Cardiothoracic Surgeon Salary

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Cardiothoracic Surgeon Salary

When it comes to the medical profession, few roles are as demanding and rewarding as that of a cardiothoracic surgeon. These highly skilled specialists are responsible for performing intricate surgeries on the heart, lungs, esophagus, and other organs within the chest. Given the complexity and critical nature of their work, it’s no surprise that cardiothoracic surgeons command impressive salaries. But what exactly does a cardiothoracic surgeon earn, and what factors influence their income? Let’s delve into the world of cardiothoracic surgeon salaries to uncover the details.

First and foremost, it’s important to understand that the salary of a cardiothoracic surgeon can vary widely based on several factors, including geographic location, years of experience, type of employer, and level of specialization. According to the U.S. Bureau of Labor Statistics (BLS), the median annual wage for surgeons, in general, was $409,665 as of May 2022. However, cardiothoracic surgeons often earn significantly more than the average surgeon due to the specialized nature of their work.



Geographic location plays a crucial role in determining a cardiothoracic surgeon’s salary. For instance, surgeons practicing in states like California, New York, and Texas tend to earn higher salaries compared to those in states with lower costs of living. In California, for example, the average annual salary for a cardiothoracic surgeon can exceed $500,000, while in states like Mississippi or Arkansas, the average salary might be closer to $350,000. This disparity is often due to the higher demand for specialized medical services in densely populated urban areas and the higher cost of living in these regions.

Experience is another key factor that influences a cardiothoracic surgeon’s salary. Surgeons who are just starting their careers can expect to earn less than their more experienced counterparts. Entry-level cardiothoracic surgeons, those with less than five years of experience, typically earn between $300,000 and $400,000 per year. As they gain more experience and build a reputation in their field, their salaries can increase significantly. Surgeons with over 20 years of experience can earn upwards of $600,000 annually, with some even reaching the $1 million mark, especially if they hold leadership positions or have a high volume of successful surgeries.

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The type of employer also impacts a cardiothoracic surgeon’s salary. Those working in private practice or specialized surgical centers often earn more than those employed by academic institutions or government hospitals. Private practice surgeons have the potential to earn higher incomes due to the ability to set their own fees and the possibility of profit-sharing arrangements. On the other hand, surgeons working in academic settings may earn less but often benefit from additional perks such as research opportunities, teaching roles, and a more predictable work schedule.

Specialization within the field of cardiothoracic surgery can further influence earning potential. Surgeons who focus on highly specialized procedures, such as heart transplants or minimally invasive robotic surgeries, may command higher salaries due to the advanced skills and expertise required. Additionally, surgeons who contribute to groundbreaking research or develop innovative surgical techniques can enhance their reputation and, consequently, their earning potential.



Beyond the financial rewards, it’s essential to consider the intangible benefits of a career in cardiothoracic surgery. The opportunity to save lives and improve patients’ quality of life is a significant motivator for many surgeons. The field also offers a high level of job satisfaction, as cardiothoracic surgeons often form close bonds with their patients and witness the direct impact of their work.

It’s also worth noting that the path to becoming a cardiothoracic surgeon is long and demanding. After completing a bachelor’s degree, aspiring surgeons must attend medical school, which typically takes four years. Following medical school, they must complete a general surgery residency, which lasts about five to seven years, and then pursue a cardiothoracic surgery fellowship, which can take an additional two to three years. This extensive training period, while rigorous, ensures that cardiothoracic surgeons are well-prepared to handle the complexities of their specialty.

In addition to the formal education and training requirements, cardiothoracic surgeons must also obtain licensure and board certification. The American Board of Thoracic Surgery (ABTS) is the primary certifying body for cardiothoracic surgeons in the United States. Board certification involves passing a series of exams and demonstrating a commitment to ongoing professional development and education.



While the financial rewards of a career in cardiothoracic surgery are substantial, it’s important to recognize the personal and professional sacrifices that come with the territory. The demanding nature of the job often requires long hours, including nights, weekends, and on-call shifts. The high-stress environment and the responsibility of performing life-saving surgeries can also take a toll on a surgeon’s mental and emotional well-being.

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In conclusion, the salary of a cardiothoracic surgeon is influenced by various factors, including geographic location, experience, type of employer, and level of specialization. While the financial rewards are significant, the path to becoming a cardiothoracic surgeon is long and demanding, requiring years of education, training, and dedication. Despite the challenges, many surgeons find the career incredibly rewarding, both financially and personally, as they have the opportunity to make a profound impact on their patients’ lives. For those with the passion and perseverance to pursue this challenging field, the rewards are well worth the effort.

Dave Pennells

By Dave Pennells

Dave Pennells, MS, has contributed his expertise as a career consultant and training specialist across various fields for over 15 years. At City University of Seattle, he offers personal career counseling and conducts workshops focused on practical job search techniques, resume creation, and interview skills. With a Master of Science in Counseling, Pennells specializes in career consulting, conducting career assessments, guiding career transitions, and providing outplacement services. Her professional experience spans multiple sectors, including banking, retail, airlines, non-profit organizations, and the aerospace industry. Additionally, since 2001, he has been actively involved with the Career Development Association of Australia.