A surgical subspecialist providing urologic care for children — managing congenital genitourinary anomalies (hypospadias, vesicoureteral reflux, ureteropelvic junction obstruction), pediatric kidney stones, undescended testicles, voiding dysfunction, and other pediatric urologic conditions. Completes urology residency plus pediatric urology fellowship.
Most days tend to involve outpatient clinic visits with children and families for urologic concerns, surgical procedures (often complex reconstructive surgery on young children), post-operative care, and the cross-disciplinary coordination with pediatric nephrology, pediatric surgery, and pediatric anesthesia. You'll often operate on infants and small children for complex congenital conditions, manage long-term follow-up across years of childhood, and partner with families through difficult diagnoses.
The variance between settings is real — most pediatric urologists practice at children's hospitals or major academic medical centers with concentrated pediatric volume; some practice in adult-pediatric urology groups with mixed case loads; a few work in private pediatric urology practices in major metro areas; rural pediatric urology coverage often depends on regional referral patterns. The fellowship is two additional years after urology residency, making pediatric urology a longer training path than many subspecialties.
People who tend to thrive here are comfortable with technical reconstructive surgery on small patients, capable of family communication about congenital conditions, and patient with the long-arc follow-up that pediatric urology often requires. ABU subspecialty certification in pediatric urology anchors the credential. The work tends to offer strong compensation, deeply meaningful patient impact, and intellectual depth, with the trade-off being the often-tertiary practice base and the technical demands of pediatric reconstructive surgery — for those drawn to pediatric surgery, the role offers durable craft.
Where this role sits in the broader career landscape — and where it can take you.
Roles like this one sit within a broader occupational category. The numbers below reflect that full landscape — helpful for context, but your specific experience will depend on level, specialty, and where you work.
Roles with similar work and overlapping career paths
View all Healthcare roles →A surgical subspecialist providing urologic care for children — managing congenital genitourinary anomalies (hypospadias, vesicoureteral reflux, ureteropelvic junction obstruction), pediatric kidney stones, undescended testicles, voiding dysfunction, and other pediatric urologic conditions. Completes urology residency plus pediatric urology fellowship.
Median pay for a Pediatric Urologist is about $208K nationally, with the field ranging roughly from $67K to $208K depending on experience, employer, and metro (BLS).
Core skills for this role include Reading Comprehension, Judgment and Decision Making, Critical Thinking, Active Listening, and Writing.
Most people in this role hold a doctoral (research).
Employment in this field is projected to grow about 2.5% through 2034, with roughly 315,360 people working in it today (BLS).
Closely related roles include MD (Medical Doctor), Surgeon, and Urologist.
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