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Surgeon Salary Australia 2026 — Earnings by Specialty and Take-Home Pay

Surgeons reported an average taxable income of $519,998 in the 2023–24 income year, and a median of $403,069, across 4,280 people who gave the job on their tax return — the latest figures the ATO has published. At 2026–27 tax rates, the median comes to about $9,529 a fortnight after income tax and the Medicare levy.

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A surgeon in blue scrubs, cap and mask concentrates under theatre lights with two colleagues behind

These are tax-return figures for the 2023–24 income year, the latest the ATO has published. They count part-time surgeons and those in private practice as well as employees, so they are not a salary rate.

Which award or agreement sets a surgeon's pay?

Surgeons employed by state public hospitals are staff specialists on their state's specialist scale, which is the same for every specialty. The NSW, Victorian and Queensland scales are below.

Surgeons employed by private hospitals and the other employers the Medical Practitioners Award covers (cl 4.2) have a specialist minimum of $121,535 a year from the first full pay period on or after 1 July 2026 (cl 16.1(h)); surgical registrars in training are registrars under the same award.

Surgeons in private practice on their own account are not employees. Visiting medical officer arrangements with public hospitals are separate from the staff specialist scales and are not reproduced here.

Registrar and specialist minimums under the award are on our doctor pay rates page.

Surgeon salary in Australia: the ATO’s 2023–24 figures

Every year the ATO publishes what people earned, grouped by the occupation they put on their tax return. The 2023–24 figures (released on 17 June 2026) are the most recent. For unit group 2535, Surgeon (all nine surgical occupations), 4,280 people reported an average taxable income of $519,998 and a median of $403,069. Those who were paid a salary or wage had an average of $238,223 and a median of $200,000 from it.

Surgeon income, 2023–24
WhoPeopleAverage taxable incomeMedian taxable incomeAverage salary or wagesMedian salary or wages
Total4,280$519,998$403,069$238,223$200,000
Female912$338,220$255,879$203,492$182,675
Male3,368$569,221$463,301$247,739$206,385

Taxable income is everything a person earned — salary, business and contracting income, investments — less their deductions; the ATO’s averages and medians for it include everyone in the occupation, whatever hours they worked. Salary or wages is only what employers paid, and its figures cover only the people who were paid one. Neither is a full-time salary rate.

Surgeon income by specialty, 2023–24

Each surgical occupation the ATO codes within unit group 2535. Some groups are small — 143 cardiothoracic surgeons, 109 paediatric surgeons — so treat their averages with care.

Surgeon income by specialty, 2023–24
SpecialtyPeopleAverage taxable incomeMedian taxable incomeAverage salary or wagesMedian salary or wages
Surgeon (general)1,900$438,505$335,144$239,669$208,000
Cardiothoracic surgeon143$607,511$425,275$337,953$274,213
Neurosurgeon176$678,611$537,049$258,504$216,904
Orthopaedic surgeon981$554,839$434,435$228,289$183,864
Otorhinolaryngologist (ENT surgeon)133$631,559$539,017$213,933$165,438
Paediatric surgeon109$386,014$328,980$276,946$242,442
Plastic and reconstructive surgeon352$660,492$525,793$216,342$171,845
Urologist340$586,462$526,801$206,390$165,648
Vascular surgeon146$574,393$504,690$285,106$239,809

ATO Taxation statistics 2023–24, Individuals Table 15A. Whole dollars, before tax.

Surgeon income by state, 2023–24

All surgical specialties together. The 37 people who lodged from overseas are left out.

Surgeon income by state, 2023–24
State or territoryPeopleAverage taxable incomeMedian taxable incomeAverage salary or wagesMedian salary or wages
NSW951$409,785$272,842$203,083$180,346
VIC1,368$526,742$412,684$217,555$189,235
QLD915$567,453$492,536$285,145$223,504
WA449$609,719$477,728$274,917$224,750
SA360$519,666$427,674$223,129$205,765
TAS94$723,047$592,445$285,660$223,986
ACT73$587,796$430,034$331,323$271,457
NT33$574,020$447,906$244,396$245,407

ATO Taxation statistics 2023–24, Individuals Table 15D. Whole dollars, before tax.

