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Paediatric surgery

Paediatric surgeons work with young patients – from premature and unborn babies to children and young adults up to the age of 19.

You’ll have a very varied and sometimes unpredictable workload including surgery, attending outpatient clinics and hospital ward rounds and looking after both your young patients and their families. 

Surgeon in operating room

Life as a paediatric surgeon 

You’ll carry out more general forms of surgery such as abdominal, trauma or transplantation surgery, as well as specialist procedures such as neonatal [1] surgery, often for congenital abnormalities. You might also perform complex surgery on children with disabilities to improve their quality of life.

Just over 10% of operations on children are carried out by paediatric surgeons with the majority being performed by other specialist surgeons in fields such as orthopaedic, plastic and ENT (ear, nose and throat) surgery. 

Some consultants have an interest in fields such as paediatric orthopaedics or neurosurgery, but they come from these surgical training routes, rather than paediatric surgery. You’ll work in partnership with these colleagues, either in dedicated children’s hospitals or in paediatric surgical units within larger hospitals.

You’ll also attend outpatient clinics and ward rounds where you’ll meet your patients and their parents or carers. An important part of your work will be reassuring and advising concerned parents and carers which can be rewarding as well as emotionally demanding.

Your clinical workload will mainly cover day cases. The amount of emergency surgery and on-call work you’ll do is relatively low compared to other specialties.

How much can I earn?

You’ll first earn a salary when you start your foundation training [2] after medical school.  Find out details of current salary ranges for foundation and specialty training, SAS doctors [3] and consultants on the 'Pay for doctors' [4] page. 

How about the benefits?

  • make a difference
  • flexible and part-time working
  • high income early in your career
  • work anywhere in the world
  • excellent pension scheme
  • good holiday entitlement
  • NHS discounts in shops and restaurants

Must-have skills

  • excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families
  • emotional resilience, a calm temperament and the ability to work well under pressure
  • teamwork and the capacity to lead multidisciplinary teams
  • problem-solving and diagnostic skills
  • outstanding organisational ability and effective decision-making skills
  • first-class time and resource management for the benefit of patients
  • a high degree of manual dexterity
  • superb hand-eye co-ordination, excellent vision, and visuospatial awareness
  • physical stamina to cope with the demands of surgery

Entry requirements 

Your first step is medical school. Typically, you’ll need excellent GCSEs and three A or A* passes at A level including chemistry for a five-year undergraduate degree in medicine. Many medical schools also ask for biology and others may require maths or physics.

If you already have a degree, you could study for a four-year postgraduate degree in medicine.

You’ll need to pass an interview and admissions test. You’ll be asked to show how you demonstrate the NHS values such as compassion and respect.

Some medical schools look to recruit a mix of students from different backgrounds and geographical areas, so your educational and economic background and family circumstances could be considered as part of your application.

"An early rotation in general surgery provided me with the opportunity to help with operations. I loved the work and also enjoyed working alongside such dedicated and hard-working colleagues and decided to pursue a career in surgery."

Read Kathryn's story [5]. 

What are my chances of starting a career in paediatric surgery?

In 2021, there were 205 paediatric surgeons working in the NHS in England. In addition, there were 80 applications for 12 specialty training places. 

How to become a paediatric surgeon

After medical school, you’ll join the paid two-year foundation programme [6] where you’ll work in six placements in different settings.

After your foundation programme, you can apply for paid specialty training [7] to become a paediatric surgeon, which will take a minimum of eight years.  

You may be able to train part time, for example for health reasons or if you have family or caring responsibilities.

