High Salary Specialties: Plastic Surgeon Salary

If there’s one thing that all physicians have in common, it’s that they want to make sure they earn fair compensation for the difficult work they do.

And in high-paying specialties, such as plastic surgery, the salaries can range dramatically depending on who you serve, where you practice, and in what subspecialty you work.


Of all the medical specialties and subspecialties that exist, plastic surgeons consistently rank amongst the United States’ highest-paid physicians. But what exactly is the average plastic surgeon salary in the U.S.?

Here’s a look at how much plastic surgeons make, where they make the most, and where they’re most in demand.

How Much Does a Plastic Surgeon Make?

Plastic surgeons fall into two main categories. Cosmetic surgeons and reconstructive surgeons.

When most people think of a plastic surgeon, they think of a cosmetic surgeon who performs breast augmentation surgery, rhinoplasty, facelifts, and other forms of cosmetic surgery that are elective but not medically necessary.

Reconstructive surgeons, on the other hand, dedicate their careers to correcting abnormalities caused by congenital disabilities and injuries.

Reconstructive plastic surgery is necessary to improve the function of the body. While cosmetic surgery is designed for aesthetics and not necessarily for function.

And while these subspecialists vary in the day-to-day work they do, all plastic surgeons have to undergo significant training. In addition to medical school, plastic surgeons spend approximately six years in residency. Two years in general surgery training and four years of plastic surgery training.

After all those years of schooling and training, plastic surgeons need to make sure they’re compensated fairly for their specialized training. So what exactly is the national average and salary range for a plastic surgeon?


Here’s a look at the numbers:

According to the U.S. Bureau of Labor Statistics, a surgeon’s average salary in 2022 was around $229,300 per year. But that’s the average salary amongst general surgeons. The BLS does not differentiate the salaries of surgeons of different specialties.

According to other compensation sources, plastic surgeons earn considerably more per year than the average surgeon. Here’s a comparison of the salary figures from various sources. The salaries below may be affected by various factors such as years or experience in the field, geographical location, and specialization as well:

Source Median
Zippia (2024) $172,467
Payscale.com (2024) $327,582
Salary.com (2024) $434,310
Doximity (2024) $571,373
Economic Research Institute (2023) $439,275
Medscape (2022) $619,000


Compared to other surgeons in other specialties, plastic surgeons are earning salaries in the top percentile of their field.

Related: Physician’s Guide to Salary Negotiations

What Factors Affect a Plastic Surgeon’s Salary?

Factors that affect plastic surgeon salary
Various factors affect a plastic surgeon’s salary, including gender, level of experience, and your plastic surgery practice’s location.

Here’s how these elements affect your annual salary:

Geographic Region

Whether you’re a cosmetic surgeon or a reconstructive surgeon, salaries are highest in geographical regions where there is a shortage of qualified plastic surgeons.

According to Zippia, the states that pay plastic surgeons the most are as follows:

  • Maine
  • Wisconsin
  • Pennsylvania
  • New York

MGMA (the Medical Group Management Association) reports that plastic surgeons in the Midwest earn an average of $343,495 and receive an average of $12,693 in relocation expenses.

Physicians can command high salaries in regions where the supply of specialists outweighs the demand. And while cities such as New York, Los Angeles, and San Francisco may have a high cost of living, plastic surgeons working in other regions of the country can earn just as much. Or more, depending on how much they are in need.

Board Certification

Board certification alone won’t net you a higher salary. However, it can put you in better standing than other surgeons in the field. In turn, being board certified can provide you with a more significant amount of job opportunities. Which allows you to negotiate amongst various employers to get the salary you deserve.

Of all the various medical specialties, it is crucial for plastic surgeons, particularly cosmetic surgeons, to be board certified.
Cosmetic surgery has grown in popularity over the past few decades. And since it isn’t medically necessary, most patients can’t rely on their health insurance to cover the costs.

And when patients have to pay out of pocket, they tend to look for “surgeons” who charge the least amount of money.

The problem is that surgeons offering inexpensive cosmetic procedures often aren’t board certified to do cosmetic surgery at all.

Talk shows and television shows, such as Botched, have brought to light the danger of having cosmetic surgery with a surgeon who is not board certified. This has made the general public much more aware of the need to see a board certified surgeon. Therefore making the need to be board certified more critical than ever before.


In addition to board certification, your years of experience are also a factor, as most patients prefer to see a surgeon with hundreds or thousands of surgeries under their belt as opposed to a surgeon who’s just starting in the field.

Gender Wage Gap

Unfortunately for female physicians, a gender wage gap exists in almost every area of medicine and healthcare.

According to a 2023 Medscape report, men earn an average of $386,000 per year. Their female counterparts earn just $300,000 per year. However, it’s interesting to note that the plastic surgery gender wage gap is considerably less than the average wage gap among all physicians.

Among all physicians surveyed in the Medscape report, only 54% of plastic surgeons feel as though they’re fairly compensated for their work.

What Regions Have the Greatest Demand for Plastic Surgeons?

