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If you are married to an orthopaedic surgeon (not private practice), how well off do you feel as a family, if you don’t work yourself?

462 replies

Yunall · 19/07/2025 15:21

Just wondering as DP is a surgeon (just made consultant). He doesn’t do private work and I would say we have a nice lifestyle but only because my income tops it up. I’m used to a lot of luxury and had a privileged upbringing (don’t mean to sound like a dick I’m just stating a fact) and I wonder if we had kids if I would actually have to continue working to have a decent lifestyle. Not something I talk much to DP about as he came from a less well off background and understandably I would come across ungrateful!!!

OP posts:
Blueyrocks · 19/07/2025 19:01

Sorry, haven't read the full thread, but I have three kids, family income well shy of £110k (never mind £190!!!), live one of the most expensive cities in the UK, have a child still in nursery, and we're fine for money.

Whether your partner would be happy to be the sole earner is another question, and I think the way you've approached it comes across as very entitled, but of course you can manage on £110k with children, if you're happy with probably quite a different life from the one you have now. Sack off the private schools and the fancy holidays for starters, but that's not the only way to be a happy, healthy, well-educated family (if it's a way at all...)

SiameseBlueEyes · 19/07/2025 19:00

Well she hasn't landed him yet or lumbered herself with him, depending on your point of view. She describes him as DP but is obviously thinking ahead. More power to her, she's at least thought about the sort of lifestyle she wants. It's pretty plain that she is not going to have a luxurious lifestyle on that money though. I mean if my husband earned enough I'd have happily have been a SAHM instead of slogging away for decades as a solicitor so I don't blame her.

The thing though is very few people do have that sort of lifestyle these days. Yes, I have the fully paid off big detached house in a nice area, a good amount of retirement savings and a cleaning lady but I drive a 2008 car and my husband has similar. One of my children did go to a private school for a few years but didn't like it much and happily went to the local school. They did have a nanny initially but that was because I was back at work six weeks later. Now that we're down to one salary, mine, it doesn't seem to have increased as much as prices have so it would have been very difficult if we still had a mortgage or were paying for childcare.

mydamnfootstuckinthedoor · 19/07/2025 19:00

On 110k you will manage very well. However, you won't exactly be living in the lap of luxury. So you have to decide for yourself how much you want to maintain your lifestyle, or how willing you are to make serious cutbacks in order to be a SAHM. BTW, you can turn SAHM into a job of sorts if you feel that way inclined. Use your new status to find ingenious ways to save on outgoings. If that sounds trite, I can tell you that I have friends who have done exactly that!

lifeonmars100 · 19/07/2025 18:58

TheGrimSmile · 19/07/2025 18:22

This is peak mumsnet. Can't raise a family on 110 k 😆

Absolutely and seeing private education as being as vital and food and drink.

Mazybabe · 19/07/2025 18:58

Gymbunny2025 · 19/07/2025 15:37

Start saving all of your salary and see how it feels? It will allow you to have a comfortable maternity leave (or 3!) too! Remember he is in the worst income bracket for being hit hard with tax.

This is correct, low earners come out with more take home pay due to tax.

TankFlyBossW4lk · 19/07/2025 18:55

That's 1k post tax and costs (room hire, secretary, insurance etc etc)

TankFlyBossW4lk · 19/07/2025 18:54

Cappuccino5 · 19/07/2025 16:13

I work in a private hospital and the demand for private orthopaedic surgery has absolutely exploded in recent years due to NHS waiting lists. Our knee & hip surgeons are doing especially well - quite a few have even been able to quit their NHS jobs and switch to solely private work.

Ok. So in the past surgeon's earned £5k per op and now nearer 2k. It's a lot more operating time. Sahms are in their own.

MissyB1 · 19/07/2025 18:53

NHS Consultant salary only goes up to £139k and that's after many years! Dh has been a consultant for 20 years and that's what he's on now. We do have one dc in private school, and dh does private work to pay the fees (cant earn anywhere near what an orthopedic surgeon would in private though!) I'm a part time teaching assistant so earn peanuts. Ds would not be in private school without the private work.

Enigma53 · 19/07/2025 18:52

Cannongoose · 19/07/2025 15:59

Obviously this is a top of the list of first world problems OP and I’m not trying to rain on your parade but, from my personal bitter personal experiences I’d be asking myself the following questions (and there’s no need to answer them on MN:
What would happen if DH died?
What would happen if DH became chronically ill and unable to work?
What would happen if you became disabled or chronically ill?
What would you do if DH became financially controlling?
What would happen if you had a disabled/severely disabled child or children?
Would I be isolated if I left work?
How would I cope if I developed PND?
What would I do if DH left his career (let’s say to start a business)?
What would I do if DH lost his profession (eg misconduct or an error that saw him lose his medical license)?
What would I do if I needed IVF or other expensive medical intervention to have children?
What would I do if my relationship ended?

like I say bitter experience has hit me with a few of these when I was relatively successful and on the up career wise. Now (despite having a PhD) I’m a dinner lady earning around £4500 a year with one deceased DC and one severely disabled DC who has just lost access to the most important services (respite and therapy) and I’m broken by it all.

I think this is excellent food for thought.

