Obstetrics & Gynecology vs General Surgery: Salary, Lifestyle & Training (2026)

Choosing between Obstetrics & Gynecology and General Surgery involves weighing compensation, training length, work-life balance, call responsibilities, and long-term career satisfaction. This comparison uses approved physician salary reports to help you make an informed decision.

See how OB/GYN salaries, lifestyle metrics, and training requirements compare to General Surgeon data from approved salary reports on SalaryDr. Obstetrics & Gynecology requires 4-year residency, while General Surgery requires 5-year residency.

Side-by-Side Comparison

Obstetrics & Gynecology vs General Surgery comparison across training, salary, and lifestyle metrics
MetricObstetrics & GynecologyGeneral Surgery
Median total pay$425,000 →$512,500 →
Middle 50% of pay$400,000 – $490,000$450,000 – $610,000
Approved reports77141
Training Length4-year residency5-year residency
Practitioner TitleOB/GYNGeneral Surgeon
Lifestyle RatingSee details belowSee details below

Salary figures on each specialty page are recomputed from approved physician salary reports as new reports are approved.

Training Pathway: Obstetrics & Gynecology vs General Surgery

1

Obstetrics & Gynecology

4-year residency

OB/GYN residency is four years and covers both surgical and medical training. The dual nature of the specialty provides versatility, though call during training can be demanding due to labor and delivery coverage.

2

General Surgery

5-year residency

General Surgery residency is five years of intensive training with significant operative and call responsibilities. Many graduates pursue one- to two-year fellowships in trauma, surgical oncology, minimally invasive surgery, or acute care surgery.

Lifestyle & Work-Life Balance

Work-life balance is one of the most important factors physicians weigh when choosing a specialty. Here is how Obstetrics & Gynecology and General Surgery compare on key lifestyle dimensions.

Obstetrics & Gynecology

Demanding call schedule especially for OB. GYN-only practice offers better lifestyle.

  • Average work week: 50 hours
  • Take call: 89% of physicians
  • Average PTO: 51 days/year

General Surgery

Demanding schedule with significant call responsibilities. Improving with subspecialization.

  • Average work week: 55 hours
  • Take call: 97% of physicians
  • Average PTO: 37 days/year

Satisfaction & Lifestyle by the Numbers

Based on 218 approved physician salary reports across both specialties.

Satisfaction and lifestyle metrics comparison between Obstetrics & Gynecology and General Surgery
MetricObstetrics & GynecologyGeneral Surgery
Career Satisfaction4/54.1/5
Would Choose Again89%80%
Avg Hours/Week5055
Takes Call89%97%
Avg Call Days/Month——
Avg PTO Days/Year5137
Physician Submissions77 submissions141 submissions

Practice Setting Distribution

Where Obstetrics & Gynecology and General Surgery physicians work, based on approved salary reports. Practice setting significantly impacts both compensation and day-to-day lifestyle.

Obstetrics & Gynecology

Private Practice40%
Academic36%
Hospital Employed22%

Based on 77 approved reports

General Surgery

Hospital Employed50%
Private Practice31%
Academic17%

Based on 141 approved reports

Career Outlook & Job Market

Obstetrics & Gynecology Outlook

OB/GYN faces geographic maldistribution, with many rural counties lacking a single obstetrician. GYN-only positions have grown as physicians seek better lifestyle, while OB-inclusive positions command premiums.

General Surgery Outlook

General surgeons remain in steady demand, particularly in community hospitals and rural settings. The trend toward minimally invasive surgery and acute care surgery fellowships has created new career niches.

Compensation Growth Trajectory

Physician salaries in both Obstetrics & Gynecology and General Surgery typically increase with experience, with the largest jumps in the first 5-10 years post-training. Partnership or ownership in private practice can meaningfully accelerate earnings. For detailed breakdowns, explore the Obstetrics & Gynecology and General Surgery salary-by-experience pages.

Explore Deeper Data

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