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Dermatologist 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 8% more than Dermatologist

Median R 130 000/month vs R 120 000/month — a R 10 000/month difference

Dermatologist

R120k/month

R 1 440 000/year

445% above SA workforce median

Higher earner

Surgeon

R130k/month

R 1 560 000/year

491% above SA workforce median

Salary by experience level

LevelDermatologistSurgeon
Entry-level(0–2 yrs)R 63 000R 65 000
Mid-level(3–6 yrs)R 110 000R 115 000
Senior(7+ yrs)R 180 000R 230 000

Median monthly gross before PAYE tax · South Africa 2026

Salary range comparison

Entry-level

Dermatologist
R 63 000
Surgeon
R 65 000

Mid-level

Dermatologist
R 110 000
Surgeon
R 115 000

Senior

Dermatologist
R 180 000
Surgeon
R 230 000
DermatologistSurgeon

Key differences

Dermatologist

Salary rangeR55kR280k
MedianR 120 000/month
Annual (median)R1.4m

South Africa has a severe shortage of dermatologists — demand far exceeds supply. This shortage is projected to persist due to the long training pipeline and high emigration rates among qualified specialists.

Full Dermatologist 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 →

See your actual take-home pay

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Frequently asked questions

Which earns more — a Dermatologist 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 120 000/month for a Dermatologist — a difference of R 10 000/month (8% higher).

What is the Dermatologist salary in South Africa in 2026?

The median Dermatologist salary in South Africa is R 120 000/month gross in 2026. Entry-level positions pay R 55 000–R 75 000/month, mid-level pays R 85 000–R 145 000/month, and senior roles pay R 130 000–R 280 000/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 Dermatologist 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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