Career as an Orthopaedic Surgeon in India: Salary, Courses and How to Begin

Healthcare & Life Sciences

Updated

At a glance

An orthopaedic surgeon diagnoses and treats injuries and diseases of bones, joints, muscles and spine, mostly through surgery; in India most enter via MBBS and then MS or DNB Orthopaedics.

An orthopaedic surgeon is a doctor who diagnoses and treats problems of the bones, joints, muscles, ligaments and spine, from fractures and arthritis to sports injuries and spinal disorders. In India, the route is MBBS, then a postgraduate degree (MS or DNB) in Orthopaedics, and then optional fellowships or a super-speciality course.

This career suits students who like anatomy and hands-on work, can handle long hours and pressure, and want a clear specialist path in medicine. Training is long: expect around eight and a half years from the start of MBBS to a postgraduate qualification, and more if you add a fellowship. The work offers steady demand for trauma, joint and spine care, and the chance to restore mobility for patients.

This page explains the stages, the NEET UG and NEET PG exams, eligibility, colleges, skills, indicative salary ranges and the job outlook. Fees, cutoffs and pay change every year, so check the latest official notices before you decide.

Minimum Qualification
NEET UG qualification and MBBS degree
Typical Degree
MBBS, then MS or DNB Orthopaedics (3 years)
Expected Entry Salary
Around ₹10 - ₹18 Lakh/annum (indicative)
Entry-level to Senior
Junior consultant to senior consultant or HOD
Job Demand Growth
Steady demand from trauma, joint and spine care
Work Hours
Long and irregular, with surgery and on-call duty
Places of Work
Government hospitals, private hospitals, clinics

What Does an Orthopaedic Surgeon Do?

Day-to-Day Responsibilities

  • Examine patients with pain, injury or deformity and order X-rays, CT or MRI scans to find the cause.

  • Diagnose conditions such as fractures, arthritis, ligament tears, slipped discs and bone infections.

  • Plan treatment with the patient, choosing between medicines, physiotherapy, casting and surgery.

  • Perform surgeries such as fracture fixation, hip and knee replacement, arthroscopy and spinal procedures.

  • Manage emergency cases, including road accident and trauma patients, often while on call.

  • Guide rehabilitation with physiotherapists and follow up patients to check healing and implant performance.

  • Teach and supervise residents and medical students, keep clinical records and stay current with research.

Where They Work

Most orthopaedic surgeons in India start in government medical colleges and teaching hospitals, such as AIIMS, PGIMER Chandigarh and state medical college hospitals, because they offer strong training and a large caseload. District and state government hospitals also hire orthopaedic specialists, and the Armed Forces Medical Services recruit doctors for orthopaedic work.

Private hospital chains, multi-specialty hospitals, joint-replacement and spine centres, trauma centres and sports medicine clinics employ orthopaedic surgeons, and many experienced surgeons run their own clinics. Some work in medical tourism centres, where international patients come for knee and hip surgery.

How to Become an Orthopaedic Surgeon in India?

After Class 10

Choose the Science stream with Physics, Chemistry and Biology (PCB) in Class 11 and 12, since NEET UG requires these subjects. Talk to a career counsellor early if you are unsure whether medicine suits you.

After Class 12

Prepare for and clear NEET UG, the national entrance exam for MBBS. Counselling then allots medical college seats based on your rank, category and seat availability.

Undergraduate

Complete MBBS, which takes 5.5 years including a one-year compulsory rotating internship. Use your postings in orthopaedics, trauma and casualty to build clinical skills and test your interest.

Postgraduate and Specialisation

Prepare for NEET PG and aim for an MS or DNB in Orthopaedics, usually three years. Work as a resident in a teaching hospital, learning by assisting and then operating under supervision. Optional fellowships (often six months to one year) in joint replacement, spine, trauma or sports medicine, or an MCh through NEET SS, add subspecialty skills.

Licence / Certification

Register with your State Medical Council or the National Medical Commission (NMC) to practise legally. Registration depends on your recognised degree and completed internship.

First Job

Start as a senior resident, assistant surgeon or junior consultant, then move to consultant roles as surgical skill and experience grow.

