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Matching Into Integrated Plastic Surgery Residency: What's The Price?
Jenny A Foster1, Elaine Lin1, Joey Liang1
1Division of Plastic, Maxillofacial and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Journal of Surgical Education
|November 19, 2025
Summary
The cost of applying to plastic surgery residency has significantly increased, driven by interview and away rotation expenses. Despite reduced application fees, total costs rose substantially, impacting applicants financially.
Area of Science:
- Medical Education
- Surgical Residency Admissions
- Health Economics
Background:
- Integrated plastic surgery residency programs are highly competitive.
- Applicants face significant financial burdens during the application process.
Purpose of the Study:
- To analyze the financial costs associated with applying to plastic surgery residency from 2021 to 2024.
- To identify trends in application expenses.
Main Methods:
- Utilized data from the Texas Seeking Transparency in Application to Residency (STAR) database.
- Assessed costs including application fees, interview expenses, and away rotations.
- Employed statistical tests to compare costs across years and between matched/unmatched applicants.
Main Results:
- Median interview and away rotation costs increased significantly from 2021 to 2024.
- Total median costs rose from $2,250 in 2021 to $10,000 in 2024.
- Matched applicants reported higher average spending in 2022 and 2024 compared to unmatched applicants.
Conclusions:
- High financial burdens persist despite reduced application fees, primarily due to interview and away rotation costs.
- Strategies like limiting away rotations may reduce applicant expenses.
- Subsidies for interviewed applicants are recommended to promote equity in the plastic surgery residency application process.
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