What full-time employed surgeons earn

Jobs and Skills Australia puts median full-time earnings for Surgeons (ANZSCO 2535) at $3,905 a week ($80 an hour), about $203,060 a year. It also reports that 93% of people in the group work full-time hours, and that full-time workers average 54 hours a week.

It covers employees only. Surgeons in private practice on their own account are not in it, while the ATO figures above count everyone who gave surgeon as their occupation.

Median weekly pay of full-time, non-managerial adult employees before tax and salary sacrifice, from the ABS Survey of Employee Earnings and Hours (May 2025) as published by Jobs and Skills Australia. It reflects what employers actually pay, including people on enterprise agreements or above-award salaries, so it is a market figure, not a legal minimum.

Public hospital staff specialist salaries

A surgeon employed by a state public hospital is a staff specialist, paid on the same salary scale as every other specialty in that state. The scales below are the base salaries each state publishes, before the allowances most staff specialists also receive. We show only the states whose schedule we have read from the official source.

NSW — Staff Specialists (State) Award, interim rates (NSW Health IB2026_006)

From the first full pay period on or after 1 July 2025. These are interim rates: the award is before the NSW Industrial Relations Commission, and NSW Health says further increases will follow its decision. Staff specialists on private practice Levels 1 to 4 also get the 17.4% special allowance, and Levels 1 to 3 a private practice allowance of 20%, 14% or 8% of salary.

NSW staff specialist salaries
StepBase salary a yearWith 17.4% special allowance
Staff specialist, year 1$197,583$231,962
Staff specialist, year 2$209,137$245,527
Staff specialist, year 3$220,686$259,085
Staff specialist, year 4$232,267$272,681
Staff specialist, year 5$243,822$286,247
Senior staff specialist$266,942$313,390

Source: NSW Health, Information Bulletin IB2026_006 (20 January 2026).

VIC — Medical Specialists (Victorian Public Health Sector) Enterprise Agreement 2022–2026

From the first full pay period on or after 1 March 2025. The agreement sets weekly rates (Year 1 is $5,040.37 a week); the annual figures are the weekly rate × 52. These are the rates for a full-time specialist who doesn't receive private practice income; the agreement sets a lower base for those who do. Its nominal expiry date was 28 February 2026, and it stays in force until a new agreement replaces it.

VIC staff specialist salaries
StepBase salary a year
Specialist Year 1$262,099
Specialist Year 2$279,647
Specialist Year 3$290,509
Specialist Year 4$301,888
Specialist Year 5$313,637
Specialist Year 6$325,869
Specialist Year 7$332,279
Specialist Year 8$351,927
Specialist Year 9$360,392

Source: Fair Work Commission approved agreement AE517968, as published by Western Health.

QLD — Medical Officers' (Queensland Health) Certified Agreement (No. 7) 2025

Wage rates payable from 1 July 2026. Staff specialists are paid from L18 to L24, but the agreement's published wage table stops at L21, so the higher steps are not shown. On top of base salary, specialists other than specialist GPs get a general attraction and retention allowance of 50% of base salary, reduced by 25% of base salary for those who opt into the private practice revenue retention arrangement (cl 11.24).

QLD staff specialist salaries
StepBase salary a year
L18 (staff specialist entry level)$222,059
L19$228,007
L20$234,835
L21$239,901

Source: Queensland Industrial Relations Commission, CB/2025/128.

Salary packaging in a public hospital

Public hospital employees can package part of their salary before tax under a $17,000 grossed-up fringe benefits tax cap — about $9,010 a year of everyday expenses such as rent or a mortgage. On a $197,583 salary, packaging the full amount leaves about $4,121 more to spend each year, before the packaging provider’s fees. It lowers the taxable income on your payment summary but raises your reportable fringe benefits, which count towards HELP repayments and the Medicare levy surcharge. See the salary packaging guide for how it works.

Surgeon salary after tax

What each figure above leaves after income tax and the Medicare levy at 2026–27 rates, treating it as taxable income with no deductions. The ATO figures are from 2023–24, so this shows what the same income takes home today, not what it took home then.

