Entering private practice is a major milestone for many plastic surgeons. Whether you’re finishing your training or looking to transition from an academic or employed model, private practice offers unique rewards—autonomy, entrepreneurial potential, and a closer connection to your patients.
But when should you start your search for the right private practice opportunity? Timing is everything, especially in a competitive specialty like plastic surgery.
Here’s how to approach your search strategically.
- Start 12 to 18 Months Before You Want to Begin Working
If you’re a resident or fellow aiming for private practice, the best time to start your search is at least a year in advance. Private practices often plan ahead, especially if they’re bringing in a new associate or grooming a future partner. Starting early allows time for:
Exploring different practice models (solo, group, partnership track, etc.)
Meeting practice owners and decision-makers at national conferences or through informal networking
Visiting practices to assess culture fit, patient demographics, and workflow
Negotiating contracts, which often involve buy-in terms, non-competes, or revenue-sharing arrangements
Remember, these aren’t just job interviews—you’re evaluating potential long-term business relationships.
- Plan Around Key Hiring Windows
Private practices often follow predictable hiring patterns:
Fall through early winter (October–January): Many surgeons begin recruiting associates for the following summer or fall. This is a key window to watch for job postings and to reach out proactively to practices you admire—even if they’re not advertising yet.
Spring (March–May): Another wave of hiring often happens as practices finalize their revenue forecasts and decide they need help, especially in high-growth markets.
Start your search in late summer or early fall to get ahead of the curve. Being early gives you more leverage and options.
- Prepare for a Longer Onboarding Process
Unlike hospitals or large health systems, private practices may not have dedicated HR departments. Credentialing, licensing, and hospital privileges often fall on a slower administrative timeline. You’ll also need to:
Begin state medical licensure early
Discuss marketing and referral-building strategies with the practice
Coordinate with local hospitals or surgery centers
Understand your role in practice finances, especially if a buy-in is expected
Starting your search early means you can align these moving parts without rushing—setting you up for a smooth and confident start.
- For Practicing Surgeons: Start 6 to 9 Months Before Transition
If you’re already in practice and considering a move into private practice—or between private practices—give yourself 6 to 9 months, minimum. This allows time to:
Navigate non-compete clauses and patient transition plans
Evaluate potential partnerships or acquisition opportunities
Handle real estate, staffing, and malpractice tail coverage
Get your financials in order, especially if you’re considering a buy-in or startup
Private practice transitions can be complex. Give yourself breathing room.
- Know What You Want in a Practice
The most successful job searches are values-driven. Before diving in, ask yourself:
What procedures do I want to focus on—cosmetic, reconstructive, or both?
Do I prefer high-volume or boutique-style practice settings?
What level of autonomy, mentorship, or partnership opportunity am I seeking?
Do I want to buy into a practice or start my own someday?
Getting clear on your goals early will help you avoid misaligned offers and focus only on practices that match your vision.
Final Thoughts
The best time to begin your search for a private practice plastic surgery opportunity is as early as possible—ideally 12 to 18 months in advance. That gives you time to make an informed decision, build relationships with established surgeons, and enter a practice on your terms.
Private practice offers enormous potential—but it requires strategy, timing, and self-awareness. Begin early, network wisely, and position yourself for long-term success.
Looking for private practice opportunities? Whether you’re finishing training or exploring a change, be proactive. Start conversations, attend key conferences, and talk to surgeons who’ve walked the path. The right opportunity is out there—and it’s never too early to start looking.
ESA Medical Resources (gotplaticsurgeryjobs.com) can be a key partner in your search. We partner with many private practices that are seeking plastic surgeons to join their practice. Our service is FREE to candidates using our service. Please contact David at david@gotplaasticsurgeryjobs.com or call/text 270-266-1024 for additional information.
