OB/GYN · Evidence depth: moderate

Urogynecology / FPMRS

High; procedural + elective pelvic floor.

Ownership-sensitivity model

The 10 vectors of a physician career.

Every path is scored 0-100 across 10 critical dimensions using public-data signals, modeled assumptions, and verification prompts. Modeled estimate. Not a salary survey. See methodology.

66/100

Income ceiling

Income ceiling

High, from elective procedures and pelvic-floor surgery.

The reality

Slings, prolapse repairs, and in-office procedures are efficient, schedulable, and well-reimbursed.

The signal

Unlike general OB/GYN, the elective mix can move into a physician-owned ASC.

The catch

You shed the obstetric malpractice overhead that erodes general OB/GYN take-home.

The verdict

A strong ceiling that rewards building elective volume and capturing facility fees.

82/100

Lifestyle control

Lifestyle control

Highly controllable; an almost entirely elective practice.

The reality

Nearly all cases are scheduled weeks in advance rather than emergent.

The signal

Dropping obstetrics removes the single biggest source of schedule chaos in the specialty.

The catch

Complex prolapse cases can run long, but they do not page you at 3 AM.

The verdict

One of the most lifestyle-friendly surgical lanes a former OB/GYN can reach.

Premium analysis

8 more dimensions scored, with the reasoning behind each

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The scores are below. Premium adds what sits behind each one: the claim, the signal supporting it, the limitation that weakens it, and what it should change about your decision.

  • Sleep / call burdenLower is better20/100
  • Ownership / facility upsideHigher is better55/100
  • Geography flexibilityHigher is better58/100
  • Innovation / industry adjacencyHigher is better55/100
  • Training opportunity costLower is better65/100
  • Job-market densityHigher is better60/100
  • Malpractice / litigation pressureLower is better55/100
  • Burnout-mismatch riskLower is better30/100

Scores are modeled from the specialty module's evidence and are estimates, not measurements. Confidence and data depth are labeled inside every premium card.

DoctorCalculator modeled income structure

Derived model. Directional

Modeled base range

$375k - $480k

Procedure/ASC adjacency premium over general OB/GYN.

Production upside

Moderate–high

Elective, referral-driven practice with favorable call; procedure mix drives the premium over general OB/GYN.

Ownership upside

Moderate

Office-based procedure suites (slings, pessaries, urodynamics) and ASC adjacency.

Salary-only gap

Moderate

Employed urogyns forgo office-procedure margins; elective mix rewards ownership.

Modeled estimate. Not a salary survey. Derived model. Directional only. Verify against real offers, contracts, and local mentors. Income scales with payer mix, ownership, and geography. See methodology.

Want the code-level view behind numbers like these? Open the RVU calculator for this specialty's procedures, CMS times, and locality-adjusted Medicare rates.

External benchmark reference

Verify independently

~$420k

External benchmark reference - verify independently. Not ingested DoctorCalculator source data.

Private GroupASCEmployed

Best fit

  • The Owner-Operator Physician. Not just a job. A business, with facility and equity upside.
  • The Lifestyle-First Clinician. A good life on sane hours, and the math actually works.

Poor fit

  • The Acute-Care Identity Seeker. Energized by intensity, emergencies, and high-stakes work.

Premium detail

Common regrets on this path

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2 documented regrets for this path, each with the burnout driver behind it and the question to verify it against a real schedule before you commit. Written from field notes on this specialty, not generic career advice.

This path is described at directional confidence (Evidence depth: moderate). Detailed evidence cards are added as the module is validated; we will not manufacture precision before then.