How much does a Surgeon make in Alabama?

BLS publishes no Alabama figure; the US average Surgeon pay is $373,930 a year (BLS, May 2025). On that pay in Alabama, after federal taxes, FICA, and Alabama state taxes, your estimated take-home pay is approximately $247,738 annually ($20,645/month).

What is the take-home pay for a Surgeon in Alabama?

On a $373,930 salary in Alabama, your take-home pay is approximately $247,738/year or $20,645/month. Federal tax: $94,010. State tax: $13,756. FICA: $18,426.

Is $373,930 a good Surgeon salary?

$373,930 is the BLS US average Surgeon pay; BLS publishes no Alabama figure (BLS, May 2025). The middle 50% in the US earn between $134,850 and $511,420.

How do Alabama taxes affect Surgeon salaries?

Alabama levies state income tax on top of federal taxes. Your estimated state tax on $373,930 is $13,756. Your total effective tax rate is approximately 33.7%.

What are the career growth prospects for Surgeons?

In the US, the top 10% earn over $655,320 and the bottom 10% under $80,320 (BLS, May 2025). 3% growth projected 2022-2032 (slower than average) overall — but specific subspecialties (cardiothoracic, neurosurgery, plastic, transplant, pediatric subspecialty) face severe shortage with 8-15 year supply lag from training pipeline. Aging Boomer demographic = sustained surgical volume through 2035+. AI/robotics augment but do not replace operative judgment in the 10-year window. Related roles include: Anesthesiologist, Orthopedic Surgeon, Cardiothoracic Surgeon, Neurosurgeon, Plastic Surgeon, Vascular Surgeon, General Surgeon, Trauma Surgeon, Transplant Surgeon, Pediatric Surgical Subspecialist, Surgical Oncologist.

How can a Surgeon in Alabama reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Surgeon Salary in Alabama (2026)

Average Surgeon pay in the US

$373,930/year

≈ $180/hour before tax

BLS publishes no Alabama figure; US average shown.

Source: BLS, May 2025 · Surgeons, All Other

After tax (single filer)

$247,738/year

$20,645/month · effective tax rate 33.75%

Federal $94,010
State $13,756
FICA $18,426
Take-home

Pay by role in Alabama

Senior Cardiothoracic Surgeon (UAB)$685,000–$1,485,000+ TC
Senior Neurosurgeon (UAB)$785,000–$1,685,000+ TC
Senior Transplant Surgeon (UAB)$565,000–$1,185,000+ TC
Senior Orthopedic Surgeon$465,000–$985,000+ TC
Senior Trauma Surgeon (UAB / Huntsville / USA)$425,000–$685,000
Senior General Surgeon$345,000–$565,000

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$247,738
Monthly Take-Home Pay	$20,645
Biweekly Take-Home Pay	$9,528
Hourly Take-Home Pay based on 2,080 hrs/year	$119/hr
Federal Tax	$94,010
State Tax	$13,756
FICA Taxes	$18,426
Effective Tax Rate total taxes ÷ gross salary	33.75%

Estimates only — not tax advice. · Full disclaimer →

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.

Sources & Methodology

Salary figures are market estimates for Surgeons in Alabama and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Alabama 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.

Run your own numbers