Where a career as a paediatric surgeon can take you

You could:
  • specialise or conduct research in areas such as neonatal [1] surgery, paediatric urology, and paediatric oncology [8]
  • teach medical students or postgraduate students in training 
  • get involved in research at universities, the NHS or private sector
  • Find a vacancy

    • Locum Consultant Paediatric Surgeon with Interest in Oncology

      Leeds, LS1 3EX

      Salary:
      £109725.00 to £145478.00
      Type:
      Locum
      Employer:
      Leeds Teaching Hospitals
      Apply now on NHS Jobs for Locum Consultant Paediatric Surgeon with Interest in Oncology job (opens in a new window) [9]
    • Locum Consultant in Paediatric Surgery / Urology

      Cardiff, CF14 4XW

      Salary:
      £121264.00
      Type:
      Locum
      Employer:
      Cardiff and Vale University Health Board
      Apply now on NHS Jobs for Locum Consultant in Paediatric Surgery / Urology job (opens in a new window) [10]
    • Consultant in Paediatric ENT surgery

      Liverpool, L12 2AP

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Alder Hey Children's NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Paediatric ENT surgery job (opens in a new window) [11]
    • Consultant in Paediatric Cardiothoracic Surgery

      London, WC1N 3JH

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Great Ormond Street Hospital for Children NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Paediatric Cardiothoracic Surgery job (opens in a new window) [12]
    • Locum Consultant in Paediatric Plastic Surgery

      London, SE1 7EH

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Guy's and St Thomas' NHS Foundation Trust
      Apply now on NHS Jobs for Locum Consultant in Paediatric Plastic Surgery job (opens in a new window) [13]
    • Locum Consultant in Paediatric ENT Surgery

      Cambridge, CB2 0QQ

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Cambridge University Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Locum Consultant in Paediatric ENT Surgery job (opens in a new window) [14]
    • Consultant Ophthalmic Surgeon with specialist interest in Paediatrics

      Watford, WD18 0HB

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      West Hertfordshire Teaching Hospitals NHS Trust
      Apply now on NHS Jobs for Consultant Ophthalmic Surgeon with specialist interest in Paediatrics job (opens in a new window) [15]
    • Trainee in Paediatric Dental and Maxillofacial Surgery

      Birmingham, B4 6NH

      Salary:
      £65048.00
      Type:
      Fixed-Term
      Employer:
      Birmingham Women's and Children's NHS Foundation Trust
      Apply now on NHS Jobs for Trainee in Paediatric Dental and Maxillofacial Surgery job (opens in a new window) [16]
    • Matron-Paediatrics

      Derby, DE22 3NE

      Salary:
      £55690.00 to £62682.00
      Type:
      Secondment
      Employer:
      University Hospitals of Derby and Burton NHS Foundation Trust
      Apply now on NHS Jobs for Matron-Paediatrics job (opens in a new window) [17]
    • Paediatric Matron

      Aylesbury, HP21 8AL

      Salary:
      £53755.00 to £60504.00
      Type:
      Permanent
      Employer:
      Buckinghamshire Healthcare NHS Trust
      Apply now on NHS Jobs for Paediatric Matron job (opens in a new window) [18]
    • Paediatric Audiologist

      London, E1 1FR

      Salary:
      £46419.00 to £55046.00
      Type:
      Fixed-Term
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Paediatric Audiologist job (opens in a new window) [19]
    • Paediatric Audiologist

      Watford , WD17 3EW
      St Albans, AL1 3JE
      The Marlowes, Hemel Hempstead, HP1 1LD

      Salary:
      £22.47
      Type:
      Bank
      Employer:
      NHS Professionals Limited
      Apply now on NHS Jobs for Paediatric Audiologist job (opens in a new window) [20]
    • Locum Urological Surgeon Specialized General & Reconstructive Surgery

      London, E9 6SR

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Homerton Healthcare NHS Foundation Trust
      Apply now on NHS Jobs for Locum Urological Surgeon Specialized General & Reconstructive Surgery job (opens in a new window) [21]
    • Consultant Plastic Surgeon (Burns / General Plastic Surgery)

      Wakefield, WF14DG

      Salary:
      £109725.00 to £145478.00
      Type:
      Permanent
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Consultant Plastic Surgeon (Burns / General Plastic Surgery) job (opens in a new window) [22]
    • Consultant Paediatric Intensivist

      London, E1 1FR

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Consultant Paediatric Intensivist job (opens in a new window) [23]
    • Paediatric Junior Sister

      Epsom, KT18 7EG

      Salary:
      £44485.00 to £52521.00
      Type:
      Permanent
      Employer:
      Epsom and St Helier University Hospitals NHS Trust
      Apply now on NHS Jobs for Paediatric Junior Sister job (opens in a new window) [24]
    • Specialist Paediatric SLT

