How much does a Surgeon make in Washington?

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

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

On a $540,000 salary in Washington, your take-home pay is approximately $365,537/year or $30,461/month. Federal tax: $152,134. Washington has no state income tax. FICA: $0.00.

Is $540,000 a good Surgeon salary?

$540,000 is a strong salary for a Surgeon — above the national median. In Washington, Amazon, Microsoft, and Boeing headquarters drive high tech and aerospace demand.

How do Washington taxes affect Surgeon salaries?

Washington has no state income tax, a significant advantage. You keep more of your paycheck compared to high-tax states like California or New York.

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 Washington 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 Washington (2026)

The average Surgeon in Washington earns around $540,000/year. After taxes, your estimated take-home is $365,537/year ($30,461/month).✓ No state income tax

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 Washington

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

Washington's surgeon market is concentrated at UW Medicine (University of Washington Medical Center plus Harborview Medical Center — UW's flagship campus operates one of the country's busiest Level 1 trauma centers serving the WAMI region of WA + AK + MT + ID), Virginia Mason Franciscan Health (post-2021 merger, ~20K employees), Swedish Medical Center (now part of Providence Health), Seattle Children's Hospital (top-15 nationally ranked pediatric), and MultiCare Health System (Tacoma-based ~20K employees). Surgical subspecialty depth is unusually strong for a non-NY/CA/MA market driven by WAMI trauma referral concentration.

Cardiothoracic Surgeon (CT)

$565,000–$945,000+ TC

UW Medicine CT surgery · Swedish + Virginia Mason + MultiCare · WAMI heart transplant referral

Neurosurgeon

$555,000–$925,000+ TC

Harborview Neurosurgery (busiest US Level 1 trauma neuro) · UW · Swedish · Providence

Orthopedic Surgeon (Sports / Joint Replacement)

$485,000–$815,000

UW Sports Med · Virginia Mason · MultiCare · Proliance Surgeons (largest US private orthopedic practice)

Trauma Surgeon (Harborview)

$515,000–$865,000

Harborview Medical Center · only Level 1 trauma center for WAMI region · 24/7 high acuity premium

General / Colorectal Surgeon

$385,000–$625,000

UW + Virginia Mason + Swedish + Providence · senior community-hospital private practice

Transplant Surgeon (Liver / Kidney)

$525,000–$895,000

UW Medicine Transplant Center · multi-organ specialty · academic leadership track

Urologic Surgeon

$415,000–$685,000

UW Urology · Virginia Mason · robotic prostatectomy + uro-oncology subspecialty premium

Pediatric Surgeon

$465,000–$735,000

Seattle Children's Hospital (top-15 nationally) · pediatric subspecialty academic premium

Plastic Surgeon (Reconstructive)

$425,000–$735,000

UW Plastic · Virginia Mason · post-mastectomy reconstruction + complex trauma + private cosmetic

Senior Surgical Fellow (PGY-6 to PGY-8+)

$80,000–$98,000

UW + Virginia Mason + Swedish surgical fellowship programs · PGY scale plus call

Worth knowing: Harborview Medical Center is the structural depth feature most national surgeon-market surveys understate for WA. Operated by UW Medicine and owned by King County, Harborview is the only Level 1 trauma center for the WAMI region (Washington, Alaska, Montana, Idaho) — covering ~27% of US land area but serving the trauma needs of all four states. This trauma concentration drives sustained surgical demand across neurosurgery, orthopedic trauma, general/trauma surgery, and burn surgery. Senior trauma surgeons at Harborview clear $515-865K TC. UW Medicine's transplant center plus Seattle Children's Hospital top-15 pediatric ranking add academic surgical specialty depth. Proliance Surgeons (Bellevue-based, ~750 physicians + advanced practice providers across 100+ care centers) is the largest US private orthopedic surgery practice — distinctively structured for WA. The WA 0% state income tax (no income tax) plus no city earnings tax means take-home for senior surgical subspecialists at $700K+ TC is among the highest US after-tax surgical comp — compared to $700K MA surgeon paying ~9% state combined ($63K state tax), WA surgeon at same TC pays $0 state. WA Capital Gains Tax 7% applies only above $270K threshold per RCW 82.87 — most surgeon income is fully exempt. WA Cares Fund 0.58% capped at $870/year on W-2 wages.

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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 Colorado →$540,000 salary in Washington →

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