J Am Coll Surg. 2026 Feb 19.
BACKGROUND: A surgical lifestyle may challenge the balance between professional responsibilities and personal life. We sought to define the impact of being a surgeon on the likelihood of parenthood.
STUDY DESIGN: The American Community Survey (ACS) database was queried between 2018-2022 to investigate trends of parenthood among surgeons, non-surgeon physicians and the general US population. Multivariable logistic regression analyses were conducted to identify factors associated with parenthood.
RESULTS: Among 3,385 surgeons and 52,758 non-surgeon physicians, 50.6% versus 46.0% were parents, respectively (RR:1.10, 95%CI: 1.06-1.14). The US general population had a markedly lower prevalence of parenthood (RR:0.58, 95%CI: 0.57-0.58). Surgeons were more likely to be married (83.3% vs. 78.2% vs. 42.7%) and had higher annual income versus physicians and the US population ($390,000 [130,000-512,000] vs. $200,200 [86,200-400,000] and $36,100 [11,600-96,000], respectively; (p<0.05). On multivariable analysis, surgeons had 12% higher odds of having children versus non-surgeon physicians (OR:1.12, 95%CI: 1.02-1.23). Among surgeons, being married (OR:11.69 [95%CI: 5.41-17.29]) and higher income (per $10,000 increase; OR:1.02 [95%CI: 1.01-1.03]) were associated with higher odds of parenthood while female sex (OR: 0.71 [95%CI:0.58-0.79]) was associated with lower odds. Female surgeons earned a lower annual income ($288,800 [84,000-486,000] vs. $406,000 [148,000-525,000]), worked more hours per week (57.0 hours [20.8] vs. 50.2 hours [23.9]), and were less often married (67.7% vs. 86.7%) versus male surgeons (p<0.05).
CONCLUSIONS: Surgeons had a higher likelihood of parenthood versus non-surgeon physicians and the general US population. The odds of being a parent varied based on sex, marital status, and annual income. Female surgeons were less likely to be a parent while working longer hours and earning a lower annual income.
Keywords: American Community Survey; Marriage; Non-surgeon Physicians; Parenthood; Surgeons