Eligibility and Subjects Required

Stream and Subject Requirements

  • Class 12 in Science with Physics, Chemistry and Biology (PCB) from a recognised board

  • Typically at least 50% aggregate in PCB for general category candidates and around 40% for reserved categories; confirm in the current NEET UG bulletin

  • Age and attempt rules as set out in the NEET UG bulletin


Minimum Qualification

  • MBBS from a recognised medical college, with the compulsory internship completed

  • MS or DNB in Orthopaedics for specialist practice, which requires qualifying NEET PG

  • Registration with the State Medical Council or the NMC before practising

Courses and Degrees for Orthopaedic Surgeon

  • Undergraduate Degrees
    • MBBS (5.5 years including 1-year compulsory internship)
    • MBBS with orthopaedic postings (part of the same degree, no separate course)
    Postgraduate Degrees
    • MS Orthopaedics (3 years)
    • DNB Orthopaedics (3 years, National Board of Examinations)
    Super-speciality Degrees
    • MCh Orthopaedics (around 3 years, after MS or DNB)
    Diplomas
    • Diploma in Orthopaedics, D.Ortho (around 2 years, offered by select colleges)
    Fellowships & Short-term Courses
    • Joint Replacement Fellowship (around 6 to 12 months)
    • Spine Surgery Fellowship (around 1 year)
    • Arthroscopy and Sports Medicine Fellowship (around 6 to 12 months)

Entrance Exams for Orthopaedic Surgeon

  • Exam
    NEET UG
    Level
    National, undergraduate
    Held
    Once a year, usually around May (check the current schedule)
    For Course
    MBBS (undergraduate medicine)
  • Exam
    NEET PG
    Level
    National, postgraduate
    Held
    Usually once a year (check the current schedule)
    For Course
    MS and DNB Orthopaedics (postgraduate)
  • Exam
    NEET SS
    Level
    National, super-speciality
    Held
    Usually once a year (check the current schedule)
    For Course
    MCh and DM super-speciality courses

Top Colleges for Orthopaedic Surgeon

Government Institutes

  • College
    All India Institute of Medical Sciences (AIIMS)
    Location
    New Delhi, Delhi
  • College
    Postgraduate Institute of Medical Education and Research (PGIMER)
    Location
    Chandigarh
  • College
    Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)
    Location
    Puducherry
  • College
    King George's Medical University (KGMU)
    Location
    Lucknow, Uttar Pradesh
  • College
    Maulana Azad Medical College (MAMC)
    Location
    New Delhi, Delhi
  • College
    Grant Medical College and Sir J.J. Group of Hospitals
    Location
    Mumbai, Maharashtra
  • College
    Vardhman Mahavir Medical College and Safdarjung Hospital
    Location
    New Delhi, Delhi

Private Institutes

  • College
    Christian Medical College (CMC), Vellore
    Location
    Vellore, Tamil Nadu
  • College
    Kasturba Medical College (KMC), Manipal
    Location
    Manipal, Karnataka

Skills Required to Become an Orthopaedic Surgeon

Technical Skills

  • Fracture management and fixation techniques
  • Joint replacement and arthroscopic surgical skills
  • Spine examination and surgical planning
  • Reading X-ray, CT and MRI images
  • Pre-operative assessment and post-operative care
  • Plaster casting, splinting and wound care
  • Handling surgical instruments and implants

Soft Skills

  • Clear communication with patients and families
  • Calm decision-making in emergencies
  • Stamina and steady hands for long procedures
  • Teamwork with theatre, nursing and rehabilitation staff
  • Empathy and patience through long recoveries
  • Time management across clinics, wards and surgery

Orthopaedic Surgeon Salary in India

0 - 3 years after MS or DNB

Entry Level

₹10 - ₹18 Lakh/annum

  • Junior or senior resident, assistant surgeon or junior consultant
  • Assisting senior surgeons, managing wards and OPD, handling trauma and some minor procedures

4 - 10 years

Mid Level

₹18 - ₹35 Lakh/annum

  • Consultant Orthopaedic Surgeon, or Assistant/Associate Professor in a medical college
  • Leading routine and complex surgeries such as joint replacement, and supervising residents

10+ years

Senior Level

₹35 Lakh/annum and above (varies widely)

  • Senior Consultant, Professor or Head of Department, or head of a private orthopaedic practice
  • Complex reconstruction and spine surgery, teaching, research, and running a department or hospital unit

Career Opportunities and Job Roles

Consultant Orthopaedic Surgeon

Runs a general orthopaedic practice, treating fractures, arthritis, sports and spine conditions.

Joint Replacement Surgeon

Specialises in hip and knee replacement and revision surgery.

Spine Surgeon

Treats slipped discs, spinal deformities and spinal injuries.

Trauma Surgeon

Handles emergency fracture and accident care in trauma centres.

