License GuideSOC 29-1243

Orthopedic Surgeon
License.

A pediatric surgeon diagnoses and treats surgical conditions in patients from birth through adolescence. They perform operations to correct birth defects, repair injuries, and address diseases requiring surgical intervention. Their work spans all pediatric surgical specialties, from general procedures to highly specialized subspecialties. Day to day, they examine young patients, review imaging and test results, perform surgeries, and manage post-operative care. Many also treat fetal abnormalities during pregnancy. They work closely with other pediatric specialists, anesthesiologists, and nursing staff to ensure safe outcomes for their youngest patients.

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 surgical conditions in patients from birth through adolescence. They perform operations to correct birth defects, repair injuries, and address diseases requiring surgical intervention. Their work spans all pediatric surgical specialties, from general procedures to highly specialized subspecialties. Day to day, they examine young patients, review imaging and test results, perform surgeries, and manage post-operative care. Many also treat fetal abnormalities during pregnancy. They work closely with other pediatric specialists, anesthesiologists, and nursing staff to ensure safe outcomes for their youngest patients.

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 section tests your core orthopedic knowledge across all states. The state-specific portion covers local laws and regulations you need to practice in your jurisdiction. Most states contract with testing companies like PSI, Pearson VUE, or Prometric to administer the exam. You'll complete both sections to earn your license. Each part has its own passing score, which your state board sets. Check your state's medical board website for exact score requirements and exam dates.

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. The number of required hours and specific topics vary by state. Common requirements include ethics training and updates on state regulations. Check your state board's renewal rules for exact hours 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 the technical foundation that the exam verifies, but that's only half the equation. Orthopedic surgery demands precise judgment calls under pressure. You'll spend years learning to read imaging, anticipate complications, and decide between treatment options. Communication matters too. You explain complex procedures to anxious patients, coordinate with physical therapists, and document decisions clearly. The surgeons who advance aren't just the smartest in the room. They're the ones who listen, adapt their explanations to different patients, and build trust with their teams.

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. Unlicensed practitioners face civil fines and must return any income earned from those services. States may impose criminal penalties for repeat violations, though sentences are typically short. The specific consequences vary by state and the number of prior offenses.

Career Outlook
+1.9% projected

Employment change 2024 to 2034.

The Path

How to Get a Orthopedic Surgeon License.

You'll follow a consistent path across most states. Start with accredited education in your field. Next comes a national or state exam to demonstrate competency. You'll need supervised experience (the hours vary by state). A background check is standard. Finally, you'll complete continuing education between license renewals to stay current. Each state sets its own minimums for hours, degrees, and experience length, so check your specific state's requirements before applying.

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
Primary Certification in Plastic & Reconstructive Surgery
American Osteopathic Board of Surgery
Advanced
Primary Certification in General Surgery
American Osteopathic Board of Surgery
Specialty
Certification in Surgery: Pediatric Surgery
American Osteopathic Board of Surgery
Specialty
Spinal Surgery
American Academy of Neurological & Orthopaedic Surgeons
Specialty
Surgical Critical Care
American Board of Emergency Medicine
Specialty
Primary Certification in Cardiothoracic 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
Subspecialty Certification in Hand Surgery
American Board of Orthopaedic Surgery
Specialty
Certification in Surgery: Surgical Critical Care
American Osteopathic Board of Surgery
Specialty
Primary Certification in Urological Surgery
American Osteopathic Board of Surgery
Specialty
Primary Certification in Vascular 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
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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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