 AM
    Second surgical case

    Perform fracture repair procedure requiring precise surgical techniques.

  5. 2:30 PM
    Imaging review and team consult

    Examine postoperative imaging results and confer with care teams on recovery steps.

  6. 3:30 PM
    Inpatient checkups

    Visit recovering patients on the surgical floor to monitor vital signs and early mobility.

  7. 5:00 PM
    Chart completion

    Finish electronic health record documentation and sign off on orders for overnight staff.

Task breakdown

An outpatient clinic day focused on diagnostic evaluations, follow-up examinations, imaging analysis, and nonsurgical treatment planning.

  1. 8:00 AM
    Schedule review

    Assess morning patient list and confirm imaging files are loaded into clinic systems.

  2. 8:30 AM
    New patient evaluations

    Examine patients with acute joint pain, sports injuries, and chronic musculoskeletal conditions.

  3. 11:00 AM
    Diagnostic test review

    Analyze radiographs and other imaging studies to identify structural bone and soft tissue problems.

  4. 12:00 PM
    Multidisciplinary case discussion

    Coordinate care options with physical therapy and rehabilitation colleagues.

  5. 1:00 PM
    Post-surgery follow-up visits

    Examine healing incisions, remove sutures, and assess joint mobility in recovering patients.

  6. 3:30 PM
    Treatment plan development

    Prescribe medication, formulate therapy regimens, and discuss surgical indications with patients.

  7. 5:00 PM
    Electronic health record updates

    Document clinic notes, submit prescriptions, and review laboratory results.

Salary data

What do you really earn?

Salary by experience, sector and region.

Minimum
$250,000
Average
$350,000
Maximum
$550,000

Salary by region

RegionMinAvg.Max
National$250,000$350,000$550,000
California—$370,000—
Texas—$350,000—
Florida—$340,000—
New York—$360,000—
Illinois—$350,000—

Salary by sector

SectorMinAvg.Max
Hospitals—$350,000—
Physician offices and private practices—$370,000—
Academic medical centers—$320,000—

Typical benefits

Health, dental, and vision insurance
Medical coverage packages provided to support the physician and their dependents.
Retirement plan
Employer-sponsored retirement savings program to assist with long-term financial planning.
Paid time off
Allotted leave time for personal days, holidays, and vacations.
Malpractice coverage
Professional liability insurance protection that may be provided by an employer.

Pathways

Education pathways

Which paths lead to this profession?

Doctoral degree

About four years

Doctor of Medicine or Doctor of Osteopathic Medicine

Complete medical school coursework and clinical rotations. Both MD and DO graduates can pursue orthopedic surgery residency.

Costs
About $11,950 a year in average published tuition and fees at a public four-year college for in-state students, and $45,000 at a private nonprofit four-year college
Entry requirements
A bachelor's degree and admission to medical school are typically required.
Other

About five years

Orthopedic surgery residency

Complete supervised clinical training in orthopedic surgery. Training includes diagnosing and treating musculoskeletal conditions and performing surgery.

Entry requirements
Graduation from an accredited medical school and acceptance into a residency program.
Other

Usually one or more years

Orthopedic surgery fellowship

Optional advanced training may focus on areas such as sports medicine, spine, trauma, or joint replacement.

Entry requirements
Completion of an orthopedic surgery residency.
License

Physician license and board certification

A state medical license is required to practice. Board certification is voluntary, but commonly pursued through an orthopedic surgery board.

Entry requirements
Meet state medical board requirements and complete required postgraduate training.

Profile

Skills & personality

Is this a good fit for you?

Hard skills

  • Orthopedic diagnosis and treatmentDiagnosing musculoskeletal conditions and determining appropriate nonsurgical or surgical interventions.
  • Surgical techniquesApplying precise operative procedures to repair bones, joints, ligaments, and related structures.
  • Medical imaging interpretationAnalyzing radiographs and diagnostic imaging studies to detect structural injuries and disorders.
  • Anatomy and musculoskeletal knowledgeUnderstanding bone, muscle, nerve, and joint anatomy to safely perform procedures and direct therapy.
  • Patient assessmentConducting physical evaluations and reviewing clinical histories to establish accurate health profiles.
  • Electronic health record documentationRecording clinical assessments, surgical reports, prescriptions, and care plans in electronic systems.

Soft skills

  • CommunicationExplaining complex procedures, risks, and recovery expectations clearly to patients and medical teams.
  • Attention to detailMaintaining accuracy during delicate operative maneuvers and precise review of diagnostic data.
  • Decision-makingEvaluating clinical evidence quickly to select the best medical or surgical path for each patient.
  • EmpathyListening to patient concerns and showing understanding for those coping with chronic pain or mobility loss.

Is this a good fit for you?

  • ✓
    ThoroughExamines detailed patient histories, diagnostic tests, and surgical plans with methodical attention.
  • ✓
    DecisiveSelects appropriate treatment avenues and responds confidently to unexpected findings during surgery.
  • ✓
    ResilientManages demanding workloads, lengthy operative cases, and irregular on-call duty without losing focus.
  • ✓
    AttentiveObserves subtle physical symptoms and patient feedback during evaluations and follow-up examinations.
  • ✓
    CollaborativeCoordinates smoothly with surgical staff, therapists, and hospital teams across patient treatment stages.

Market

Job market & outlook

What does the market look like?

Trend
Stable

Regional demand

United States
Demand across the country is supported by treatment needs related to aging, injuries, and musculoskeletal conditions, with opportunities varying by location and practice setting.