Surgeon take-home pay
Gross a yearIncome taxMedicare levyTake-home a yearA fortnightHELP repayment, if any
$200,000Median salary or wages — ATO 2023–24, surgeons paid a salary or wage−$55,870−$4,000$140,130$5,390−$20,000
$203,060Full-time employee median — $3,905 a week × 52, Jobs and Skills Australia−$57,247−$4,061$141,752$5,452−$20,306
$231,962NSW staff specialist, year 1 — base salary plus 17.4% special allowance, NSW Health−$70,253−$4,639$157,070$6,041−$23,196
$403,069Median taxable income — ATO 2023–24−$147,251−$8,061$247,757$9,529−$40,307
$519,998Average taxable income — ATO 2023–24−$199,869−$10,400$309,729$11,913−$52,000

2026–27 resident tax rates with the low income tax offset and the 2% Medicare levy, assuming private hospital cover (without it, the Medicare levy surcharge adds up to 1.5% at these incomes — check yours with the Medicare levy surcharge calculator). The last column is the compulsory repayment if you still have a HELP debt; it comes out of take-home pay on top of tax. Super is paid on top by an employer at 12%. Above $250,000 of income plus concessional super, an extra 15% applies to your super contributions — billed by the ATO after your tax return, not withheld from pay (see Division 293 tax).

For the full breakdown at the median, see take-home pay on $400,000 (the nearest step to $403,069), or put in your own salary below.

What a surgeon’s pay looks like on a payslip

An employed surgeon gets a payslip each pay day showing gross pay, the PAYG tax withheld (which already allows for the Medicare levy), any HELP repayment withheld, and the super the employer paid on top. Check the tax withheld against the tax withheld calculator and each line against understanding your payslip.

The ATO's median salary or wage for surgeons, $200,000, works out to about $5,390 a fortnight after tax and the Medicare levy. Income from private practice is not on that payslip; tax on it is paid through PAYG instalments or at tax time.

Contracting rather than employed? Compare the two with the contractor pay calculator.

What this page does not show

  • Staff specialist scales for WA, SA, Tasmania, the ACT and the NT, and Queensland's L22 to L29, which we have not read from an official source.
  • Visiting medical officer arrangements and private practice fees, which depend on the individual arrangement.
  • Specialty figures by state: the ATO publishes states only for surgeons as a whole.

Surgeon salary questions

The ATO's 2023–24 tax statistics put surgeons' average taxable income at $519,998, across 4,280 people, with a median of $403,069. Surgeons paid a salary or wage had a median of $200,000 from it.

On the $403,069 median taxable income, a surgeon keeps about $247,757 a year — $9,529 a fortnight — at 2026–27 rates, after $147,251 of income tax and a $8,061 Medicare levy, with no HELP debt.

In the ATO's 2023–24 figures, neurosurgeons had the highest average taxable income ($678,611, 176 people), followed by plastic and reconstructive surgeons ($660,492). General surgeons, the largest group at 1,900, averaged $438,505, and paediatric surgeons $386,014.

In the ATO's figures, yes: its release of the 2023–24 statistics says surgeons have been the highest-paid occupation for the last 15 years, with 4,280 people reporting an average taxable income of $519,998.

Surgeons' average taxable income in 2023–24 was highest in Tasmania ($723,047, 94 people) and Western Australia ($609,719), and lowest in NSW ($409,785), according to the ATO.

Other doctor and dentist salaries

How this page is sourced▼

Income figures are the ATO’s Taxation statistics 2023–24, Individuals Table 15, read from the spreadsheet the ATO publishes on data.gov.au on 9 October 2026 and transcribed to the dollar. They describe what people reported on their tax returns; they are not pay rates. Employee medians come from Jobs and Skills Australia’s occupation profiles, and award and public hospital salaries from the instrument named beside each table.

Take-home figures use the same tax engine as the rest of this site. Nothing on this page is estimated: a figure we could not read from a primary source is listed under “What this page does not show” instead.

Sources & References

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Last verified: 9 October 2026. Our content is based on the latest information from official Australian government sources.

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