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Plastic Surgery mortgages, done right.

Plastic surgery blends insured reconstructive work with private-pay cosmetic income, almost always incorporated. Reading the full corporate picture is the qualification.

The short answer

On the physician program's projected income of $300,000 for plastic surgeons in the final year of training and the first 36 months of practice, the debt-service ratios allow roughly $1,710,000 with 20% down and no student debt, or about $1,400,000 with 10% down and $150,000 of student debt. Established plastic surgeons qualify on actual income, and incorporated plastic surgeons on corporate income, which is usually higher.

$300K
Projected income
Program chart, final year and 36 months after
$3M+
Incorporated qualification
On corporate income plus dividends
50-80%
Incorporation uplift
Versus personal T4 alone
01

How plastic surgeons earn.

Plastic surgeons earn from insured reconstructive surgery plus private-pay cosmetic work, almost always through a corporation. Cosmetic revenue can be substantial and is read through the corporation.

Projected income$300,000 projected income, final year and first 36 months of practice (program chart)
Typical qualificationRoughly $1,710,000 on projected income with 20% down
02

The numbers, with sources.

Nothing on this page is a guess. The projected income comes from the program chart, the qualification figures are computed from it with the same ratios a lender applies, and the income data comes from public reporting.

$300,000Projected income the program uses
Program specialty chart, "Plastic Surgery", final year of training and first 36 months of practice
Source: Physician projected-income program factsheet, September 2023 edition. Full schedule and rules
5 yearsResidency length
The final-year window, where the specialty figure applies, opens in the last of these years and runs 36 months past completion.
Source: Royal College, Plastic Surgery training experiences, 60 months. Source
$426,090Average gross clinical payment per plastic surgeon, 2023-2024
Gross billings before overhead, counting every physician equally whether full time or not, so take-home is lower. This is what an established practice earns; a lender uses it only once you are past the projected-income window.
Source: CIHI, National Physician Database, Payments Data 2023-2024, Table A.3.2, average gross clinical payment per physician, Canada total (released October 30, 2025). CIHI table
726plastic surgeons in Canada, 2024
Active physicians, excluding residents and retired physicians.
Source: CIHI, Supply, Distribution and Migration of Physicians in Canada 2024, Table 1.0, physicians by specialty, Canada, as of December 31, 2024. CIHI table
What $300,000 qualifies for
20% down, no student debt$1,710,000
10% down, $150,000 student debt$1,400,000
Contract rate 4.49%, qualifying rate 6.49%, 39% GDS and 44% TDS, property tax 0.75% of price, heating $100 a month, student debt counted at 5.25% over 15 years, program insurance tiers when insured. Rounded to the nearest $10,000. Illustration, not a pre-approval.
03

What matters for your mortgage.

Reconstructive + cosmetic income
Insured reconstructive billing and private-pay cosmetic revenue should be read together through the corporation.
Private-pay revenue
Cosmetic income is fee-for-service and can be significant; a physician-friendly lender reads the corporate billing in full.
Incorporation near-universal
Almost all plastic surgeons incorporate; corporate qualification captures the real number.
04

Incorporation and your qualification.

Incorporated plastic surgeons are underqualified on personal T4 alone. Corporate-income programs read corporate revenue and dividends, typically lifting capacity by 50-80%.

FAQ

Plastic Surgery mortgage questions.

How much mortgage can a plastic surgeon qualify for in Canada?01

On the physician program's projected income of $300,000 for plastic surgeons in the final year of training and the first 36 months of practice, the debt-service ratios allow roughly $1,710,000 with 20% down and no student debt, or about $1,400,000 with 10% down and $150,000 of student debt. Established plastic surgeons qualify on actual income, and incorporated plastic surgeons on corporate income, which is usually higher.

Is cosmetic income counted for a plastic surgeon mortgage?02

Yes. A physician-friendly lender reads private-pay cosmetic revenue alongside insured reconstructive billing through the corporation, rather than only the salary drawn.

Keep reading
Surgeon mortgages
Incorporated physician mortgages
How much can a physician qualify for

Prices and payment examples are estimates for planning only. Your actual numbers depend on income, down payment, debt, credit, location, and current lender pricing.

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