Career guide

How do you become a veterinary orthopedic surgeon?

Founder, VeterinaryHires
October 2026 8 min read

At a glance

small or large animal surgery — no separate ortho board

Board certification

ACVS diplomate

AVMA, as of December 31, 2025

Active ACVS diplomates

2,588

rotating internship, then a 156-week ACVS residency

Training after the DVM

1 yr + 3 yr minimum

BLS, May 2025 — all veterinarians, not by specialty

All-vet median pay

$130,100 / yr

There is no board called "veterinary orthopedic surgery."

A board-certified orthopedic surgeon is a diplomate of the American College of Veterinary Surgeons (ACVS) — certified in small or large animal surgery — whose caseload centers on bone and joint work.

The path after the DVM is a 12-month internship (or its equivalent) and an ACVS residency of at least three years, with fellowships beyond.

Here is the caseload, the training sequence, the GP question, the pay, and the settings.

What veterinary orthopedic surgeons do

A veterinary orthopedic surgeon is a veterinarian whose caseload centers on the skeleton — fracture repair, joint replacement, and procedures such as the tibial plateau leveling osteotomy (TPLO) — in the species their training track covers.

The title itself is not a credential.

There is no orthopedic surgery board: the AVMA-recognized certification in veterinary surgery belongs to the American College of Veterinary Surgeons, which certifies veterinarians in exactly two specialties, small animal surgery and large animal surgery.

So a board-certified veterinary orthopedic surgeon is an ACVS diplomate whose practice concentrates on bone and joint work — usually on the small animal side.

The population is small.

AVMA counted 2,588 active ACVS diplomates as of December 31, 2025; of those, 1,167 were reported in the small animal track and 530 in the large animal track.

The track figures don't add up to the total, and AVMA doesn't explain the gap — treat them as reported subsets, not a full split.

AVMA doesn't count "orthopedic surgeons" as a separate group, and our research found no headcount of the ortho focus from any source.

For the board itself — its two specialties, the examination structure and the credentialing requirements — see the veterinary surgery specialty page.

This page stays on the orthopedic track inside it: what the training runs, what it costs in years, what the alternatives are, and what the work pays.

Training: internship, ACVS residency, fellowships

ACVS's training sequence has a fixed shape, and it starts before the residency: a rotating internship of 12 months (or its equivalent, as judged by the program), then a residency of at least three years — 156 weeks — in either the large animal or the small animal surgery curriculum.

  1. The DVM and a license

    The veterinary degree itself generally takes four years — usually three of classroom, laboratory and clinical work, then a final year of clinical rotations. Practicing requires a license: all states require graduation from an accredited veterinary program and a qualifying exam, and most also require a state exam on state law.
  2. A 12-month internship, or the judged equivalent

    ACVS builds the internship into its training standards as the prerequisite for entering a residency. AVMA's own framing: for some veterinarians the internship is the first step toward residency in a board specialty, and it recommends choosing one with a clear path to career advancement.
  3. The ACVS residency: 156 weeks minimum

    A residency means 156 weeks of supervised training, of which 110 weeks are supervised surgical training, alongside emergency duty, specified case numbers across body systems, and research. There is an alternative track — for example, part-time or private-practice based — that stretches the same requirements over up to twice the typical time, with everything still completed within six years.
  4. Diplomate status, then an optional fellowship

    Four post-residency fellowships exist: Joint Replacement Surgery, Minimally Invasive Surgery, Oral and Maxillofacial Surgery, and Surgical Oncology — the joint replacement one is the natural orthopedic deepening. Fellows must first complete the residency, hold ACVS diplomate status and have credentials approved by ACVS's Board of Regents; ACVS says fellowship expertise goes beyond what can be mastered in a three-year residency. The Joint Replacement fellowship carries a $1,000 training registration fee as of October 2026.

Orthopedics is not its own board — and neither is sports medicine, inside ACVS

Plan around ACVS diplomate status, not an "orthopedic surgery certification": the recognized certification covers large animal surgery and small animal surgery, with orthopedics as a focus inside it. Sports medicine and rehabilitation is a separate AVMA-recognized college (ACVSMR), not an ACVS fellowship, with its own training path — 301 active diplomates as of December 31, 2025, 128 canine and 173 equine. See sports medicine and rehabilitation for that route.
Browse open veterinarian jobs →

GP vets who do ortho without board certification

Diplomate status is a specialty credential, not a second license.

Every veterinarian in the room holds the same state license; what a board-certified surgeon adds is the documented training — the internship-equivalent and the 156-week residency with logged case numbers and supervised surgical weeks behind the title.

Whether a general practice takes orthopedic cases in house — simple fracture repair, joint procedures — is a caseload and equipment decision each clinic makes.

Our research found no public count of how many general practice veterinarians do orthopedic work without board certification.

That makes the practical screen the same whether you're a pet owner weighing a referral or a veterinarian deciding how far to take ortho in a GP setting: ask what training the surgeon completed and how much of that caseload they operate.

Where board certification sits among the profession's credentials generally is laid out in how specialization works.

