A Mohs Surgeon is a highly specialized Dermatologist with a unique and precise skill set. Their job is to perform Mohs micrographic surgery, a technique that involves removing skin cancers layer by layer while meticulously preserving healthy tissue. This procedure is considered the gold standard for many types of skin cancer due to its high cure rate and tissue-sparing benefits. You could say they are the ultimate precision artists of the dermatological world.
On a typical day, a Mohs Surgeon is focused on one main task: performing Mohs procedures. They carefully remove a layer of cancerous tissue, and then, in a fascinating twist, they analyze the tissue under a microscope themselves while the patient waits. This immediate analysis allows them to confirm that all cancer cells have been removed before closing the wound. They also handle the post-operative care, repairing the surgical site and managing the patient’s recovery to ensure the best possible cosmetic outcome.
Mohs Surgeons are found in specialized work settings that are equipped for their unique procedures. They typically work in private dermatology clinics, cancer centers, or hospitals with dedicated dermatologic surgery units. These environments are designed to facilitate the seamless flow of the Mohs procedure, with an on-site lab for tissue analysis. The specialized nature of their work means they often have their own dedicated surgical suite.
The job outlook for Mohs Surgeons is incredibly positive and is expected to grow steadily for the foreseeable future. With rising rates of skin cancer globally, the demand for effective and precise treatments like Mohs surgery is higher than ever. This is especially true as more people become aware of the importance of early detection and treatment. Patients and referring physicians actively seek out Mohs Surgeons for their high cure rates and their ability to preserve as much healthy tissue as possible, which is crucial for cosmetic outcomes. The need for these specialists is not just a passing trend but a consistent and growing necessity in healthcare, ensuring a stable and rewarding career path with plenty of opportunities for those who choose this highly specialized field.
After a four-year bachelor's degree (likely in a Pre-Med major), a student must complete medical school, which is another four-year commitment.
After completing medical school and a three-year dermatology residency, they go on to a highly selective one-year fellowship in Mohs surgery.
To practice, a Mohs Surgeon must first possess a state medical license, which is the foundational requirement for any physician to diagnose and treat patients. On top of that, they must be board-certified in dermatology, a rigorous process that signifies a high level of knowledge and skill in the broader field of skin care. However, what truly sets them apart and marks their unique expertise is their additional training in a fellowship specifically for Mohs surgery. This specialized fellowship is highly competitive and provides a year of intensive, hands-on training that solidifies their mastery of the intricate Mohs procedure. This extra layer of education gives patients the utmost confidence that they are in the hands of a highly skilled professional who has dedicated years to perfecting this specific and delicate type of surgery. It is a true mark of specialization and a testament to their dedication to providing the best possible outcome for their patients.
In 2025, a Mohs Surgeon is very well compensated for their expertise, which reflects the value of their specialized skills and the significant impact they have on patients’ lives. The average salary for these professionals is around $500,000 a year, but it's not uncommon for high earners in private practice or in high-demand areas to exceed $600,000 or even more. The financial rewards of this career are a direct reflection of the high demand for their unique abilities and the life-saving procedures they perform. This high earning potential is a powerful incentive for the many years of training and hard work required to reach this level of professional mastery, and it speaks to the immense value that their skills bring to the healthcare system.