Surgeon who diagnoses and operates on the brain, spinal cord, peripheral nerves and spine, from tumors and aneurysms to trauma and degenerative disease. Doximity Physician Compensation Report 2025 puts typical pay at $749,140 a year (2024). BLS does not publish separate figures for orthopedic surgeons, except pediatric; it counts them within orthopedic surgeon, except pediatric (SOC 29-1242), whose median pay is $358,550 a year (BLS OEWS, May 2025). Typical entry-level education: Doctoral or professional degree.
- SOC 29-1242
- Healthcare Practitioners and Technical
- Last updated October 9, 2026
At a glance
Neurosurgeon in four numbers
- Median pay
- $358,550a year, or $172.38/hrBLS OEWS, May 2025Lowest 10% $84KTop 10% $659K
US median, all jobs: $50,980
- Projected growth
- +4.0%About as fast as averageBLS EP, 2025–2035This career+4%All jobs+3.5%
Projected employment change, 2025–2035 Item Value This career +4% All jobs +3.5% - Openings a year
- 40015,500 jobs todayBLS EP, 2025–2035
- Jobs in 202515.5K
- Projected 203516.1K
Employment, 2025–2035 Item Value Jobs in 2025 15.5K Projected 2035 16.1K - Typical education
- Doctorateneeded to enterBLS EP, 2025–2035; mix: O*NET
Also advertised as: Neurological Surgeon, Brain Surgeon, Neurosurgery Attending, Cranial Neurosurgeon, Spine Neurosurgeon.
Pay
How much do Orthopedic Surgeons, Except Pediatric make?
Industry-reported pay
$749,140
Average annual compensation, US physicians in neurosurgery, all practice settings (survey of full-time physicians).
Source: Doximity Physician Compensation Report 2025, 2024 (published compensation survey). This is not a BLS figure: BLS counts orthopedic surgeons, except pediatric within orthopedic surgeon, except pediatric, whose pay is shown below. Doximity Physician Compensation Report 2025
Every neurosurgeon in the US, by percentile of annual wage
Median
$358,550
Middle half earn $180,610 to $530,700
- 10th
- $84,170
- 25th
- $180,610
- 75th
- $530,700
- 90th
- $659,290
All US occupations: $50,980
| Percentile | Value |
|---|---|
| 10th | $84,170 |
| 25th | $180,610 |
| Median | $358,550 |
| 75th | $530,700 |
| 90th | $659,290 |
| All US occupations | $50,980 |
Source: BLS OEWS, May 2025
- Median annual wage
- $358,550
- Median hourly wage
- $172.38/hr
- Mean annual wage
- $373,570
- People employed
- 14,100
Versus all US occupations
At $358,550, Orthopedic Surgeons, Except Pediatric earn 603% above the $50,980 median across all US occupations, a difference of $307,570 a year.
Versus healthcare practitioners and technical occupations
Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 249% above the group median.
Pay range
The top 10% earn $659,290 or more while the bottom 10% earn $84,170, a gap of 7.8×. That is an unusually wide spread, which usually tracks specialisation, employer type and years of experience.
Rank in the bank
This median pays more than 99% of the 1,741 occupations in the NueCareer career bank.
Highest-paying state
Missouri pays the most at $842,800, and still leads at $928,020 once local prices are taken into account.
Pay by state
Which states pay Orthopedic Surgeons, Except Pediatric the most?
State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.
| State | Median | COL-adjusted | Employed |
|---|---|---|---|
| 1Missouri | $842,800 | $928,020 | N/A |
| 2West Virginia | $597,740 | $667,888 | 120 |
| 3Wisconsin | $572,060 | $607,960 | 290 |
| 4Montana | $560,820 | $592,551 | N/A |
| 5Arizona | $558,970 | $555,211 | 110 |
| 6New Hampshire | $555,670 | $533,452 | 80 |
| 7Washington | $553,310 | $517,049 | 290 |
| 8Mississippi | $544,130 | $625,775 | N/A |
| 9Minnesota | $537,830 | $545,350 | 320 |
| 10Oklahoma | $530,070 | $603,429 | 30 |
Job outlook
Is Neurosurgeon a growing career?
Employment change over 2025–2035, against every US occupation
About as fast as average. +4.0% projected growth vs 3.5% for all occupations.
| Item | Value |
|---|---|
| Orthopedic Surgeons, Except Pediatric | +4% |
| All US occupations | +3.5% |
Source: BLS EP, 2025–2035
About as fast as average
BLS projects employment of Orthopedic Surgeons, Except Pediatric to change 4.0% over 2025–2035, against 3.5% projected for all occupations. That is 600 more jobs.
Annual openings
About 400 openings are projected each year, 2.6% of the 15,500 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.
Getting in
How to become a Neurosurgeon
The path is medical school followed by a seven-year neurosurgery residency accredited by the ACGME, one of the longest in medicine. Residency includes research time and progressive operative responsibility. Many neurosurgeons add a fellowship in spine, skull base, endovascular, functional or pediatric neurosurgery.
Board certification comes from the American Board of Neurological Surgery, which requires a primary written examination during training, a period of independent practice, and an oral examination built around the surgeon's own case log. Residency spots are few and competitive, so applicants usually show strong board scores, research and away rotations in neurosurgery during medical school.
- 1
Typical entry-level education
Doctoral or professional degree
- 2
Work experience in a related occupation
None
- 3
Typical on-the-job training
Internship/residency
- 4
Preparation needed (O*NET job zone)
Considerable preparation
BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.
The work
What does a Neurosurgeon do?
