OB/GYN · Evidence depth: moderate
Urogynecology / FPMRS
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.
20/100
Sleep / call burden
Sleep / call burden
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Ownership / facility upside
Ownership / facility upside
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Geography flexibility
Geography flexibility
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Innovation / industry adjacency
Innovation / industry adjacency
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Training opportunity cost
Training opportunity cost
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Job-market density
Job-market density
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Malpractice / litigation pressure
Malpractice / litigation pressure
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Burnout-mismatch risk
Burnout-mismatch risk
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Derived model. DirectionalModeled 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.
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.
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.