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Chartered Accountant vs Surgeon
Salary Comparison.

Side-by-side monthly salary breakdown for South Africa in 2026 — entry to senior level, gross before tax.

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Surgeon earns 110% more than Chartered Accountant

Median R 130 000/month vs R 62 000/month — a R 68 000/month difference

Chartered Accountant

R62k/month

R 744 000/year

182% above SA workforce median

Higher earner

Surgeon

R130k/month

R 1 560 000/year

491% above SA workforce median

Salary by experience level

LevelChartered AccountantSurgeon
Entry-level(0–2 yrs)R 35 000R 65 000
Mid-level(3–6 yrs)R 62 000R 115 000
Senior(7+ yrs)R 130 000R 230 000

Median monthly gross before PAYE tax · South Africa 2026

Salary range comparison

Entry-level

Chartered Accountant
R 35 000
Surgeon
R 65 000

Mid-level

Chartered Accountant
R 62 000
Surgeon
R 115 000

Senior

Chartered Accountant
R 130 000
Surgeon
R 230 000
Chartered AccountantSurgeon

Key differences

Chartered Accountant

Salary rangeR28kR250k
MedianR 62 000/month
Annual (median)R744k

CA(SA) remains one of South Africa's most sought-after qualifications, with particularly strong demand from investment banking, private equity, and international companies.

Full Chartered Accountant salary guide →

Surgeon

Salary rangeR55kR400k
MedianR 130 000/month
Annual (median)R1.6m

South Africa has a severe shortage of surgeons, particularly in the public sector. Private sector demand is growing with rising medical aid penetration. International emigration of surgeons creates ongoing vacancies.

Full Surgeon salary guide →

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Frequently asked questions

Which earns more — a Chartered Accountant or a Surgeon in South Africa?

A Surgeon earns more on average. The median monthly salary for a Surgeon is R 130 000/month, compared to R 62 000/month for a Chartered Accountant — a difference of R 68 000/month (110% higher).

What is the Chartered Accountant salary in South Africa in 2026?

The median Chartered Accountant salary in South Africa is R 62 000/month gross in 2026. Entry-level positions pay R 28 000–R 45 000/month, mid-level pays R 50 000–R 85 000/month, and senior roles pay R 90 000–R 250 000/month.

What is the Surgeon salary in South Africa in 2026?

The median Surgeon salary in South Africa is R 130 000/month gross in 2026. Entry-level positions pay R 55 000–R 80 000/month, mid-level pays R 90 000–R 160 000/month, and senior roles pay R 160 000–R 400 000/month.

How do I calculate take-home pay for a Chartered Accountant or Surgeon?

Use the Rand Tools PAYE calculator. Enter the gross monthly salary and it will calculate your exact take-home pay after PAYE income tax, UIF (1% of gross, capped at R177.12/month), and any pension or medical aid contributions.

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