OB/GYNS

The field of surgery continues to evolve rapidly, influenced by shifting patient demographics, advancements in medical technology, and a growing demand for surgical interventions. In response to years of healthcare workforce shortages, the national employment landscape shows promise for surgeons, and recent data confirms that surgical specialties correspond to high demand, high salaries, and a high impact on public health.

This article explores the current landscape and future career prospects for surgeons in 2025, highlighting the multifaceted professional benefits and opportunities and the challenges and liabilities associated with surgery.

According to the American College of Surgeons, standard workplace settings for a surgeon include:

• Hospitals
• Academic Medicine
• Private Practice
• Ambulatory Surgery Centers
• Contract Assignments through a Staffing Agency
• Institutional Practice
• Government Service Programs
• Military/Uniformed Services

After years of extensive education and training, surgeons offer an incredibly complex and rare skillset that saves lives every day. As such, surgeons play a crucial role across the healthcare sector and have access to many professional benefits.

For 2025 and beyond, the favorable outlook for surgeons predicates upon these contributing factors:

1. Growing Market Value in the U.S.
   Based on the 2023 market size of $830 Billion, experts predict that the U.S. surgical procedures market will surpass $1 trillion around 2027 and climb to $1.52 trillion by 2033.
   
   These market growth predictions indicate that surgeons will have considerable flexibility and autonomy with employment opportunities in response to the high demand for their expertise.

Surgical procedures in the United States are expected to reach a $930 Billion market value in 2025 and $1.52 Trillion by 2033.
Source: Precedence Research

2. Increasing Demand for Surgery
   According to the U.S. Bureau of Labor Statistics, surgeon employment is projected to increase by 4% between 2023 and 2033. The projected growth rate varies among specialties, as illustrated by the chart below:

   Projected employment growth rates for surgeons through 2033 range from 2-5% depending on subspecialty.
   Source: U.S. Bureau of Labor Statistics

   Why is the Demand for Surgeons Increasing?

   One of the most significant factors generating demand for surgeons is the aging global population, which correlates with increasing healthcare needs. In the U.S., this is primarily due to the predominance of the Baby Boomer generation in both the medical workforce and patient population.

   Key contributing factors:

   • Aging General Population
     According to the World Health Organization, the number of people aged 60 or older will increase by 34% from 2020 to 2030. An older population typically requires more surgical interventions, including orthopedic hip and knee replacements, interventional cardiology, and cataract surgeries. This explains why ophthalmologists’ and pediatric employment projections have the highest and lowest expected growth rates, respectively.
   • Aging Surgical Workforce
     Physicians aged 65+ currently represent 20% of the clinical physician workforce, and a significant portion will exit within the next decade. As more Baby Boomer surgeons reach retirement age, the Association of American Medical Colleges (AAMC) projects that the U.S. will face a physician shortage of up to 86,000 providers by 2036.Looking specifically at AAMC surgical provider data, by the end of 2022, 25.6% of surgeons were older than 65 years. That percentage is even higher for the subspecialties of Ophthalmology, Orthopaedic, Plastic, Thoracic, and Urology.This impending gap signifies ample growth opportunities for new surgeons entering the field and a potential avenue into leadership roles for experienced surgeons.
     The dark blue bar represents surgeons 65+ compared to their younger counterparts for every surgical specialty except Sports Medicine.
     Source: American College of Surgeons
   • Expanded Patient Access

     In response to the COVID pandemic, telemedicine infrastructure and acceptance within healthcare strengthened rapidly and continue to impact patient access today. Surgeons can now offer remote patient consultations to a broader population. Specialist healthcare teams are no longer bound by geography, encouraging virtual multidisciplinary collaboration to help patients anywhere in the country.

     Some local governments and healthcare organizations have offered incentives to attract and retain surgeons, such as scholarships, loan forgiveness, and relocation or housing support, to improve healthcare accessibility in underserved regions further.

3. Groundbreaking Innovations
   As advancements in medical technology continue to flourish, surgeons will have exciting new methods and protocols to explore in 2025. Many of these innovations offer high-precision, minimally invasive approaches that have the potential to reduce patient recovery time and mitigate medical malpractice risk for providers.
   
   Examples include:
   • Robotic Surgery

     Robotic systems, such as the widely popular da Vinci Surgical System, allow for smaller incisions, greater precision, and faster patient recovery times.

   • Artificial Intelligence

     AI algorithms can assist surgeons with preoperative planning, interpretation of patient imaging, and real-time analytics or navigation assistance during an operation, potentially reducing surgery time and improving efficiency.

   • Virtual & Augmented Reality (VR & AR)

     VR simulators create a realistic training environment for surgeons that poses zero risk to human patients. Studies have shown that VR training can improve procedural accuracy compared to traditional methods, leading to better patient outcomes and reduced liability risk for the surgeon.

     In the operating room, AR overlays of patient data and 3D anatomical models can be projected directly onto the surgery site, helping surgeons make accurate, data-driven decisions in real time.

