How much does a doctor earn?

Doctors diagnose and treat illnesses, advise patients and manage therapies in hospitals, practices or medical care centres – from history and examination through diagnostics to conservative and surgical treatment. The path leads via a medical degree with state exams and a licence to practise; this is followed by specialist training as a resident physician (Assistenzarzt). Gross pay depends on region, collective agreements (e.g. TV-Ärzte), hospital or practice, specialty, on-call allowances and experience. As a guide, employed specialists in Germany in 2026 often earn about €7,800–€10,500 gross per month; during residency typical ranges are around €5,400–€6,900.

Comic illustration of a doctor with a stethoscope and patient file at the treatment desk in a bright practice
Created with AI assistance and editorially reviewed

Salary by region (gross/month)

Region
Training (gross/month)
Qualified (gross/month)
Baden-Württemberg
5.650–7.150 €
8.400–11.200 €
Bavaria
5.600–7.200 €
8.350–11.100 €
Berlin
5.450–6.950 €
7.900–10.600 €
Brandenburg
5.200–6.550 €
7.100–9.350 €
Bremen
5.400–6.850 €
7.700–10.200 €
Hamburg
5.700–7.250 €
8.500–11.350 €
Hesse
5.550–7.050 €
8.150–10.900 €
Mecklenburg-Western Pomerania
5.150–6.450 €
6.950–9.150 €
Lower Saxony
5.350–6.800 €
7.650–10.150 €
North Rhine-Westphalia
5.500–7.000 €
8.050–10.750 €
Rhineland-Palatinate
5.350–6.750 €
7.600–10.050 €
Saarland
5.250–6.650 €
7.400–9.850 €
Saxony
5.200–6.500 €
7.050–9.300 €
Saxony-Anhalt
5.150–6.400 €
6.900–9.100 €
Schleswig-Holstein
5.300–6.700 €
7.450–9.950 €
Thuringia
5.150–6.420 €
6.950–9.200 €
Germany (average)
5.400–6.850 €
7.700–10.300 €

Orientation figures as of 2026. The training column refers to typical pay as a resident physician in specialist training; qualified means employed specialists in hospital, practice or medical care centres (mid-market orientation, excluding senior consultant peaks). Self-employed practice owners, chief physicians or strong private billing can differ widely. Actual pay depends on region, tariff, employer, specialty, on-call duties and experience and is not a guarantee.

Further training options

Option
Duration
Salary impact
Specialist in general practice / family medicine
approx. 5 years
often €7,500–€10,000
Specialist in internal medicine
approx. 5–6 years
often €8,000–€11,000
Specialist in surgery / operative specialties
approx. 6 years
often €8,500–€12,000
Specialist in anaesthesiology
approx. 5 years
often €8,200–€11,500
Senior physician / leading clinical role
Experience plus qualification
often €9,500–€14,000
Practice start-up / establishment and practice management
Months to about 1 year
often €9,000–€18,000

Job and everyday work

Doctors combine diagnostics, therapy and patient communication: taking findings, explaining treatment plans and making decisions under responsibility. Everyday work shifts between consultations, ward rounds, documentation and emergencies – with teamwork, hygiene and quality standards and clear accountability for care.

  • Take history and examine patients, interpret findings and document diagnoses and treatment plans.
  • Manage conservative and, where needed, surgical treatments; coordinate medication, referrals and follow-up.
  • Advise patients and relatives clearly; clarify risks, alternatives and consent.
  • Collaborate interprofessionally with nursing, therapists, labs and other specialties.
  • Organise on-call duties, emergencies and documentation to quality and billing standards.
  • Use CPD and specialist training; follow guidelines and legal requirements.

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