License GuideSOC 29-1243

Orthopedic Surgeon
License.

A pediatric surgeon diagnoses and treats physical abnormalities, diseases, and injuries in fetuses, newborns, children, and teenagers. They perform surgical procedures to correct birth defects and fetal conditions. Daily work involves examining patients, reviewing imaging and test results, planning surgical interventions, and performing operations. They may specialize in specific areas like cardiac surgery, neurosurgery, or trauma care. Pediatric surgeons work closely with anesthesiologists, nurses, and other specialists to ensure safe outcomes for their young patients before, during, and after surgery.

At a Glance

Everything a Orthopedic Surgeon needs to know.

The Work
What you actually do

Licensed orthopedic surgeons are regulated at the state level. Every state sets its own education, exam, and experience requirements.

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A pediatric surgeon diagnoses and treats physical abnormalities, diseases, and injuries in fetuses, newborns, children, and teenagers. They perform surgical procedures to correct birth defects and fetal conditions. Daily work involves examining patients, reviewing imaging and test results, planning surgical interventions, and performing operations. They may specialize in specific areas like cardiac surgery, neurosurgery, or trauma care. Pediatric surgeons work closely with anesthesiologists, nurses, and other specialists to ensure safe outcomes for their young patients before, during, and after surgery.

The Exam
Two-part proctored test

The national board exam for orthopedic surgeons is the uniform test most states accept. Many states add a jurisprudence exam on state statute.

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You'll face a two-part exam structure. The national portion tests your core orthopedic knowledge and clinical skills across all states. Then comes the state-specific section, which covers local laws and regulations unique to where you're applying. Most states contract with testing vendors like PSI, Pearson VUE, or Prometric to administer both portions. You'll take the exam at an authorized testing center. Pass rates typically run 80 to 90 percent for qualified candidates, though exact requirements vary by state board.

Renewal
Keeping it active

Continuing education is required between renewals in every state. Most boards require a mix of general CE and topic-specific units like ethics, patient safety, or opioid prescribing.

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Orthopedic surgeons must complete continuing education to renew their licenses. Requirements differ by state. Your board will specify how many hours you need and which topics are mandatory (typically ethics and state regulations). Check your state's board website for exact numbers and deadlines.

Is This For You
Who fits this career

Strong candidates for the orthopedic surgeon role combine the technical knowledge tested on the exam with judgment and communication skills you build through supervised experience.

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You'll need steady hands and the ability to make quick decisions under pressure. Orthopedic surgery demands you work methodically through complex procedures while staying sharp during 10-hour days. You communicate constantly, with patients before surgery, with staff during operations, with families afterward. You're comfortable with uncertainty; diagnosis often requires you to weigh competing possibilities. You learn by doing, which means you thrive in mentorship. Patience matters less than precision. You won't succeed if you avoid difficult conversations or second-guess your training.

Unlicensed Risk
Practicing without a license

Practicing as an orthopedic surgeon without an active license is illegal in every state. Typical penalties include civil fines, forfeited income, and in some states criminal charges on repeat offenses.

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Orthopedic surgery without a valid license violates state law across the country. Unlicensed practitioners face civil fines and must forfeit any income earned from illegal practice. States impose additional criminal penalties for repeat violations, which can include jail time. The specific sanctions vary by jurisdiction and offense history.

The Path

How to Get a Orthopedic Surgeon License.

To get licensed, you'll follow roughly the same path across most states. First, complete accredited education in your field. Then pass a national or state exam. You'll need supervised experience on the job, the length depending on your state. Expect a background check before approval. Once licensed, you must complete continuing education before each renewal. The exact hours, degree requirements, and experience minimums differ by state, so check your specific state's rules.

1
Meet minimum education
Most states require graduation from an accredited orthopedic surgeon program. Degree level and accreditation body vary by profession.
2
Complete supervised clinical hours
Boards set required supervised practice hours under a licensed supervisor. Hours are logged, verified, and submitted with your application.
3
Pass the national board exam
The national certification exam for orthopedic surgeons is the uniform knowledge test most states accept. Some states add a jurisprudence exam on local statute.
4
Submit fingerprints and background check
Most boards collect electronic fingerprints through IdentoGO, Fieldprint, or a similar vendor and run a state and federal background check.
5
Apply for the license
Submit the state application with transcripts, exam scores, experience verification, and fees. Processing runs a few days to several months depending on state and board.
6
Pay fees and activate
Once approved, you pay the initial license fee, post any required bond or insurance, and the state issues your license number.
7
Track renewals and continuing education
Most licenses renew every one to three years with a set amount of continuing education. Missing CE or renewal deadlines risks license inactivation.
Timeline

How long it takes.

Background check and exam scheduling
2 to 6 weeks
License issuance after passing
Few days to several weeks
State processing times vary widely.
Cost Breakdown

What it costs out of pocket.

Required education
Degree program at an accredited institution. Varies massively by degree level.
$30,000 to $250,000
Application and license fee
Paid to the state board at submission. Varies widely by state.
$50 to $500
Fingerprint and background check
Flat vendor fee set by the state.
$40 to $120
Exam fee
Paid to the testing vendor when you schedule.
$50 to $400
Professional liability insurance
Annual policy. Required or strongly recommended in most states.
$300 to $2,500
DEA registration
Federal fee, three-year term. Required only for prescribers.
$0 to $900
Resources

Where to train, certify, and connect.

Optional next steps once your Orthopedic Surgeon license is active.

Martin Community College
Orthopedic Technology/Technician
Williamston, North CarolinaIn-person
East Stroudsburg University of Pennsylvania
Orthopedic Technology/Technician
East Stroudsburg, PennsylvaniaIn-person
Atlantic Technical College
Orthopedic Technology/Technician
Coconut Creek, FloridaIn-person
Geisinger Commonwealth School of Medicine
Medicine
Scranton, PennsylvaniaIn-person
Oregon Health & Science University
Medicine
Portland, OregonIn-person
Rowan University
Medicine
Glassboro, New JerseyIn-person
Boston University
Medicine
Boston, MassachusettsIn-person
Charles R Drew University of Medicine and Science
Medicine
Los Angeles, CaliforniaIn-person
State vs State

Compare any two states.

Pre-license hours and fees vary widely. Pick two states to see the gap.

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Right
Varies
Pre-license hours
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License fee
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Department of Industrial Relations
Issuing board
Texas Medical Board
Frequently Asked

Questions people ask.

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