What veterinary orthopedic surgeons are paid

The direct answer: our research found no public source that publishes pay for veterinary orthopedic surgeons.

BLS does not break veterinarian wages out by specialty — not for orthopedics, not for the large-versus-small-animal split, not for associate versus owner — so its figures are the whole-profession benchmark.

In the May 2025 release, the median annual wage for veterinarians was $130,100 ($62.55 an hour), with the lowest 10 percent under $73,920 and the highest 10 percent above $215,700.

The training route has a documented starting-pay cost, though.

In AVMA's 2026 Senior Survey, graduates entering residencies averaged $54,988 in starting compensation and those entering internships $59,436 — against $133,056 for classmates going straight into full-time private practice.

Those are survey means, not medians, and they measure first-job starting pay only — not pay across the later years of the training sequence.

Where certified surgeons actually land inside that BLS distribution, the survey cannot say.

Sector-level context and the nearest honest figures are in how much a veterinary surgeon makes, and the discipline-by-discipline pay landscape is in pay by specialty.

No ortho pay figure in the sources we checked

BLS doesn't break veterinarian pay out by specialty, and our research found no orthopedic-surgeon pay figure from any primary source. Treat any "orthopedic veterinary specialist salary" number you encounter as someone's own estimate — and ask what population it actually measures before relying on it.

Where veterinary orthopedic surgeons work

Set the diplomate count against the profession and the field's size comes into focus: AVMA estimates 133,475 U.S. veterinarians as of December 31, 2025, so active ACVS diplomates of every focus come to roughly one in fifty.

For scale, BLS put 83 percent of veterinarian jobs in veterinary services in 2025, with 7 percent self-employed, 2 percent in government, 2 percent in educational services and 1 percent in social advocacy organizations.

The two training tracks lead to different caseloads — large animal or small animal — and the caseload points at the employer.

When you search, look where a surgical caseload can support a dedicated surgeon: referral and specialty hospitals and university teaching hospitals are the settings the where specialists actually work deep-dive breaks down setting by setting.

Then search the open veterinarian jobs by role title rather than the phrase "orthopedic surgeon", and read the posting's caseload description for the ortho focus.

Reading this from the employer side?

Start from the guide to hiring a veterinarian.

What Veterinarian Job Listings Show Right Now

From the 4,745 active veterinarian listings on VeterinaryHires as of October 22, 2026.

Open listings
4,745
veterinarian jobs
Employers hiring
998
practices and hospital groups
Posted in last 14 days
275
new listings
Median posted pay
$135,000
from 717 listings with pay

Where the openings are

Pay employers post

  • Median $135,000 a year; the middle half of posted pay runs $125,000–$147,500 (717 listings that state a salary)
  • 15% of veterinarian listings state any pay at all.

Benefits listings name

  • Dental & Visionnamed in 83%
  • Health Insurancenamed in 77%
  • 401k Matchnamed in 72%
  • PTO / Paid Time Offnamed in 68%
  • CE Allowancenamed in 61%

Source: active veterinarian listings on VeterinaryHires, updated daily. Pay figures use only listings that state pay (midpoint of each posted range). Benefits count listings that name the benefit; a listing that doesn’t mention one may still offer it.

Browse 4,745 jobs →

Frequently Asked Questions

Is there a board certification specifically for veterinary orthopedic surgery?

No. The AVMA-recognized certification in veterinary surgery belongs to the American College of Veterinary Surgeons, which certifies in small animal surgery and large animal surgery — a "board-certified veterinary orthopedic surgeon" is an ACVS diplomate whose caseload centers on bone and joint work.

The ortho depth can be added afterwards through ACVS's fellowship in joint replacement surgery.

Sports medicine and rehabilitation is a separate college entirely.

How long does it take to become a board-certified veterinary surgeon?

Eight years is the realistic minimum after starting vet school: four years for the DVM, then ACVS's sequence — a 12-month internship (or judged equivalent) and a residency of at least three years (156 weeks).

The alternative residency track can stretch requirements to twice the typical time, with everything completed within six years.

Fellowships add more.

Do you need an internship before an ACVS surgery residency?

In the standard sequence, yes: ACVS's training standards require a rotating internship of 12 months or its equivalent, as judged by the program, before entering the residency.

AVMA notes internships serve some veterinarians as the first step toward residency in a board specialty, and recommends choosing one with a clear path to career advancement.

How many board-certified veterinary surgeons are there?

AVMA counted 2,588 active ACVS diplomates as of December 31, 2025.

Of those, 1,167 were reported in the small animal track and 530 in the large animal track — reported subsets that don't sum to the total — AVMA doesn't explain the difference.

AVMA doesn't count orthopedic surgeons separately.

A further 301 active diplomates held certification from the separate sports medicine and rehabilitation college.

How much does an ACVS fellowship cost?

The published fee is $1,000 — ACVS's fellowship training registration fee for the Joint Replacement Surgery program, as of October 2026.

That covers registration, not living costs; no salary or stipend figure for the fellowship training is published in our sources.

The four fellowships are post-residency programs for ACVS diplomates: a fellow must complete the surgery residency, hold diplomate status and have credentials approved by ACVS's Board of Regents.

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