Foot and Ankle Surgeon Salary Report (2025): ACFAS Total Compensation Data
The 2025 ACFAS Member Compensation and Practice Survey provides the most comprehensive benchmark of compensation for board-certified foot and ankle surgeons in the United States. ACFAS Fellows are certified by the American Board of Foot and Ankle Surgery (ABFAS). With 769 respondents, up from 622 in 2021, this survey represents the largest and most statistically reliable dataset focused exclusively on ACFAS Fellow members.
Key Findings from the 2025 ACFAS Compensation Report
- Median annual total compensation: $368,421
- Top 25% total compensation: $500,000
- What percentage of respondents take call without any additional compensation: 50.2%
- Typical annual on-call compensation range: Between $10,000-$30,000
- % using RVU/wRVU compensation: 35%
- Career satisfaction: 86% satisfied or very satisfied
These figures represent one of the largest specialty-specific compensation datasets available for foot and ankle surgeons and provide a benchmark for physicians, employers, and trainees evaluating careers in podiatric medicine.
Compensation
Compensation Structure Overview
Total annual personal compensation (pre-tax) from all sources of professional work as a foot and ankle surgeon based on a full-time schedule:
Note: The original version of this chart mislabeled the mean as “Mean/Average and 50th Percentile.” This has been corrected to accurately distinguish between mean and median values.
Total Compensation by Age/Gender
Total Compensation by Current Practice Setting
Total Compensation by Role & Compensation Structure
Total Compensation by Years in Practice as a Foot & Ankle Surgeon
Total Compensation by Surgical Cases/Year
Sources of total compensation: .png)
If ancillary services make up more than 10% of your annual compensation, what are the top 3 ancillary services driving that compensation?
Productivity (RVU/wRVUs)
Is any portion of your compensation tied to work RVUs (or wRVUs)? 
If Yes and using wRVUs, what is the current conversion rate paid per wRVU? .png)
For those using wRVUs, is there a tiered productivity system with a higher conversion rate after a certain wRVU threshold? .png)
At approximately how many wRVUs per year does the higher tier kick in? .png)
What is the higher conversion rate for wRVUs above that threshold? _1.png)
On-Call Pay
Which statement best describes your hospital emergency call duties and compensation? .png)
If receiving on-call pay, what is your annual estimate of total on-call pay compensation? 
For ACFAS members looking for addition on-call pay resources, view the ACFAS On-Call Pay Position Statement.
Frequently Asked Questions (FAQs)
What is the average salary of a foot and ankle surgeon?
According to the ACFAS 2025 Compensation Report, the average compensation for an ACFAS Fellow is approximately $446,060.
How much do podiatrists earn in the U.S.?
Compensation varies widely, but ACFAS data shows its Fellow members earn between $280,000 and $1,017,022 depending on experience, surgical cases performed annually, and practice setting.
How are foot and ankle surgeons paid?
Many are compensated using a combination of salary, productivity (wRVUs), and bonuses. Other sources of compensation include ancillary services and administrative duties.