Orthopedic surgeons, except pediatric: Salary, Job Outlook, Education and Career Path

Diagnose and perform surgery to treat and prevent rheumatic and other diseases in the musculoskeletal system.

Short answer: Orthopedic surgeons, except pediatric earn a national median annual wage of $358,550 (BLS, May 2025). Employment is projected to change +4.0% from 2025 to 2035 (all occupations: +3.5%), with about 400 openings per year. The typical entry credential is doctoral or professional degree.

Median annual wage
$358,550
May 2025 Verified data
Projected change
+4.0%
2025 to 2035 Official projection
Openings per year
400
Average, 2025 to 2035 Official projection
Employment
14,100
OEWS, May 2025 Verified data

Orthopedic surgeons, except pediatric salary

$0$200K$400K$600KUnited States$358,550
National annual wages for orthopedic surgeons, except pediatric, May 2025: 10th percentile $84,170, 25th $180,610, median $358,550, 75th $530,700, 90th $659,290. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$84,170$40.46
Median (50th percentile)$358,550$172.38
Mean (average)$373,570$179.60
90th percentile$659,290$316.97

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Orthopedic surgeons, except pediatric pay by state and metro area

$178K$843K
Median annual wage for orthopedic surgeons, except pediatric by state, May 2025. Highest: Missouri at $842,800. States in gray have no published estimate.
Table: median wage and employment for all 40 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$324,570$114,990$387,4903801.97
AlaskaData unavailable301.05
Arizona$558,970$237,990$826,8701100.37
Arkansas$262,470$155,250$621,0203502.94
California$253,430$80,660$457,010
Colorado$385,410$180,610$641,1304101.56
Florida$473,750$228,800$545,6205800.64
Georgia$474,820$238,050$886,9404901.1
HawaiiData unavailable500.82
Illinois$426,580$115,310$797,0601700.3
Indiana$177,710$177,710$518,5105001.71
Iowa$189,410$124,510$539,9902601.84
Kansas$311,630$140,160$492,460
MaineData unavailable1502.53
Massachusetts$392,300$200,220$392,380
Michigan$413,450$81,050$732,0002000.5
Minnesota$537,830$79,0803201.19
Mississippi$544,130$209,620$621,270
Missouri$842,800$114,340$869,540
Montana$560,820$207,000$729,990
Nebraska$507,770$219,210$555,8002002.2
New Hampshire$555,670$69,970$676,240801.34
New Jersey$341,430$215,640$593,6804201.09
New York$414,290$77,150$619,3401,4501.65
North Carolina$323,630$75,510$629,0805601.24
North DakotaData unavailable401
Ohio$323,480$67,300$641,1905000.99
Oklahoma$530,070$156,300$670,540300.22
OregonData unavailable1400.79
Pennsylvania$354,020$87,640$587,7902400.44
South CarolinaData unavailable1000.49
South DakotaData unavailable
Tennessee$325,520$139,100$472,5401800.61
Texas$200,780$75,580$758,1504900.38
UtahData unavailable800.51
VermontData unavailable501.91
Virginia$478,710$151,810$623,0301700.46
Washington$553,310$181,940$684,0802900.91
West Virginia$597,740$64,120$894,9401201.87
Wisconsin$572,060$78,8002901.08

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

New York-Newark-Jersey City, NY-NJ1,520
Indianapolis-Carmel-Greenwood, IN420
Atlanta-Sandy Springs-Roswell, GA400
San Diego-Chula Vista-Carlsbad, CA230
Seattle-Tacoma-Bellevue, WA180
Houston-Pasadena-The Woodlands, TX150
Charlotte-Concord-Gastonia, NC-SC140
Boulder, CO130
Denver-Aurora-Centennial, CO130
Omaha, NE-IA130

Highest paying metro areas

Dallas-Fort Worth-Arlington, TX$666,930
Seattle-Tacoma-Bellevue, WA$576,130
Charlotte-Concord-Gastonia, NC-SC$572,910
Omaha, NE-IA$534,820
Portland-Vancouver-Hillsboro, OR-WA$524,350
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD$341,810
New York-Newark-Jersey City, NY-NJ$341,430
Cleveland, OH$323,480
Boulder, CO$211,600
San Diego-Chula Vista-Carlsbad, CA$204,290
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for orthopedic surgeons, except pediatric

2025 (actual)15,5002035 (projected)16,100
BLS projects employment of orthopedic surgeons, except pediatric to go from 15,500 in 2025 to 16,100 in 2035, a change of +4.0% (+600 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 400. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Share of workers who are self-employed (2025): 5.5%.
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for orthopedic surgeons, except pediatric

Typical entry education
Doctoral or professional degree
Related work experience
None
On-the-job training
Internship/residency
O*NET Job Zone
Job Zone Five: Extensive Preparation Needed

Highest education of people working in this occupation

Less than high school0%
High school diploma0%
Some college, no degree0%
Associate's degree0%
Bachelor's degree0%
Master's degree0%
Doctoral or professional100%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is a doctoral or professional degree (100%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Analyze patient's medical history, medication allergies, physical condition, and examination results to verify operation's necessity and to determine best procedure.
  • Conduct research to develop and test surgical techniques that can improve operating procedures and outcomes related to musculoskeletal injuries and diseases.
  • Diagnose bodily disorders and orthopedic conditions, and provide treatments, such as medicines and surgeries, in clinics, hospital wards, or operating rooms.
  • Diagnose or treat disorders of the musculoskeletal system.
  • Direct and coordinate activities of nurses, assistants, specialists, residents, and other medical staff.
  • Examine instruments, equipment, and operating room to ensure sterility.
  • Examine patient to obtain information on medical condition and surgical risk.
  • Follow established surgical techniques during the operation.

Technology skills

  • Epic Systems (in demand)
  • MEDITECH software (hot technology)
  • Microsoft Windows (hot technology)
  • Computer imaging software
  • Electronic medical record EMR software
  • Human resources management system HRMS
  • Image-guided surgery software
  • Integra Radionics NeuroSight Arc
  • Medical laser control software
  • Practice management software PMS
  • Robotic surgery software
  • Three-dimensional 3D virtual surgery software

Common job titles: General Surgeon, Hand Surgeon, Orthopaedic Surgeon, Orthopedic Surgeon, Physician, Surgeon.

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do orthopedic surgeons, except pediatric make?

The national median annual wage for orthopedic surgeons, except pediatric was $358,550 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $84,170 and the highest paid 10 percent earned more than $659,290. These figures cover all workers in the occupation, not only new entrants.

What education do orthopedic surgeons, except pediatric need?

BLS lists doctoral or professional degree as the typical education needed to enter this occupation, with none of related work experience and internship/residency on-the-job training typically needed to become competent.

Is orthopedic surgeons, except pediatric a growing career?

BLS projects employment of orthopedic surgeons, except pediatric to change +4.0% from 2025 to 2035, compared with +3.5% for all occupations. About 400 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay orthopedic surgeons, except pediatric the most?

By median annual wage in May 2025, the highest paying states were Missouri ($842,800), West Virginia ($597,740), Wisconsin ($572,060). Pay differences partly reflect differences in living costs.

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