Accountant vs Surgeon Salary
Surgeons earn approximately 254.4% more than Accountants nationally — $280,000 vs $79,000.
Accountant vs Surgeon: salary breakdown
On a national-median basis, Surgeons out-earn Accountants by $201,000 per year — a 254.4% gap. That works out to roughly $16,750/month or $97/hour of difference.
Important context: these are MEDIANS — the middle salary in the country. Real-world variation is wide: entry-level roles in either career may pay 25-35% below median, while senior roles or specialized niches can pay 50-100%+ above. Your specific numbers depend on experience, location, employer, and credentials.
When does the salary gap matter most?
For someone choosing between these careers, the $201,000 annual difference compounds:
- Over 10 years: ~$2,010,000 in raw salary difference
- Over 40 years: ~$8,040,000 (without raises or compounding)
- With 3% annual raises: the gap typically grows because the higher-paid role's raises are also larger in dollar terms
- With investment compounding: the $201,000/year extra invested at 7% over 40 years grows to roughly $39,999,000 — significantly more than the raw difference
But salary isn't everything. Job satisfaction, work-life balance, growth potential, and career switching costs all matter. A career you can sustain for decades beats a higher-paying one you'll burn out on.
By state and city — significant variation
National medians are starting points. Real salaries vary 30%+ by location:
- Accountant in California ≈ $93,220 (1.18× national)
- Accountant in Mississippi ≈ $66,360 (0.84× national)
- Surgeon in California ≈ $330,400
- Surgeon in Mississippi ≈ $235,200
Use our Accountant salary by state pages to drill into specific locations.
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Related tools
Accountant salary by state — Surgeon salary by state — Best cities for Accountant — Best cities for Surgeon — Paycheck Calculator — Investment Calculator.