How much does a Surgeon make in South Dakota?

The average Surgeon salary in South Dakota is around $540,000 per year. After federal taxes, FICA, and South Dakota state taxes, your estimated take-home pay is approximately $365,537 annually ($30,461/month).

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

On a $540,000 salary in South Dakota, your take-home pay is approximately $365,537/year or $30,461/month. Federal tax: $152,134. State tax: $0. FICA: $0.00.

Is $540,000 a good Surgeon salary?

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

How do South Dakota taxes affect Surgeon salaries?

South Dakota levies state income tax on top of federal taxes. Your estimated state tax on $540,000 is $0. Your total effective tax rate is approximately 32.3%.

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 South Dakota 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 South Dakota (2026)

The average Surgeon in South Dakota earns around $540,000/year. After taxes, your estimated take-home is $365,537/year ($30,461/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$365,537
Monthly Take-Home Pay	$30,461
Biweekly Take-Home Pay	$14,059
Hourly Take-Home Pay based on 2,080 hrs/year	$176/hr
Federal Tax	$152,134
State Tax	$0
FICA Taxes	$22,329
Effective Tax Rate total taxes ÷ gross salary	32.31%

Estimates only — not tax advice. · Full disclaimer →

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Surgeon Salary Ranges in South Dakota

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

South Dakota's surgical market is anchored by Sanford USD Medical Center Sioux Falls (the only SD Level 1 adult trauma + Sanford Children's Hospital pediatric surgery + Sanford Heart Hospital + Sanford USD-Mayo Clinic Care Network affiliation), Avera McKennan Hospital Sioux Falls + Avera Heart Hospital (the substantial Avera Heart cardiac + thoracic + vascular surgery + Avera Cancer Institute surgical oncology + Avera Brain & Spine Institute), Monument Health Rapid City (substantial Western SD multi-specialty + the substantial Monument Health Rapid City Regional Hospital), Children's Hospital Sanford pediatric surgery + USD Sanford School of Medicine surgical residency, IHS Pine Ridge + Rosebud + Cheyenne River + Standing Rock surgical, plus the substantial SD private surgical practice + the substantial Black Hills + post-Sturgis Rally motorcycle trauma orthopedic referral.

Senior Trauma Surgeon (Sanford USD Level 1)

$475,000–$915,000+ bonus

Sanford USD · the only SD Level 1 + 24/7 trauma call + post-Sturgis Rally referral

Senior Cardiac Surgeon (Avera Heart / Sanford)

$525,000–$1,185,000+ bonus

Avera Heart Hospital + Sanford Heart Hospital · cardiac + thoracic + vascular

Senior Orthopedic Surgeon

$525,000–$1,085,000+ bonus

SD orthopedic + Sanford + Avera + Monument + post-Sturgis Rally motorcycle trauma

Senior Surgical Oncologist (Avera Cancer)

$445,000–$815,000+ bonus

Avera Cancer Institute + Sanford Cancer Center · oncology surgery

Senior Neurosurgeon

$585,000–$1,285,000+ bonus

Avera Brain & Spine + Sanford USD + Monument Health · adult + pediatric neurosurgery

Senior Pediatric Surgeon (Sanford Children)

$425,000–$785,000+ bonus

Sanford Children Hospital Sioux Falls · pediatric general + congenital + transplant

Senior General Surgeon

$365,000–$625,000+ bonus

SD general surgery + Sanford + Avera + Monument + private practice

Senior Plastic Surgeon (Private)

$425,000–$985,000+ bonus

Private practice plastic surgery · the substantial SD cosmetic + reconstructive

Mid-Career Surgeon (5-10 yrs post-fellowship)

$345,000–$585,000

Specialty surgeon 5-10 yrs · transitioning to senior partnership

Surgical Resident / Fellow

$58,000–$80,000

Sanford USD Surgery residency · USD Sanford School of Medicine GME

Worth knowing: Sanford USD Medical Center + Avera Heart Hospital + Avera Cancer Institute dual-system + post-Sturgis Motorcycle Rally orthopedic trauma referral is one of the country's distinctive concentrated US single-state dual-system surgical anchor and a feature most national surgeon surveys understate for SD. Sanford USD Medical Center (the only SD Level 1 adult trauma + Sanford Children Hospital pediatric surgery + Sanford Heart Hospital + Sanford USD-Mayo Clinic Care Network affiliation + ~545 beds + the substantial Sanford USD-USD School of Medicine partnership + the substantial Sanford Castle of Care surgical) + Avera McKennan + Avera Heart Hospital + Avera Cancer Institute (Catholic + the substantial Avera Heart Hospital substantial cardiac + thoracic + vascular surgery + Avera Brain & Spine Institute neurosurgery + Avera Cancer Institute surgical oncology) supports substantial SD dual-system surgical work. Senior SD trauma + cardiac + neurosurgery clear $475K-$1.285M+ bonus. Monument Health Rapid City multi-specialty Western SD + the substantial Sturgis Motorcycle Rally ~500K+ annual visitors driving post-Sturgis Rally motorcycle trauma + orthopedic surgical referral to SD orthopedic surgeons. IHS Pine Ridge + Rosebud + Cheyenne River + Standing Rock surgical. SD 0% state income tax + SD RTW since 1946 anchor the SD surgical proposition.

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Surgeon Salary in Other States

Surgeon Salary in California →Surgeon Salary in Texas →Surgeon Salary in New York →Surgeon Salary in Florida →Surgeon Salary in Washington →$540,000 salary in South Dakota →

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Tax brackets, standard deductions, and take-home estimates for South Dakota in 2026.

South Dakota Paycheck Calculator →

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