Healthcare Practitioners and Technical

Trauma Surgeon Salary (2026), outlook and how to become one

Surgeon who treats severely injured patients and surgical emergencies, leading resuscitation in the trauma bay and caring for patients in surgical intensive care.

Industry-reported pay
$442,000
BLS median (parent)
$358,550
Growth to 2035
+4.0%
Openings a year
400
Typical entry
Doctorate

Surgeon who treats severely injured patients and surgical emergencies, leading resuscitation in the trauma bay and caring for patients in surgical intensive care. Medscape Physician Compensation Report 2026 puts typical pay at $442,000 a year (2025). 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

Trauma Surgeon in four numbers

Median pay
$358,550a year, or $172.38/hr
Lowest 10% $84KTop 10% $659K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+4.0%About as fast as average
This career
+4%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+4%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
40015,500 jobs today
  • Jobs in 202515.5K
  • Projected 203516.1K
Employment, 2025–2035
ItemValue
Jobs in 202515.5K
Projected 203516.1K
BLS EP, 2025–2035
Typical education
Doctorateneeded to enterBLS EP, 2025–2035; mix: O*NET

Also advertised as: Acute Care Surgeon, Trauma and Acute Care Surgeon, Surgical Intensivist, Trauma Surgery Attending.

Pay

How much do Orthopedic Surgeons, Except Pediatric make?

Industry-reported pay

$442,000

Average total annual compensation (salary, bonus and profit sharing), full-time US physicians in general surgery, the survey group that includes trauma and acute care surgeons.

Source: Medscape Physician Compensation Report 2026, 2025 (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. Medscape Physician Compensation Report 2026 · The DO: What physicians are getting paid in 2026 (Medscape 2026 specialty figures)

Annual pay, lowest-paid to highest-paid

Every trauma surgeon 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

Trauma Surgeon annual wages
PercentileValue
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.

Top 10 states by median annual wage for Orthopedic Surgeons, Except Pediatric
StateMedianCOL-adjustedEmployed
1Missouri$842,800$928,020N/A
2West Virginia$597,740$667,888120
3Wisconsin$572,060$607,960290
4Montana$560,820$592,551N/A
5Arizona$558,970$555,211110
6New Hampshire$555,670$533,45280
7Washington$553,310$517,049290
8Mississippi$544,130$625,775N/A
9Minnesota$537,830$545,350320
10Oklahoma$530,070$603,42930

Job outlook

Is Trauma Surgeon a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Orthopedic Surgeons, Except Pediatric
+4%
All US occupations
+3.5%

About as fast as average. +4.0% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
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 Trauma Surgeon

Trauma surgeons finish medical school and a five-year general surgery residency, then complete a one-year ACGME-accredited surgical critical care fellowship. Many choose a two-year acute care surgery fellowship verified by the American Association for the Surgery of Trauma, which adds emergency general surgery and trauma operative experience.

They hold American Board of Surgery certification in general surgery and its subspecialty certificate in surgical critical care. Working at a verified trauma center also requires ongoing trauma education such as Advanced Trauma Life Support from the American College of Surgeons.

  1. 1

    Typical entry-level education

    Doctoral or professional degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    Internship/residency

  4. 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 Trauma Surgeon do?

Trauma surgeons lead the team that receives critically injured patients from car crashes, falls, gunshots and other violence. They direct resuscitation, decide quickly who needs an operation, and perform emergency surgery to stop bleeding and repair injured organs. Many also practice acute care surgery, handling emergencies such as appendicitis, bowel obstruction and perforation.

Because injured patients often need days or weeks of intensive care, most trauma surgeons are also surgical critical care specialists who manage ventilators, shock and organ failure in the surgical intensive care unit. They work with emergency physicians, orthopedic surgeons, neurosurgeons and rehabilitation teams, and many lead injury prevention programs.

Day-to-day tasks

  1. Lead trauma team resuscitations for severely injured patients
  2. Perform emergency operations to control bleeding and repair injured organs
  3. Manage emergency general surgery cases such as perforation and bowel obstruction
  4. Care for critically ill patients in the surgical intensive care unit
  5. Use damage control surgery and staged operations for unstable patients
  6. Coordinate care with orthopedic, neurosurgical and rehabilitation teams
  7. Take part in trauma quality review and injury prevention programs

Typical tasks, researched by NueCareer from the sources below.

Working conditions and hours

Trauma surgeons work at designated trauma centers, usually large academic or regional hospitals. Many work in blocks of in-house shifts, including overnight and weekend coverage, followed by days off. The pace is unpredictable and physically and emotionally demanding.

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 Trauma Surgeon?

Interest profile

NueCareer estimate (Holland code RIS) built on O*NET's Orthopedic Surgeon, Except Pediatric profile, scored 1 to 7

Trauma Surgeon · Realistic: 6Trauma Surgeon · Investigative: 7Trauma Surgeon · Artistic: 1Trauma Surgeon · Social: 5Trauma Surgeon · Enterprising: 2Trauma Surgeon · Conventional: 4
Trauma Surgeon interest profile
AxisTrauma Surgeon
Realistic6
Investigative7
Artistic1
Social5
Enterprising2
Conventional4

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
  • Realistic5.5
  • 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.

Questions

Trauma Surgeon: frequently asked questions

How much do Orthopedic Surgeons, Except Pediatric make?

Medscape Physician Compensation Report 2026 reports $442,000 (average total annual compensation (salary, bonus and profit sharing), full-time US physicians in general surgery, the survey group that includes trauma and acute care surgeons, 2025). 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 Trauma Surgeon?

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 Trauma Surgeon 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 Trauma Surgeon do?

Trauma surgeons lead the team that receives critically injured patients from car crashes, falls, gunshots and other violence. A typical task: lead trauma team resuscitations for severely injured patients. 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 Trauma Surgeon?

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.

Research sources for this career