Workforce Shortage

75 Million Americans Lack Access to Vascular Surgeon, ACS Data Shows

Rosemont, Ill. – September 28, 2026 -- More than 75 million people in the United States live in a county without a vascular surgeon, according to new county-level data released by the American College of Surgeons (ACS), exposing a care gap as the population most vulnerable to vascular disease grows sharply toward 2030, when all baby boomers will be at least 65.

New mapping tool counts just 4,685 vascular surgeons across 3,144 U.S. counties

The ACS Surgical Workforce Mapping Tool, built with the Society for Vascular Surgery (SVS), found an average of 1.4 vascular surgeons per 100,000 people nationwide. While 290 hospital referral regions contain at least one vascular surgeon, 2,320 counties within those same regions have none, showing that regional averages mask local access failures.

15.1 Million Americans Lack County-Level General Surgeon Access

Washington – September 28, 2026 -- More than 15 million Americans live in one of 1,180 US counties with no general surgeon, according to a national analysis unveiled at the ACS Clinical Congress 2026 and published simultaneously in the Journal of the American College of Surgeons.

Study maps 12 surgical specialties across all 3,144 US counties for the first time

The American College of Surgeons (ACS) and the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill identified 201,394 surgeons practicing nationwide as of April 2025, equal to 59.2 surgeons per 100,000 people. Of the country's 3,144 counties, 951 (30%) had no identified surgeon in any of the 12 specialties, affecting 9.6 million people, while 1,180 counties (38%) had no general surgeon, affecting 15.1 million.

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