While reconstructive surgery isn’t something that people plan on or save money for, cosmetic surgery is. So by looking at the Google search trends, it’s easy to identify where the need for cosmetic plastic surgeons lies.

According to Google Trends Relative Search Volumes in 2023, the demand for plastic surgeons is highest in the following states:

  • Wyoming
  • Oklahoma
  • Arkansas
  • New Mexico
  • Alabama

These are the states where the need for plastic surgeons is in the highest demand. Based on these same criteria, the states with the least demand for plastic surgeons include Oregon, Virginia, and Connecticut.

With that said, people in California, Florida, and Hawaii generate the most Google searches for finding a plastic surgeon. People in Oregon, Virginia, and Alaska Google plastic surgeons the least.

So what does all of this info mean?

Suppose you want to earn the highest plastic surgeon salary possible. In that case, you should look for states that perform a large number of plastic surgeries per year, have high rates of interest in plastic surgery, or have a high demand for plastic surgeons.

The geographic region plays a significant role in how much you can earn as a plastic surgeon. Whether you’re looking for your first job after residency or looking to relocate your private practice to a new state, keep these figures in mind.

Remember that these figures are always changing, depending on the physician supply and the demand for plastic surgery procedures.

Learn more: Physician Compensation Report 2023

The Importance of Contract Review

One of the smartest ways to ensure that you’re getting a fair salary for your specialty and region is to hire a contract review specialist. A contract review specialist will review all of your contract terms, including your base salary, benefits, signing bonuses, job responsibilities, and terms of contract renewal and termination.

A contract review specialist may also be able to negotiate better terms for you. From negotiating your salary to getting you a better signing bonus, this is the best way to protect your future earnings and put you on a path to earn the salary and build the wealth that you deserve.

Without a contract review, there’s no real way to know if your compensation is fair and reasonable compared to other plastic surgeons.

How to Manage Your Salary and Build Wealth

Managing plastic surgeon salary
Regardless of your specialty or area of medical expertise, there are four things that all physicians need to do in order to protect their assets and build wealth:

As a plastic surgeon, you have the potential to earn tens of millions of dollars throughout the course of your career. It’s crucial to know what steps to take to protect your own interests, build wealth, and protect your financial future both for yourself as well as your dependents and heirs.

Learn more about income protection. Start by reading our Full Guide to Disability Insurance for Physicians.

Diversify Your Investments

Investing in 401ks, IRAs, Roth IRAs, and deferred compensation plans, such as the 457 b, is the backbone of any sound retirement plan. Many traditional retirement plans allow you to make contributions that are tax-deductible, allowing you to reduce your tax burden each year and have more money to put into other investment vehicles.

Those other investment vehicles include many things like buying stocks and other securities, investing in bonds, and purchasing real estate.

There is always risk with investing in stocks and real estate, but investing over many years almost always results in net gains. Being diversified in where you put your money is the best way to protect yourself should one of those investments result in a net loss.

Protect Your Future Income With Disability Insurance

To make contributions to your retirement accounts and have money to invest, you need an income. Should you become ill or injured and could no longer work and earn money, that situation would most likely completely derail those retirement plans.

Unless, of course, you have disability insurance. Why? Because disability insurance protects your future income, money that you haven’t earned yet.

With a disability insurance policy, you can still collect a portion of your salary even if you are too injured to work. The benefits you collect can cover mortgage payments, medical school loan payments, utilities, healthcare, and all sorts of other expenses. You can even use that money to continue to make contributions to retirement plans and other investments.

Do you own a private practice? If so, you can protect your business by adding a Business Overhead Expense policy (BOE). This is another form of disability insurance that protects your business interests and allows you to maintain your practice even when you cannot work.

Read our posts on BOE Reimbursement and How Much Disability Insurance Do Physicians Need to learn more about how you can protect yourself with disability income insurance.

Pay Attention to Tax Planning

Tax planning is the best tool you have to reduce your taxable income, reduce your tax liability, and have more cash on hand each year in order to make investments that will net long-term wealth.

Consult with a tax advisor throughout the year to ensure that you’re maximizing your contributions to a retirement plan and investing in ways that will give you tax-free income in retirement. A professional tax pro will ensure that you’re following the federal tax laws. They’ll also help you take advantage of every opportunity you have to pay fewer taxes and keep more money in your pocket.

For more information on physician tax planning, download our free tax planning guide.

See also: The Complete Guide to Physician Retirement Planning


Whether you’re a cosmetic surgeon or a reconstructive surgeon, you deserve fair compensation for the complicated and challenging work that you do.

Your subspecialty, level of experience, gender, and geographic region are just some of the factors that will affect your salary. And the best way to ensure that you’re getting a fair wage is to hire a contract review specialist to scrutinize your contract. As well as negotiate better terms on your behalf.

If you’re about to sign a new physician’s employment contract, contact Physicians Thrive now. Protect your interests. Make sure that you are in a position to earn the highest salary. Take out insurance policies that will protect your future income.

With a sound retirement plan, the proper insurances, and a tax planning strategy, you can build immense amounts of wealth throughout your career.

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