Will AI replace surgeons?

Updated

Orthopedic surgeons score 29 of 100 for AI exposure. The largest share of their task time, 53%, is work AI speeds up while they stay in charge. AI can take over 7% outright, and 40% stays with people.

  • 7% AI can do it
  • 53% AI helps
  • 40% Needs a person
290100

Low exposure

Lower than 64% of the 923 occupations we scored.

Task by task

We graded 15 tasks, listed here from most to least exposed. AI can do 1 of them today, speeds up 8 and leaves 6 to people.

TaskAI exposure
Prepare case histories. Ambient scribes and LLMs can draft case histories from notes.70% AI can do it
Manage surgery services, including planning, scheduling and coordination, determination of procedures, or procurement of supplies and equipment. AI can draft schedules and procurement lists; managers decide.55% AI helps
Analyze patient's medical history, medication allergies, physical condition, and examination results to verify operation's necessity and to determine best procedure. Synthesizes history and exam data; surgeon still decides necessity.45% AI helps
Order and interpret the results of laboratory tests and diagnostic imaging procedures. AI reads imaging and suggests lab workups; physician confirms results.40% AI helps
Prescribe preoperative and postoperative treatments and procedures, such as sedatives, diets, antibiotics, or preparation and treatment of the patient's operative area. Order sets and decision support help; prescribing stays accountable.40% AI helps
Refer patient to medical specialist or other practitioners when necessary. AI can draft referral letters; choosing the specialist is clinical.35% AI helps
Conduct research to develop and test surgical techniques that can improve operating procedures and outcomes related to musculoskeletal injuries and diseases. AI aids literature and data analysis; trials need humans.30% AI helps
Diagnose bodily disorders and orthopedic conditions, and provide treatments, such as medicines and surgeries, in clinics, hospital wards, or operating rooms. AI supports diagnostic reasoning; treatment delivery stays in person.30% AI helps
Diagnose or treat disorders of the musculoskeletal system. AI aids diagnostic reasoning; surgical treatment needs physical presence.30% AI helps
Direct and coordinate activities of nurses, assistants, specialists, residents, and other medical staff. Leading a live team requires interpersonal judgement and presence.15% Needs a person
Show the other 5 tasks
TaskAI exposure
Provide consultation and surgical assistance to other physicians and surgeons. Live consultation and surgical assistance need human presence.15% Needs a person
Examine patient to obtain information on medical condition and surgical risk. Hands on physical exam and live patient contact.10% Needs a person
Examine instruments, equipment, and operating room to ensure sterility. Physical inspection of instruments and rooms needs a person.5% Needs a person
Follow established surgical techniques during the operation. Hands on surgical technique in the operating room.3% Needs a person
Operate on patient's musculoskeletal system to correct deformities, repair injuries, prevent and treat diseases, or improve or restore patient's functions. Physical surgery on living tissue, no meaningful AI role.2% Needs a person

How orthopedic surgeons compare

All occupations (923)

Healthcare practitioners and technical (89)

Orthopedic surgeons score 29, marked by the dark line. Each dot is a score, darker where more occupations share it. The short marks show the averages, 37 for all occupations and 34 for healthcare practitioners and technical.

Pay and outlook in the US

Median pay
$358,550 a year, May 2025
People employed
14,100 in the US, May 2025
Projected change in jobs
+4.0% from 2024 to 2034

Skills to build

  • Draft and sign off case histories in Epic Systems
  • Check AI-drafted orders and imaging reads in EMR software
  • Plan implant placement in image-guided surgery software
  • Perform hands-on fracture repair and joint reconstruction surgery
  • Lead operating room teams through live case coordination
  • Hold board certification from the American Board of Orthopaedic Surgery

Safer roles nearby

3 related occupations with lower scores.

Questions about orthopedic surgeons and AI

Will surgeons be replaced by AI?

Partly. About 3 in 10 working hours go to tasks AI can already do, mostly preparing case histories and scheduling surgery services. Physical surgery, patient examination and leading the operating room team stay with surgeons because they need a person in the room.

Which orthopedic surgeon tasks is AI taking over?

Preparing case histories has an exposure score of 70, the highest in this job. Ambient scribes and LLMs can draft histories from notes, and AI can draft surgery schedules and procurement lists for managers to approve.

Which orthopedic surgeon tasks stay human?

Operating on the musculoskeletal system scores 2 for exposure, the lowest in this job. Surgery on living tissue needs a surgeon's hands, and following surgical technique in the operating room scores 3. Examining patients and leading live teams also stay human, scoring 10 and 15.

How do orthopedic surgeons stay valuable as AI spreads?

Keep operating hands-on, since surgery is the least exposed task. Check every AI-drafted case history in Epic Systems or MEDITECH before signing. Use image-guided surgery software for implant planning, and lead the operating room team through live case coordination.

Next steps for orthopedic surgeons

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