4. High Earning Potential
   According to the Medscape Physician Compensation Report 2024, surgeons remain among the highest-paid healthcare providers due to their specialized skills and high level of responsibility. However, individual salaries vary based on specialty, years of experience, and geography.

   

   Orthopedics, Plastic Surgery, Cardiology, Urology, and Gastroenterology ranked as the top 5 specialties according to average annual earnings.

   Source: 2024 Medscape Physician Compensation Report

   

   Specialist compensation gains ranged from +11% to -13%.
   Source: 2024 Medscape Physician Compensation Report

   Highlights from the 2024 report include:

   • Surgical salary growth outpaces nonsurgical salaries.
     Between 2022 and 2023, total compensation for surgical specialists increased by 4.4%, while nonsurgical specialist compensation rose by less than 2%.
   • Orthopedic surgeons are the highest-paid subspecialty.
     Subspecialties like orthopedic surgery and plastic surgery command the highest salaries, followed closely by general surgeons, OB/GYNs, and neurosurgeons.
   • Salary trends differ based on specialty.
     Though plastic surgeons earn the second highest average salary, the specialty experienced the largest downward trend, 13%.
   • Local demand and competition levels impact earning potential.
     Surgeons are well-compensated in underserved regions with high demand and low competition, though urban hubs also offer high salaries due to cost of living levels.

In 2025, in addition to the inherent challenges of a demanding career in healthcare, surgeons will potentially face obstacles related to recent industry trends, regulatory changes, and malpractice litigation precedents.

1. 1. Rigorous Commitment
      Becoming a surgeon is long and hard, requiring intense time commitments and deep financial investments to obtain the necessary education, training, and credentials.Surgeons typically follow this process before they can practice medicine independently:
      
      Board-certified surgeons dedicate 14+ years to their training and education.

      A commitment of this length and vigor requires personal sacrifice, often at the cost of work/life balance during the most intense phases. However, emerging trends such as mentorship programs, loan forgiveness policies, and VR-assisted training programs show promise for revolutionizing the process.

   2. Disruptive Regulatory Changes
      State and federal regulatory policies focusing on patient safety, quality of care, and financial reimbursement are influencing surgical practice in a variety of ways, such as:
      • Value-Based Care Payment Model
        As the fee-for-service model shifts to a value-based care model that directly links reimbursement amounts with patient outcomes, surgeons are held more accountable for the safety and quality of their care.
      • Reproductive Care
        For OB/GYNs surgeons specifically, abortion-legislation can complicate patient care as well as liability exposure depending on the state in which they practice. As such, OB/GYNs must navigate a complex and evolving situation to minimize professional liability while delivering safe, compliant care to pregnant women.According to the March of Dimes, a maternal and infant health non-profit, OB/GYN shortages are more pronounced in states that prohibit abortion in comparison to states where abortion is less regulated, leaving 1 in 3 U.S. counties with enough obstetric surgeons to provide maternal care.For OB/GYNs in the less-regulated states, this can lead to an increase in out-of-state and remote patients, which requires careful attention to state legal requirements and malpractice coverage parameters.
      • Decreased Medicare Reimbursements
        For the 5th year, the Centers for Medicare and Medicaid Services (CMS) has decreased the conversion factor for Medicare physician reimbursement. Effective January 1, 2025, surgeons will be subject to a 2.83% cut to Medicare reimbursement payments, bringing the total decrease to 10% since 2020.
   3. High-Risk, High-Liability Field
      The medical malpractice statistics of 2024 demonstrate the high liability landscape for surgeons:
      • Surgical errors account for 25% of all negligent provider claims.
      • Surgeons are most likely to be sued for malpractice.
      • High-risk specialties are most vulnerable to medical malpractice claims and lawsuits:
        • OB/GYNs
        • Neurosurgeons
        • Bariatric Surgeons
        • Orthopedic Surgeons
        • Plastic Surgeons
        • General Surgeons

Recent shifts in state and federal abortion legislation have significantly impacted the practice of obstetrics and gynecology (OB/GYN) in the United States. At the intersection of healthcare and law, OB/GYNs must navigate a complex landscape to minimize liability while delivering safe, compliant care. This evolving regulatory environment shapes medical malpractice and access to care, highlighting the need for robust malpractice insurance.

This article examines the impact of abortion legislation on OB/GYNs and offers six key malpractice insurance considerations to protect against liability risks. Consider these policy features to safeguard your practice and minimize liability exposure.

In 2022, the U.S. Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization overturned Roe v. Wade, ending federal protection of abortion rights and returning regulations to individual states.

As a result, abortion laws vary significantly across the country. While some states maintain broad access, others have instituted abortion bans or restrictive measures. These restrictions may include mandatory counseling, ultrasound requirements, or waiting periods before an abortion can be performed, creating a complex and varied legal landscape for reproductive care in the U.S.

