General Surgery · Evidence depth: moderate

Vascular Surgery (Endovascular)

High, OBL-driven.

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.

85/100

Income ceiling

Income ceiling

Exceptionally high ceiling if you secure OBL ownership.

The reality

Performing endovascular procedures (stents, atherectomy) in a physician-owned Office-Based Lab (OBL) essentially prints money.

The signal

This is a highly device-intensive field with massive RVU generation for relatively short, minimally invasive procedures.

The catch

If you are hospital-employed and do not own the OBL, your income is severely capped.

The verdict

This is a premier wealth-builder lane for the entrepreneurial vascular surgeon.

45/100

Lifestyle control

Lifestyle control

Better than open surgery, but still tethered to vascular emergencies.

The reality

Your daytime schedule in the OBL or cath lab is highly controlled and elective.

The signal

However, you are still a vascular surgeon, meaning you must take vascular call at the hospital to maintain privileges.

The catch

Emergencies (ruptured aortas, acute ischemia) will still inevitably hijack your life.

The verdict

Offers moderate control, heavily dependent on the size of your call pool.

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 better75/100
  • Ownership / facility upsideHigher is better90/100
  • Geography flexibilityHigher is better65/100
  • Innovation / industry adjacencyHigher is better90/100
  • Training opportunity costLower is better60/100
  • Job-market densityHigher is better80/100
  • Malpractice / litigation pressureLower is better65/100
  • Burnout-mismatch riskLower is better65/100

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

$540k - $685k

Anchored to Doximity 2025 Physician Compensation Report subspecialty row (Doximity 2025 public specialty table row 'Vascular Surgery').

Production upside

$735k - $915k

Device-intensive outpatient production; OBL utilization and payer mix set owner income.

Ownership upside

Very high

OBL ownership (peripheral interventions), vein centers, and dialysis-access labs. Vascular's strong equity lane.

Salary-only gap

High

Salaried endovascular surgeons forgo OBL facility economics on shifted outpatient volume.

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

~$600k

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

Private group (OBL)Hospital-employed

Best fit

  • The Owner-Operator Physician. Not just a job. A business, with facility and equity upside.
  • The Procedure-Heavy Wealth Builder. Top-tier income through volume, procedures, production, and ownership.

Poor fit

  • The Lifestyle-First Clinician. A good life on sane hours, and the math actually works.

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