License GuideSOC 29-1243

Orthopedic Surgeon
License.

A pediatric surgeon diagnoses and treats birth defects, diseases, and injuries in patients from fetal stage through adolescence. Daily work includes evaluating patients through imaging and physical examination, performing surgical procedures to correct abnormalities, and managing post-operative care. They may specialize in specific areas like cardiac surgery, orthopedics, or trauma. These physicians work in hospitals and surgical centers, collaborating with anesthesiologists, nurses, and other specialists. Many also conduct research or teach medical students and residents.

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 birth defects, diseases, and injuries in patients from fetal stage through adolescence. Daily work includes evaluating patients through imaging and physical examination, performing surgical procedures to correct abnormalities, and managing post-operative care. They may specialize in specific areas like cardiac surgery, orthopedics, or trauma. These physicians work in hospitals and surgical centers, collaborating with anesthesiologists, nurses, and other specialists. Many also conduct research or teach medical students and residents.

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 take an exam split into two sections. The national portion covers core orthopedic knowledge and applies everywhere. The state-law portion tests your knowledge of regulations specific to your state. Most states contract with testing vendors like PSI, Pearson VUE, or Prometric to administer the exam. You'll sit for both sections, typically on the same day or within a short window. Passing scores vary by state, but you generally need to demonstrate competency across both portions to earn your license.

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. Your state board sets the hour requirement and dictates which topics you must cover, typically ethics and state regulations. Check your specific state board's renewal rules 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 precise technical knowledge, but that's only half the job. The other half is judgment. You make calls about treatment options when the data doesn't point in one direction. You explain complex procedures to anxious patients before surgery. You work with nurses, anesthesiologists, and physical therapists, which means you can't hide behind a mask. You listen more than you talk. You admit uncertainty when it's real. The surgeons who advance aren't the smartest in the room. They're the ones people trust.

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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Practicing orthopedic surgery without an active license violates state law across the country. Penalties vary but commonly include civil fines and loss of any income earned from unlicensed work. Repeat offenders may face criminal charges in some states, potentially resulting in jail time. These consequences exist to protect patients and maintain professional standards in medical practice.

Career Outlook
+1.9% projected

Employment change 2024 to 2034.

The Path

How to Get a Orthopedic Surgeon License.

You'll follow a consistent five-step pathway across most states. First, complete accredited education in your field. Next, pass a national or state exam. Then gain supervised experience, which varies by state in hours and years required. A background check comes next. Finally, complete continuing education before each license renewal. While the sequence stays the same everywhere, your state sets the specific minimums for education hours, degree level, and experience length.

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.

Specialty
Surgical Critical Care
American Board of Emergency Medicine
Specialty
Certification in Surgery: Vascular Surgery
American Osteopathic Board of Surgery
Specialty
Primary Certification in Urological Surgery
American Osteopathic Board of Surgery
Specialty
Subspecialty Certification in Surgical Critical Care
American Osteopathic Board of Surgery
Specialty
Board Certified in Pediatric Urology
American Board of Urology
Specialty
Primary Certification in Vascular Surgery
American Osteopathic Board of Surgery
Advanced
General Surgery
American Board of Physician Specialties
Specialty
Certification in Surgery: Pediatric Surgery
American Osteopathic Board of Surgery
Specialty
Certification in Surgery: Hand Surgery
American Osteopathic Board of Surgery
Specialty
Spinal Surgery
American Academy of Neurological & Orthopaedic Surgeons
Specialty
Primary Care and Foot And Ankle Surgery
American Board of Multiple Specialties in Podiatry
Specialty
Primary Certification in Cardiothoracic Surgery
American Osteopathic Board of Surgery
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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Exam fee
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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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