Growth

Career paths

Where can this profession take you?

Vertical growth

  1. Orthopedic surgery resident

    Completes structured, supervised hospital rotations while diagnosing musculoskeletal conditions and assisting on surgical cases.

  2. Orthopedic surgeon

    Practices independently, performing surgical operations, leading patient treatment plans, and coordinating overall clinical care.

  3. Orthopedic surgery department chief

    Oversees departmental operations, surgical quality standards, and clinical staff management within a hospital or clinic.

Horizontal move

  • Sports medicine physician

    Applies musculoskeletal expertise specifically toward sports-related injuries, athlete rehabilitation, and physical conditioning.

Good to know

Practical info

Working hours
Often full time, with additional hours for surgery, patient care, and administrative work.
Remote work
Most care and procedures are performed in person; some follow-up visits and administrative work may be handled remotely.
Physical requirements
Standing for extended periods, performing precise procedures, and working in operating rooms are common.
Typical employers
Hospitals, private medical practices, medical groups, academic medical centers, and outpatient surgery centers.
Professional associations
American Academy of Orthopaedic Surgeons, American Osteopathic Academy of Orthopedics.

FAQ

Frequently asked questions

What does an orthopedic surgeon do?

An orthopedic surgeon diagnoses, treats, and operates on patients with musculoskeletal injuries and disorders. They evaluate clinical histories, examine physical symptoms, and review diagnostic imaging. In addition to conducting operations, these physicians prescribe medication, recommend physical therapy, monitor ongoing recovery, and maintain clinical records in electronic health record systems.

What education is required to become an orthopedic surgeon?

Becoming an orthopedic surgeon requires completing medical school and a specialized residency program. Candidates first earn a Doctor of Medicine or Doctor of Osteopathic Medicine degree, which takes about four years. They then complete an orthopedic surgery residency lasting about five years, followed by optional fellowship training in specialized clinical areas.

Is board certification required to practice orthopedic surgery?

Board certification is voluntary, but a state medical license is strictly required to practice medicine. Many surgeons choose to pursue board certification through an orthopedic surgery board to demonstrate their knowledge and clinical standards. Practicing physicians must also fulfill state medical board regulations and postgraduate clinical requirements.

Where do orthopedic surgeons typically work?

Orthopedic surgeons work in hospitals, private medical practices, medical groups, academic medical centers, and outpatient surgery centers. Their time is typically divided between outpatient examination rooms, surgical suites, and administrative office spaces. Most care requires being on site, though select follow-up checks and paperwork may occur remotely.

What are the physical demands of orthopedic surgery?

The role requires standing for extended periods and maintaining manual precision during long operative procedures. Operating room environments demand physical endurance and focused attention. In addition, surgeons must manage demanding schedules that often include emergency coverage, overnight on-call duties, weekend hours, and extensive administrative documentation.

How will artificial intelligence affect orthopedic surgery?

Artificial intelligence tools may assist surgeons with imaging review, clinical documentation, and treatment planning. However, surgical judgment, hands-on procedures, and direct patient interaction remain central to the profession. Technology serves as an aid for diagnostic analysis and record management rather than replacing operative interventions.

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In depth

All about orthopedic surgeon

The background, context and details.

Examination and treatment planning

Orthopedic surgeons assess musculoskeletal injuries and chronic disorders affecting bones and joints. They examine patients directly. To confirm an accurate diagnosis, these physicians review medical imaging alongside laboratory test results and patient histories. Artificial intelligence tools sometimes assist with imaging review or treatment planning. However, direct clinical judgment remains central. Surgeons explain care options clearly to each individual. Nonoperative solutions often come first. When appropriate, physicians prescribe medication or refer individuals to physical therapy programs to restore functional mobility.

Surgical procedures and patient recovery

Surgery demands stamina. Orthopedic surgeons perform procedures to repair bone fractures and reconstruct damaged joints. Care continues after surgery. Surgeons monitor patient healing across follow-up visits and adjust recovery plans when progress slows. Clear records matter. Physicians record all procedures in electronic health records while collaborating with physical therapists to ensure patient safety.

Operating environments and physical expectations

Precision is essential. Daily work takes place across several settings:

  • Hospitals
  • Private medical practices
  • Medical groups
  • Academic medical centers
  • Outpatient surgery centers

Standing for extended periods during complex operations creates heavy physical demands. Most patient care and surgical interventions require physical presence, though some administrative tasks and follow-up consultations allow remote completion. Work hours are demanding. Elective clinical practices often provide more predictable schedules than emergency trauma positions. Because acute injuries and traumatic fractures happen without warning, hospital surgeons balance scheduled operating room procedures with sudden on-call coverage during night shifts and weekend rotations.

Training and licensure pathways

The educational journey is rigorous. Candidates first complete medical school coursework to earn a Doctor of Medicine or Doctor of Osteopathic Medicine degree. After graduating from an accredited medical school, doctors complete an orthopedic surgery residency that lasts about five years to build hands-on surgical competence under attending supervision. Some doctors pursue an optional orthopedic surgery fellowship to focus on specialties like sports medicine or joint reconstruction.

Every practitioner must hold a state medical license to practice medicine legally. Board certification remains voluntary, though many specialists obtain credentialing through an orthopedic surgery board. Professional organizations like the American Academy of Orthopaedic Surgeons support ongoing professional education. Contact a state medical board to review requirements.