      Kingston upon Thames, KT2 7QB

      Salary:
      £53751.00 to £60651.00
      Type:
      Permanent
      Employer:
      Kingston and Richmond NHS Foundation Trust
      Apply now on NHS Jobs for Specialist Paediatric SLT job (opens in a new window) [25]
    • Consultant in Paediatrics

      Milton Keynes, MK6 5LD

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Milton Keynes University Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Paediatrics job (opens in a new window) [26]
    • Consultant Paediatric Haematologist

      Sutton, SM2 5PT

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      The Royal Marsden NHS Foundation Trust
      Apply now on NHS Jobs for Consultant Paediatric Haematologist job (opens in a new window) [27]
    • Community Paediatric Audiologist

      Stockport, SK2 7JE

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      HealthHarmonie
      Apply now on NHS Jobs for Community Paediatric Audiologist job (opens in a new window) [28]
    • Paediatric Junior Sister

      Carshalton, SM5 1AA

      Salary:
      £44485.00 to £52521.00
      Type:
      Permanent
      Employer:
      Epsom and St Helier University Hospitals NHS Trust
      Apply now on NHS Jobs for Paediatric Junior Sister job (opens in a new window) [29]
    • Paediatric Gastroenterology CNS

      Brighton, BN2 5BE

      Salary:
      £47810.00 to £54710.00
      Type:
      Permanent
      Employer:
      University Hospitals Sussex NHS Foundation Trust (279)
      Apply now on NHS Jobs for Paediatric Gastroenterology CNS job (opens in a new window) [30]
    • Paediatric Specialty Registrar

      Reading, RG15AN

      Salary:
      £61825.00 to £70425.00
      Type:
      Fixed-Term
      Employer:
      Royal Berkshire NHS Foundation Trust
      Apply now on NHS Jobs for Paediatric Specialty Registrar job (opens in a new window) [31]
    • Paediatric Junior Sister

      Guildford, GU2 7XX

      Salary:
      £39205.00 to £47084.00
      Type:
      Permanent
      Employer:
      Royal Surrey NHS Foundation Trust
      Apply now on NHS Jobs for Paediatric Junior Sister job (opens in a new window) [32]
    • Paediatric Junior Sister

      Guildford, GU2 7XX

      Salary:
      £39205.00 to £47084.00
      Type:
      Permanent
      Employer:
      Royal Surrey NHS Foundation Trust
      Apply now on NHS Jobs for Paediatric Junior Sister job (opens in a new window) [32]
    • Senior Paediatric Audiologist

      Watford, WD17 3EW

      Salary:
      £47810.00 to £54710.00
      Type:
      Fixed-Term
      Employer:
      Hertfordshire Community NHS Trust
      Apply now on NHS Jobs for Senior Paediatric Audiologist job (opens in a new window) [33]
    • Clinical Psychologist - Paediatrics

      Wakefield, WF1 4DG

      Salary:
      £47810.00 to £54710.00
      Type:
      Permanent
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Clinical Psychologist - Paediatrics job (opens in a new window) [34]
    • Nursing Associate - Paediatrics

      Scarborough, YO12 6QL

      Salary:
      £27485.00 to £30162.00
      Type:
      Permanent
      Employer:
      York and Scarborough Teaching Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Nursing Associate - Paediatrics job (opens in a new window) [35]
    • Audiologist Paediatric Lead

      Doncaster, DN2 5LT

      Salary:
      £47810.00 to £54710.00
      Type:
      Permanent
      Employer:
      Doncaster & Bassetlaw Teaching Hospitals NHS FT
      Apply now on NHS Jobs for Audiologist Paediatric Lead job (opens in a new window) [36]
    • Paediatric Consultant Radiologist

      Swindon, SN3 6BB

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Great Western Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Paediatric Consultant Radiologist job (opens in a new window) [37]
  • These organisations have further information about being a paediatric surgeon, particularly as your career progresses. Take a look.

