How much does a Surgeon make in Hawaii?

The average Surgeon salary in Hawaii is around $540,000 per year. After federal taxes, FICA, and Hawaii state taxes, your estimated take-home pay is approximately $316,405 annually ($26,367/month).

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

On a $540,000 salary in Hawaii, your take-home pay is approximately $316,405/year or $26,367/month. Federal tax: $152,134. State tax: $49,132. FICA: $0.00.

Is $540,000 a good Surgeon salary?

$540,000 is a strong salary for a Surgeon — above the national median. In Hawaii, demand for this role is active.

How do Hawaii taxes affect Surgeon salaries?

Hawaii levies state income tax on top of federal taxes. Your estimated state tax on $540,000 is $49,132. Your total effective tax rate is approximately 41.4%.

What are the career growth prospects for Surgeons?

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 Hawaii 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 Hawaii (2026)

The average Surgeon in Hawaii earns around $540,000/year. After taxes, your estimated take-home is $316,405/year ($26,367/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$316,405
Monthly Take-Home Pay	$26,367
Biweekly Take-Home Pay	$12,169
Hourly Take-Home Pay based on 2,080 hrs/year	$152/hr
Federal Tax	$152,134
State Tax	$49,132
FICA Taxes	$22,329
Effective Tax Rate total taxes ÷ gross salary	41.41%

Estimates only — not tax advice. · Full disclaimer →

Want to model 401(k), HSA, or pre-tax contributions against your full salary? Open the salary calculator →

Got a year-end bonus, sign-on, or retention payout? See the bonus calculator →

1099 contract work or side gigs? Self-employment tax adds 15.3% on top. Open the 1099 tax calculator →

Selling appreciated assets (stocks, real estate, crypto)? LTCG, NIIT, and state cap-gains all matter. Open the capital-gains calculator →

Key terms:···

Surgeon Salary Ranges in Hawaii

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

Hawaii's surgeon market is anchored by The Queen's Medical Center Honolulu (the only HI Level 1 adult trauma + the substantial post-1859 Queen's heritage + ~575+ beds + the substantial Queen's surgical residency + post-Surgical Sub-Specialty fellowships), Kaiser Permanente Hawaii Moanalua Medical Center (Permanente Medical Group integrated surgery), Tripler Army Medical Center Honolulu (federal civilian + military medicine surgical + the substantial post-2024 Tripler Indo-Pacific surgical), Hawaii Pacific Health (Straub Medical Center + Pali Momi Medical Center + Kapiolani Medical Center for Women & Children pediatric surgery + Wilcox Medical Center Kauai), Adventist Health Castle Kailua + Wahiawa General Hospital + Maui Memorial Medical Center + Hilo Medical Center Big Island + Kona Community Hospital, plus University of Hawaii John A. Burns School of Medicine JABSOM surgical residency + the substantial JABSOM-Queen's partnership.

Neurosurgeon

$685,000–$1,150,000+ bonus

Neurosurg at Queen + Kaiser HI + Tripler · complex + spine + tumor

Cardiothoracic Surgeon

$525,000–$895,000+ bonus

CT surgery at Queen + Kaiser + Tripler + Straub · transplant + complex

Orthopedic Surgeon (Sports / Trauma)

$495,000–$895,000+ bonus

Ortho at HI major systems · post-Hawaii surf + post-2023 Maui trauma

General / Trauma Surgeon (Queen Level 1)

$385,000–$615,000+ bonus

Trauma at Queen Level 1 + the substantial HI trauma + post-2023 Maui

Vascular Surgeon

$465,000–$735,000+ bonus

Vascular at Queen + Kaiser + Tripler + Straub + community vascular

Plastic / Reconstructive Surgeon

$425,000–$745,000+ bonus

Plastics at HI major systems + Hilton + Aulani cosmetic + private practice

Urologic Surgeon

$435,000–$705,000+ bonus

Uro at Queen + Kaiser + Tripler + Straub + community urology

Pediatric Surgeon (Kapiolani)

$465,000–$735,000+ bonus

Peds surgery at Kapiolani Medical Center for Women & Children + Queen peds

OB/GYN Surgeon

$295,000–$435,000+ bonus

OB-GYN surgical at Queen + Kaiser + Kapiolani + Tripler + community

ENT / Otolaryngologist

$395,000–$625,000+ bonus

ENT at HI major systems + community ENT private practice

Worth knowing: The Queen's Medical Center the only HI Level 1 trauma + post-2023 Maui wildfire surgical referral + Kaiser Permanente HI integrated surgery + Tripler Army Medical Center Indo-Pacific military surgery tri-anchor is one of the country's distinctive concentrated US single-state heritage trauma + post-Maui wildfire mass casualty + integrated managed care + military medicine surgeon cluster and a feature most national surgeon surveys understate for HI. The Queen's Medical Center Honolulu (the only HI Level 1 adult trauma + the substantial post-1859 Queen's heritage as one of country's oldest US hospital systems + ~575+ beds + the substantial Queen's surgical residency + post-Surgical Sub-Specialty fellowships in CT + vascular + plastic + ortho + neurosurg + uro + ENT + transplant). Kaiser Permanente Hawaii Moanalua Medical Center (the substantial Kaiser HI Permanente Medical Group integrated surgery + the substantial Kaiser HI ~270K+ members). Tripler Army Medical Center Honolulu (the substantial Tripler Indo-Pacific military surgery + the substantial Tripler as one of country's substantial US Army hospitals). Hawaii Pacific Health (Straub Medical Center + Pali Momi + Kapiolani Medical Center for Women & Children pediatric surgery + Wilcox Kauai). Adventist Health Castle + Wahiawa General + Maui Memorial + Hilo Medical Center + Kona Community + post-2023 Maui wildfire surgical referral. UH John A. Burns School of Medicine JABSOM surgical residency + the substantial JABSOM-Queen's partnership. HI IMLC since 2017 + post-Act 46 HI progressive top 11% phased 2024-2031 anchor the HI surgeon proposition.