Career profile

Obstetrician-Gynecologist

Obstetrician-gynecologists are doctors who treat reproductive conditions and care for patients through pregnancy and birth.

Your days range from discussing menopause symptoms to performing surgery. It suits people who like explaining options to patients as much as making medical calls.

obstetrician-gynecologist reviewing an ultrasound image with an adult patient in a clinic.

A day in the life

1An obstetrician-gynecologist points to a prenatal ultrasound beside an open record while a pregnant patient and her companion listen.

Explain a pregnancy ultrasound

Look at the ultrasound images alongside the chart, then tell the patient what they mean for the pregnancy.

2An obstetrician-gynecologist gently examines a patient's lower abdomen while a chaperone stands nearby and test results remain available for review.

Sort out pelvic pain

Ask about the pelvic pain, examine the patient and compare test results before you suggest any treatment.

3An obstetrician-gynecologist and an assisting clinician perform a cesarean delivery behind sterile drapes while the patient rests calmly; no incision or blood is visible.

Deliver by cesarean when needed

If your practice handles births, you track labor and perform a cesarean when one is needed.

4At a follow-up visit, an obstetrician-gynecologist listens to a patient's account of persistent symptoms and reviews records while reconsidering treatment.

Revisit a treatment plan

At a follow-up, ask what has changed, and if symptoms linger, revisit the chart and rethink treatment.

Quick facts

Preparation

Medical degree + residency

United States

Pay

$292,910/year

United States · May 2025

Outlook

1.7% projected growth

United States · 2025–2035

Quick orientation

Preparation, pay & outlook

Preparation

Medical degree + residency

A professional medical degree is followed by specialty training in obstetrics and gynecology.

Geography
United States
Period
Not applicable

Pay

$292,910/year

National median employee wage; the hourly equivalent is $140.82.

Geography
United States
Period
May 2025

Outlook

1.7% projected growth

About 500 openings per year are projected nationally for obstetricians and gynecologists.

Geography
United States
Period
2025–2035

Fit, tradeoffs & changing tools

Things to weigh

  • Hospital coverage can mean overnight shifts and calls that interrupt personal plans.
  • You work very close to patients, face infection exposure, and make decisions with serious consequences.

Where AI may help

Electronic health records help you retrieve and share patient information. Artificial intelligence tools may also assist with ultrasound image analysis and paperwork.

What people still lead

You still need to connect a tool's output with the patient's symptoms, explain options, and make clinical decisions with the patient.

What we can’t predict yet

How much image review or documentation software will take over remains unsettled. Reliability and the amount of checking required will shape whether it actually saves you time.

Pay in context

Earnings

These are employee wages, not the income of self-employed practice owners.

The national midpoint

The median was $292,910 a year, equivalent to $140.82 an hour. Half of employed obstetricians and gynecologists earned more and half earned less.

Geography
United States
Period
May 2025
Pay basis
Gross employee wages; annual and hourly equivalent, not take-home pay.

A wide spread

The 10th-percentile wage was $94,680 and the 90th-percentile wage was $437,300 annually. These are positions in the national wage distribution, not starting and senior salaries. Location and job responsibilities can affect an offer.

Geography
United States
Period
May 2025
Pay basis
Annual employee wage percentiles; excludes self-employment income.

Openings beyond growth

Employment is projected to grow 1.7% from 2025 to 2035, with about 500 openings annually on average. Openings include replacement needs as well as employment growth.

Geography
United States
Period
2025–2035
Pay basis
Employment projection, not compensation.

Getting started

Earn a medical degree

What the route involves
Complete undergraduate preparation, then medical school, usually another four years. Study medicine and rotate through patient care to earn a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
What it can lead to
Either degree can lead to an obstetrics and gynecology residency; you must apply and secure a place.

Train in specialty residency

What the route involves
Spend four years learning office care, childbirth care, and surgery with experienced physicians. Responsibility increases as your skills develop.
What it can lead to
Completion provides specialty preparation and, with the other eligibility requirements met, access to the specialty qualifying examination.
What to check
For licensure, your state medical board checks medical education, postgraduate training, and passage of national licensing examinations. Its specific requirements control your application.

The usual route has two consecutive training steps: medical school, then specialty residency. You also need a state medical license to practice independently.

After entry

Career paths

This starts where the entry routes leave off: early work, growing capability, and advancement or specialization. This path also has a credential or licensing boundary; see the requirements and limits.

  1. Get established

    Build reliable habits for following up results and consulting colleagues about difficult cases.

  2. Deepen your skills

    Use case discussions and surgical simulation to work on difficult decisions and procedures.

  3. Choose a specialty focus

    Pursue fellowship training in maternal-fetal medicine for complicated pregnancies or gynecologic oncology for reproductive cancers. Subspecialty certification adds its own requirements and examinations.

Where you can work

Outpatient clinic

Repeat visits let you follow symptoms and treatment over time. Office examinations and procedures shape the day, though your job may also include hospital coverage.

  • Indoors
  • Office

Teaching and referral hospital

Complex pregnancies and surgical cases bring you together with other specialists. You may teach residents while working in the birth unit or operating room; birth coverage includes nights.

  • Indoors
  • Shift work
  • Safety-sensitive

Try it

See whether the job clicks before you commit to the path.

Imagine a patient at a first prenatal visit who is worried about an ultrasound. Write three questions that would help you understand their concerns, then practice explaining why a doctor considers both images and medical history. Notice whether careful listening interests you as much as the scan.

Stay safe: Use a fictional situation; do not interpret a real person's scan or offer medical advice.

Explore more careers

Sources

  1. O*NET OnLine. Obstetricians and Gynecologists — 29-1218.00. Accessed 2026-10-09.
  2. U.S. Bureau of Labor Statistics. Physicians and Surgeons — Occupational Outlook Handbook. Accessed 2026-10-09.
  3. U.S. Bureau of Labor Statistics. May 2025 Occupational Employment and Wage Statistics, national estimates — SOC 29-1218. Accessed 2026-09-29.
  4. U.S. Bureau of Labor Statistics. Employment Projections, Table 1.2, 2025–2035 — SOC 29-1218. Accessed 2026-09-29.
  5. Mayo Clinic College of Medicine and Science. Obstetrics and Gynecology Residency (Minnesota): Curriculum. Accessed 2026-10-09.
  6. Mayo Clinic. Obstetrics and Gynecology: Overview. Accessed 2026-10-09.
  7. American College of Obstetricians and Gynecologists. Health IT and Clinical Informatics. Accessed 2026-10-09.
  8. American Board of Obstetrics and Gynecology. Specialty Qualifying Examination: Eligibility Requirements. Accessed 2026-10-09.
  9. American Board of Obstetrics and Gynecology. Specialty Certification: Overview. Accessed 2026-10-09.
  10. American Board of Obstetrics and Gynecology. Specialty Certifying Examination: Eligibility Requirements. Accessed 2026-10-09.
  11. American Board of Obstetrics and Gynecology. Subspecialty Qualifying Examination: Eligibility Requirements. Accessed 2026-10-09.
  12. Federation of State Medical Boards. About Physician Licensure. Accessed 2026-10-09.

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