Sports Orthopaedic Surgeon

Repairs ligament and cartilage injuries using arthroscopy.

Paediatric Orthopaedic Surgeon

Treats bone, joint and limb conditions in children.

Orthopaedic Professor

Teaches and trains students and residents in medical colleges.

Scope and Future of Orthopaedic Surgeon in India

Demand for orthopaedic care in India is driven by road accidents, an ageing population, rising joint problems such as arthritis, and growing interest in sports injury treatment. Joint replacement and arthroscopy are now common procedures, which keeps demand strong for surgeons with specialist training.

Growth is strongest in private hospital chains, multi-specialty hospitals and dedicated joint and spine centres. Medical tourism is also expanding: a Livemint explainer from August 2026 put India's medical tourism industry at $8.7 billion and looked at where it is headed by 2030. Global orthopaedic device companies are also setting up in India, with DePuy Synthes reported in August 2026 to be establishing a centre here.

Expansion of medical colleges has added training seats over time, but NEET PG competition remains intense. Many surgeons also practise abroad, though this usually needs separate licensing exams and recognition in the destination country, so plan for that early.

Is Orthopaedic Surgeon
the Right Career for You?

Orthopaedic Surgeon can be an exciting career, but the right choice depends on more than academic eligibility.

Interests

What excites you?

Aptitude

What are you good at?

Personality

How do you work?

Work Preferences

What kind of environment suits you?


Discover careers that match your interests, strengths and preferences.

See how well this career fits you

Orthopaedic Surgeon: Frequently Asked Questions

How long does it take to become an orthopaedic surgeon in India?

The usual minimum is about eight and a half years: MBBS takes 5.5 years, including a one-year compulsory internship, and MS or DNB Orthopaedics takes three years. Many surgeons add a fellowship of six months to one year in a subspecialty such as joint replacement or spine surgery, which lengthens training. You can start practising once you have registered with the state medical council or the NMC.

Can I do MS Orthopaedics directly after Class 12?

No. MS Orthopaedics is a postgraduate course, so you need an MBBS degree first. After Class 12 you must clear NEET UG to get an MBBS seat, then complete the MBBS course, then prepare for NEET PG to qualify for an MS or DNB seat in Orthopaedics. There is no direct route from Class 12 to an orthopaedic surgery degree in India.

What is the difference between MS and DNB in Orthopaedics?

Both are three-year postgraduate qualifications that make you a specialist orthopaedic surgeon. MS is awarded by universities through medical college training, while DNB is awarded by the National Board of Examinations in Medical Sciences after training in accredited hospitals. Both are recognised for practice in India and both are admitted through NEET PG. Choose a seat based on the college's training quality, case volume and fees, not just the name of the degree.

What NEET PG score do I need for an orthopaedics seat?

There is no fixed score. Cutoffs for MS and DNB seats change with each year's paper, the number of seats, your category and the college, so a score that secures one seat may not secure another. Look at the previous year's counselling cutoffs for the colleges you want, and use the official counselling schedule for current figures. Orthopaedics is a competitive branch, so plan for a strong score and a backup choice.

Is orthopaedic surgery a physically demanding career?

Yes. Surgeons often stand for long operations, lift and position patients, and use fine motor control for hours. Emergency and on-call duty can mean night calls and irregular hours, especially in trauma and government hospitals. Many surgeons find the work rewarding because they see patients regain movement, but it helps to be physically fit and to plan for rest and family time.

What is the difference between an orthopaedic surgeon and a physiotherapist?

An orthopaedic surgeon is a medical doctor who diagnoses conditions, prescribes treatment and performs surgery. A physiotherapist is a healthcare professional who treats movement problems through exercise, manual therapy and rehabilitation, usually after diagnosis and sometimes after surgery. Surgeons and physiotherapists often work together, but physiotherapy is a separate degree route.

Do I need a super-speciality degree to practise orthopaedics?

No. An MS or DNB in Orthopaedics qualifies you to practise as an orthopaedic surgeon, including fractures, general joint problems and many routine surgeries. A super-speciality such as MCh Orthopaedics, or a fellowship in joint replacement, spine or sports medicine, is optional. It helps if you want to focus on complex or specialised surgery and may improve opportunities at senior centres.

Can an Indian orthopaedic surgeon work abroad?

Often yes, but you usually need to meet the licensing and registration requirements of the country you want to work in. These can include exams, supervised training and language tests, and the process differs by country. Start early, check the medical council rules of the destination country, and confirm whether your degree is recognised there.

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