Healthcare

Surgeon Salary in Alabama (2026)

The average Surgeon in Alabama earns around $540,000/year. After taxes, your estimated take-home is $346,308/year ($28,859/month).

Take-Home Pay Breakdown

CategoryAmount
Annual Take-Home Pay
$346,308
Monthly Take-Home Pay
$28,859
Biweekly Take-Home Pay
$13,320
Hourly Take-Home Pay

based on 2,080 hrs/year

$166/hr
Federal Tax
$152,134
State Tax
$19,228
FICA Taxes
$22,329
Effective Tax Rate

total taxes ÷ gross salary

35.87%
Estimates only — not tax advice. · Full disclaimer →

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Surgeon Salary Ranges in Alabama

Entry Level (0–3 yrs)

$410,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$540,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$950,000

/year

See tax breakdown →

Not all Surgeons earn the same — not even close

Alabama's surgeon market is anchored by UAB Medicine Birmingham (the only OR academic medical center in AL with substantial cardiothoracic + neurosurgery + transplant + O'Neal Comprehensive Cancer Center surgical programs + the only Level 1 adult trauma center in Birmingham), Children's of Alabama Birmingham (Level 1 pediatric trauma + academic pediatric surgery), Huntsville Hospital System (Level 1 adult trauma center for North AL), USA Health Mobile (Level 1 adult trauma center for South AL + USA College of Medicine), Brookwood Baptist Health surgical, Princeton Baptist Birmingham, plus Tuscaloosa DCH Health surgical.

Senior Cardiothoracic Surgeon (UAB)

$685,000–$1,485,000+ TC

UAB CT Surgery · transplant + heart-lung · academic + program leadership

Senior Neurosurgeon (UAB)

$785,000–$1,685,000+ TC

UAB Neurosurgery · brain + spine + functional · academic premium · UAB Heersink

Senior Transplant Surgeon (UAB)

$565,000–$1,185,000+ TC

UAB Transplant Center · liver + kidney + pancreas + heart

Senior Orthopedic Surgeon

$465,000–$985,000+ TC

UAB Ortho + Andrews Sports Medicine Birmingham + Auburn Sports Medicine · sports medicine premium

Senior Trauma Surgeon (UAB / Huntsville / USA)

$425,000–$685,000

UAB Level 1 + Huntsville Level 1 + USA Mobile Level 1 + Children's of AL Level 1 pediatric

Senior General Surgeon

$345,000–$565,000

UAB + Brookwood + Huntsville Hospital + USA Mobile · academic + community senior band

Senior Plastic / Reconstructive Surgeon

$425,000–$885,000+ TC

UAB Plastic Surgery + private practice Birmingham + Huntsville · academic + private mix

Senior ENT / Otolaryngology

$425,000–$745,000+ TC

UAB ENT + USA Mobile ENT · sleep + head/neck oncology subspecialty premium

Senior Pediatric Surgeon (Children's of AL)

$425,000–$785,000+ TC

Children's of Alabama · USA Children's & Women's Mobile · pediatric surgical specialty

Surgical Fellow (UAB)

$72,000–$105,000

Surgical fellowship at UAB · transitioning to attending band

Worth knowing: UAB's O'Neal Comprehensive Cancer Center is the only NCI-designated comprehensive cancer center in Alabama and one of just 4 NCI-designated comprehensive cancer centers in the Southeast US outside FL/NC/TN/GA — a feature most national surgeon surveys understate for AL. O'Neal Comprehensive Cancer Center at UAB (one of only 53 NCI-designated comprehensive cancer centers nationally, the only NCI center in AL, ~$60M+ annual NIH funding) operates substantial cancer surgical innovation across surgical oncology + cardiothoracic + neurosurgical-oncologic + breast + GI + hepatobiliary + gynecologic + urologic + pediatric subspecialty programs. Senior UAB cardiothoracic + neurosurgical subspecialists clear $685K-$1.69M+ TC. UAB Heersink School of Medicine (named for Marnix Heersink + Mary Heersink following $95M 2021 gift) is the only AL medical school. The Andrews Sports Medicine + Orthopaedic Center Birmingham (~25 surgeons including Dr. James Andrews — among the country's most prominent orthopedic + sports medicine surgeons, official surgeons for major US sports leagues + numerous Olympic athletes + collegiate programs) anchors AL sports orthopedic specialty. UAB operates Level 1 adult trauma in Birmingham. Huntsville Hospital System operates Level 1 adult trauma in North AL. USA Health Mobile operates Level 1 adult trauma in South AL. Children's of Alabama Birmingham operates the only Level 1 pediatric trauma in AL. AL joined IMLC in 2018. AL's 5% top + Federal Income Tax Deduction + RTW + low cost of living supports senior surgeon retention.

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