A disjunct legal environment presents many challenges for OB/GYNs, including:

• Clinical Implications
  Restrictions on abortion services extend beyond elective procedures, influencing treatment plans for ectopic pregnancies, miscarriage management, and other cases where pregnancy termination is medically necessary.OB/GYNs face the complex dichotomy of managing clinical practices, treatments, and medications that comply with the medical standards of care without violating state and federal law.
• Legal Ambiguity
  Lack of awareness about current abortion laws is not a defense against legal or liability claims, making it crucial for physicians to stay up-to-date on federal or state regulations affecting obstetric and gynecological restrictions or standards of care.
• Internal Conflict
  Some physicians might struggle with their state’s stance on abortion and how it contextualizes the patient-provider relationship or their professional obligation to provide zero-harm, evidence-based care.
• Risk Factor
  As a high-risk medical specialty, OB/GYN practices may see their risk profiles reevaluated by insurers, considering the new complexities introduced by state-mandated maternal and fetal health regulations.

The reversal of Roe v Wade and subsequent patchwork of state abortion laws can impact how and where OB/GYNs choose to provide reproductive care. Restrictive abortion laws can increase liability exposure for physicians while complicating healthcare access for some patients. As such:

• OB/GYN shortages are more substantial in states that prohibit abortion.
  According to a 2024 report released by the maternal and infant health non-profit March of Dimes, 1 in 3 U.S. counties lack obstetric physicians to provide care, and states that prohibit abortion have fewer OBGYNs for every 10,000 births in comparison to states where abortion is less regulated.
• Patients are crossing state lines for OB/GYN care.
  Because legal jurisdiction is established based on the patient’s location, OB/GYNs who treat out-of-state patients can be exposed to additional liability risks. Providers must comply with the state laws of the patient’s state and the state(s) that issued their medical license. This becomes particularly important regarding state-specific definitions of informed consent, a common driver of medical malpractice claims.
• Telemedicine allows OB/GYNs to treat patients in multiple states.
  Medication abortions can be prescribed remotely via telemedicine, allowing OB/GYNs to offer consultations and prescription services in restrictive states. However, significant legal and malpractice implications must be considered:
  • OB/GYN must be licensed in the state where the patient is located during the consultation.
  • Medication abortion prescriptions are subject to additional federal & state regulations.
  • Informed consent requirements for the patient AND provider must be met to adhere to standards of care.

Given the frequent and unpredictable nature of legislative changes, it is crucial that OB/GYNs proactively manage their medical malpractice insurance to ensure adequate protection.

These considerations can help reduce liability exposure for you & your practice:

1. Review Insurance Coverage Details
   OB/GYNs should carefully review their current medical malpractice policy to understand exactly what is or isn’t covered by the insurance provider, particularly regarding abortion services and telemedicine. Some policies contain exclusions for specific procedures or treatments, so ensure all your practice offerings are covered.
   • Policy Limits: With the potential for significant financial damages in lawsuits related to pregnancy and abortion services, higher policy limits may be advisable.
   • Telemedicine Coverage: Confirm that the malpractice insurance policy explicitly covers remote telemedicine services, including interstate consultations and medications.

With a SURGPLI broker as your single point of contact , OB/GYNs can save time and effort comparing a wide range of policies, carriers, and rates.

2. Evaluate Policy Endorsements & Riders
   For extra protection and peace of mind, consider adding an endorsement or rider to a new or existing policy that explicitly covers telemedicine services and/or out-of-state practice, depending on your location and services.
   • Criminal Defense Coverage: In some states, under certain circumstances, performing an abortion may carry criminal penalties. Medical malpractice policies don’t typically cover criminal defense, but some insurers offer an optional rider or endorsement covering criminal defense costs.
3. Select an A.M. Best A-Rated Carrier
   A-rated medical malpractice insurance companies have a strong reputation for financial stability and legal representation for policyholders in lawsuits. Focus on insurance providers specializing in medical malpractice for OB/GYNs, understanding the risks associated with reproductive healthcare.
4. Legal Support
   Choose a policy that offers robust legal support in the event of a claim or lawsuit, specifically for legal defense against alleged violations of state abortion laws and disciplinary actions by state medical boards.
5. Planning to Relocate?
   If you’re considering moving your practice to a new state, tail insurance can help you avoid gaps in coverage and protect against future claims that might arise from care delivered at your original location.
6. Stay Informed
   Keep yourself up-to-date on any changes in state laws or malpractice insurance regulations. Continuing medical education (CME) seminars focused on reproductive health and/or malpractice risk management can support this effort.

By securing comprehensive medical malpractice coverage and understanding the legal implications of treating patients across state lines, OB/GYNs can deliver quality women’s health and reproductive care while minimizing legal and professional liability.

SURGPLI brokers specialize in securing robust coverage for OB/GYN physicians and surgeons in high-risk specialties who are often targets for medical malpractice lawsuits

Will your current malpractice policy be enough if your state reverses or passes new legislation on abortion?

Find out now by contacting a SURGPLI broker for a free consultation & quote, or call us at 800-969-1339.