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Surgeon vs Registered Nurse
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 381% more than Registered Nurse

Median R 130 000/month vs R 27 000/month — a R 103 000/month difference

Higher earner

Surgeon

R130k/month

R 1 560 000/year

491% above SA workforce median

Registered Nurse

R27k/month

R 324 000/year

23% above SA workforce median

Salary by experience level

LevelSurgeonRegistered Nurse
Entry-level(0–2 yrs)R 65 000R 18 500
Mid-level(3–6 yrs)R 115 000R 27 000
Senior(7+ yrs)R 230 000R 42 000

Median monthly gross before PAYE tax · South Africa 2026

Salary range comparison

Entry-level

Surgeon
R 65 000
Registered Nurse
R 18 500

Mid-level

Surgeon
R 115 000
Registered Nurse
R 27 000

Senior

Surgeon
R 230 000
Registered Nurse
R 42 000
SurgeonRegistered Nurse

Key differences

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 →

Registered Nurse

Salary rangeR15kR55k
MedianR 27 000/month
Annual (median)R324k

Strong demand — the DoH estimates South Africa is short more than 40,000 nurses; private hospital expansion and emigration of SA nurses to the UK and Australia keep local shortages acute.

Full Registered Nurse salary guide →

See your actual take-home pay

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Frequently asked questions

Which earns more — a Surgeon or a Registered Nurse in South Africa?

A Surgeon earns more on average. The median monthly salary for a Surgeon is R 130 000/month, compared to R 27 000/month for a Registered Nurse — a difference of R 103 000/month (381% higher).

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.

What is the Registered Nurse salary in South Africa in 2026?

The median Registered Nurse salary in South Africa is R 27 000/month gross in 2026. Entry-level positions pay R 15 000–R 22 000/month, mid-level pays R 22 000–R 35 000/month, and senior roles pay R 35 000–R 55 000/month.

How do I calculate take-home pay for a Surgeon or Registered Nurse?

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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