    British Association of Paediatric Surgeons [38]

    Royal College of Surgeons [39]

    Royal College of Surgeons of Edinburgh [40]

    Royal College of Physicians and Surgeons of Glasgow [41]

Other roles that may interest you

  • Paediatrician [42]
  • General surgery [43]
  • Dermatology [44]
  • Knowledge and library services [45]

Source URL:https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/paediatric-surgery

Links
[1] https://www.healthcareers.nhs.uk/glossary#Neonatal [2] https://www.healthcareers.nhs.uk/glossary#Foundation_training [3] https://www.healthcareers.nhs.uk/explore-roles/doctors/career-opportunities-doctors/sas-doctors [4] https://www.healthcareers.nhs.uk/explore-roles/doctors/pay-doctors [5] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/paediatric-surgery/real-life-story-miss-kathryn-evans [6] https://foundationprogramme.nhs.uk/ [7] https://specialtytraining.hee.nhs.uk/ [8] https://www.healthcareers.nhs.uk/glossary#Oncology [9] https://beta.jobs.nhs.uk/candidate/jobadvert/C9298-MED-802 [10] https://beta.jobs.nhs.uk/candidate/jobadvert/H9001-25-0658 [11] https://beta.jobs.nhs.uk/candidate/jobadvert/C9411-25-0308 [12] https://beta.jobs.nhs.uk/candidate/jobadvert/C9271-25-0472 [13] https://beta.jobs.nhs.uk/candidate/jobadvert/C9196-25-1317 [14] https://beta.jobs.nhs.uk/candidate/jobadvert/C9180-25-0476 [15] https://beta.jobs.nhs.uk/candidate/jobadvert/C9360-25-0436 [16] https://beta.jobs.nhs.uk/candidate/jobadvert/C9284-25-0439 [17] https://beta.jobs.nhs.uk/candidate/jobadvert/C9320-25-0921 [18] https://beta.jobs.nhs.uk/candidate/jobadvert/C9434-25-0843 [19] https://beta.jobs.nhs.uk/candidate/jobadvert/C9259-25-1681 [20] https://beta.jobs.nhs.uk/candidate/jobadvert/M0042-82749-2 [21] https://beta.jobs.nhs.uk/candidate/jobadvert/C9293-25-0368 [22] https://beta.jobs.nhs.uk/candidate/jobadvert/C9377-SURG2587MED [23] https://beta.jobs.nhs.uk/candidate/jobadvert/C9259-25-1696 [24] https://beta.jobs.nhs.uk/candidate/jobadvert/C9343-25-0642 [25] https://beta.jobs.nhs.uk/candidate/jobadvert/C9396-25-0303 [26] https://beta.jobs.nhs.uk/candidate/jobadvert/C9430-25-0460 [27] https://beta.jobs.nhs.uk/candidate/jobadvert/C9282-25-0704 [28] https://beta.jobs.nhs.uk/candidate/jobadvert/U0024-25-0036STO [29] https://beta.jobs.nhs.uk/candidate/jobadvert/C9343-25-0643 [30] https://beta.jobs.nhs.uk/candidate/jobadvert/C9279-25-1443 [31] https://beta.jobs.nhs.uk/candidate/jobadvert/C9193-25-0615 [32] https://beta.jobs.nhs.uk/candidate/jobadvert/C9384-25-0628 [33] https://beta.jobs.nhs.uk/candidate/jobadvert/C9812-25-0393 [34] https://beta.jobs.nhs.uk/candidate/jobadvert/C9377-25-0205 [35] https://beta.jobs.nhs.uk/candidate/jobadvert/C9419-25-0693 [36] https://beta.jobs.nhs.uk/candidate/jobadvert/C9272-25-0369 [37] https://beta.jobs.nhs.uk/candidate/jobadvert/C9249-25-0362 [38] http://www.baps.org.uk [39] http://www.rcseng.ac.uk/ [40] http://www.rcsed.ac.uk [41] http://www.rcpsg.ac.uk [42] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/paediatrics/paediatrician [43] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/general-surgery [44] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/dermatology [45] https://www.healthcareers.nhs.uk/explore-roles/health-informatics/roles-health-informatics/knowledge-and-library-services