Neurosurgeons treat conditions of the nervous system that need an operation or a surgical opinion. They remove brain and spinal tumors, clip or coil aneurysms, relieve pressure after head injuries, place shunts for hydrocephalus, decompress and stabilize the spine, and implant stimulators for movement disorders and pain. Much of the work is judgment: deciding who will benefit from surgery and who will not.
Outside the operating room they see patients in clinic, read MRI and CT scans alongside radiologists, and manage patients in the neuro intensive care unit after surgery. Many narrow their practice to one area, such as spine, skull base, functional, pediatric, vascular or tumor surgery, and some combine open surgery with catheter-based endovascular techniques.
Day-to-day tasks
- Evaluate patients with brain, spine and nerve disorders and decide whether surgery is appropriate
- Remove brain and spinal cord tumors using microsurgical and image-guided techniques
- Perform spinal decompression and fusion for degenerative disease, deformity and trauma
- Operate on aneurysms, vascular malformations and hemorrhages, or treat them with endovascular methods
- Place shunts and drains to manage hydrocephalus and raised intracranial pressure
- Implant deep brain stimulators and other neuromodulation devices for movement disorders
- Review MRI, CT and angiography images to plan operations
- Manage postoperative patients in neurological intensive care units
Typical tasks, researched by NueCareer from the sources below.
Working conditions and hours
Neurosurgeons work in hospitals, especially academic medical centers and trauma centers, and in group practices with outpatient clinics. Cases can run many hours, and emergency call for head and spine trauma, strokes and bleeding is common, including nights and weekends. The work demands long periods of standing and fine motor control under a microscope.
Tools and software
- Medical software · in demand
- Operating system software · in demand
- Graphics or photo imaging software
- Human resources software
“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.
Personality fit
What personality type suits a Neurosurgeon?
NueCareer estimate (Holland code IRS) built on O*NET's Orthopedic Surgeon, Except Pediatric profile, scored 1 to 7
| Axis | Neurosurgeon |
|---|---|
| Realistic | 5 |
| Investigative | 7 |
| Artistic | 1 |
| Social | 5 |
| Enterprising | 2 |
| Conventional | 4 |
Source: O*NET 31.0 Database
What the work is built around
Day to day this is work built around investigating, analysing and solving problems with ideas and data, combined with hands-on, practical work with tools, machines or the outdoors.
- Investigative6.5
- Realistic5.3
- Social5.0
- Conventional3.9
- Enterprising2.4
- Artistic1.5
Closest MBTI types
NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.
Explore further
Careers related to Neurosurgeon
O*NET related occupations
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
More healthcare practitioners and technical careers
Median annual pay, with orthopedic surgeons, except pediatric highlighted
- Anesthesiologist$391,490
- Neurosurgeon$358,550
- Physician Assistant$135,880
- Nurse Practitioner$132,300
- Physical Therapist$102,760
- Dental Hygienist$98,100
- Diagnostic Medical Sonographer$96,590
- Radiologic Technologist and Technician$80,110
- Surgical Technologist$64,650
| Item | Value |
|---|---|
| Anesthesiologist | $391,490 |
| Neurosurgeon | $358,550 |
| Physician Assistant | $135,880 |
| Nurse Practitioner | $132,300 |
| Physical Therapist | $102,760 |
| Dental Hygienist | $98,100 |
| Diagnostic Medical Sonographer | $96,590 |
| Radiologic Technologist and Technician | $80,110 |
| Surgical Technologist | $64,650 |
Source: BLS OEWS, May 2025
Lists Neurosurgeon appears on
Questions
Neurosurgeon: frequently asked questions
How much do Orthopedic Surgeons, Except Pediatric make?
Doximity Physician Compensation Report 2025 reports $749,140 (average annual compensation, US physicians in neurosurgery, all practice settings (survey of full-time physicians), 2024). BLS does not publish a separate wage for orthopedic surgeons, except pediatric. It counts them within orthopedic surgeon, except pediatric, whose median pay is $358,550 a year (BLS OEWS, May 2025). The middle half of that occupation earn between $180,610 and $530,700, and the top 10% earn $659,290 or more.
Do you need a degree to become a Neurosurgeon?
Yes, and beyond a bachelor's: BLS lists a doctoral or professional degree as the typical entry requirement for Orthopedic Surgeons, Except Pediatric. BLS also lists internship/residency as typical on-the-job training.
Is Neurosurgeon a growing career?
It is stable rather than fast-growing: employment is projected to change 4.0% over 2025–2035, about the same as the 3.5% projected across all occupations (BLS EP, 2025–2035). BLS still projects about 400 openings a year, mostly from workers retiring or moving to other work.
What does a Neurosurgeon do?
Neurosurgeons treat conditions of the nervous system that need an operation or a surgical opinion. A typical task: evaluate patients with brain, spine and nerve disorders and decide whether surgery is appropriate. Employers most often ask for Medical software, Operating system software.
Which states pay Orthopedic Surgeons, Except Pediatric the most?
The highest state medians for Orthopedic Surgeons, Except Pediatric are Missouri ($842,800), West Virginia ($597,740), Wisconsin ($572,060) (BLS OEWS, May 2025).
What personality type suits a Neurosurgeon?
O*NET scores Orthopedic Surgeons, Except Pediatric highest on the Investigative, Realistic and Social interest areas, so the work mixes investigating, analysing and solving problems with ideas and data with hands-on, practical work with tools, machines or the outdoors. On NueCareer's MBTI-to-interest mapping the closest types are ISTJ, ISTP. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.