MidnightPatrol · 19/07/2025 18:50

Tiswa · 19/07/2025 17:46

@Yunall where do you live and what do you mean luxury

but realistically reducing your income by 40% whilst introducing children who are frankly bloody expensive is going to mean cut backs.

we are a family of four on around 110k in South east London and yes we do have holidays abroad etc but we do have to watch what we spend (and we have the luxury of a paid off mortgage and savings from inheritance)

also mine are 16 and 12 and I would never want to be a SAHM - part time reduced hours yes nothing no

The ‘have a paid off mortgage’ is the killer here.

Without that, you might be looking at an extra £3-4k a month to buy a house in South East London at 2025 prices!

Silvercoconut · 19/07/2025 18:44

ilovesooty · 19/07/2025 15:33

That sounds rather spoilt.

Might sound it.... But I reckon in all honesty many many of you would prefer not to? Wanting to work and HAVING to are different.....
I don't work due to disability but did, and would have much preferred not to have to🤣

SouthLondonMum22 · 19/07/2025 18:43

Isabellivi · 19/07/2025 18:32

It’s always weird to see the comments that are obviously just trying to brag… my husband is a doctor in the USA so he makes about 5x as much as yours.

It's more weird when it is bragging about someone else's salary.

TankFlyBossW4lk · 19/07/2025 18:39

Depends where you live and what sort of life you want your kids to have, to be honest. At present, his top level of salary is 132k or thereabouts. He could apply for a national award but he'll probably have to do quite a lot of extra work.

His salary won't stretch to your comfortable upbringing, probably. If you want your kids in private school, a nice house and lots of holidays together, you'll need to work or he'll need to take on a pp. His pp will need to earn probably 150 to 200k before tax. That's probably not going to keep you to the way that you're accustomed tbh. You'll need to do everything in the house. He won't lift a finger. He'll resent you if you feel you need help with the childcare, because he'll be working super hard.

Just an aside, why do you want to relinquish your financial independence to a bloke? Have you got any independent wealth? Inherited much?

FWIW, I suspect your husband's views on pp will change when he realises how little he earns.

Good luck!

MyHeartyCoralSnail · 19/07/2025 18:39

Not many people want to work. It sounds like you set great store by having a lot of money. I suspect you married, at least in part, for money. You sound grabby and entitled. Good on your husband for sticking with the NHS.

Either keep working, reduce your expectation re money or divorce and find some millionaire to support you sitting at home.

Evaka · 19/07/2025 18:36

TheGrimSmile · 19/07/2025 18:22

This is peak mumsnet. Can't raise a family on 110 k 😆

That's really not what the OP asked.

Boohoo76 · 19/07/2025 18:36

HonestOpalHelper · 19/07/2025 18:27

Absolutely, bonkers!! I'm a teacher and see families living fine on less than £40K , not flashily but making ends meet. £110K should be more than adequate to live very comfortably, unless you are useless with finances!

I know single mums on £100k who have less than someone on the basis state pension once they have paid their mortgage/rent, childcare and travel costs.

100k after tax and 5% pension contribution is £5471. £2000 for mortgage (gets you a two bed terrace in my area), £2k for childcare, £495 for monthly train pass. Leaves £976 for all other bills, food and living costs.

LadySuzanne · 19/07/2025 18:36

Genevieva · 19/07/2025 17:15

Orthopaedic surgeons rarely do private practice because the demand is lower than other areas of surgery and the insurance costs are much higher. What’s his orthopaedic specialism?

Truth be told, all professional wages in the uk have been massively suppressed compared with the cost of living and compared with countries like the US or Australia over the last decade or two. NHS consultants no longer earn the salaries that used to support owning a big house with a tennis court, sending three children to private schools, going skiiing every winter and having a long summer holiday in the south of France every summer. The cost of living is based in two income households. But that doesn’t mean that you can’t enjoy a good quality of life if you have children. You can without all of those things.

"Orthopaedic surgeons rarely do private practice because the demand is lower than other areas of surgery..."

I don't know which part of the UK you live in, but here in the South West there is considerable demand for private orthopaedic surgery.

At the private hospital I chose to have my operation at, there are currently 18 orthopaedic surgeons working at this hospital (some of whom also work in local NHS hospitals and some of whom also work at the Nuffield).

bgeebees · 19/07/2025 18:32

Seriously get a grip on reality…first world problems. If you want to live in luxury then work for it but don't insult the majority of those reading this who don’t have a choice.

anyolddinosaur · 19/07/2025 18:32

I'm not married to any sort of surgeon but a lot depends on where you live, whether your family passed on lots of money to help you buy a property and just how high a standard of living you want. You are likely to need to work and should do so to ensure you can support any children you have. If you save now you can afford some time at home with children but few people can keep a family on one income now.

Isabellivi · 19/07/2025 18:32

It’s always weird to see the comments that are obviously just trying to brag… my husband is a doctor in the USA so he makes about 5x as much as yours.

Evaka · 19/07/2025 18:31

EveningSpread · 19/07/2025 15:51

This thread is mind-boggling. People saying that £180k combined is “not an enormous” income, and suggesting they wouldn’t want to live off with £100k with kids…

Of everyone I know who has kids, only one or two have a household income of £100k, and others are more like £40k. They all make it work, and the richest ones are not the happiest.

The answer is simple: if you have less money you have to have a smaller house/less expensive area, prioritise, and generally buy less. If that’s a choice you can make (to sacrifice money to become time-rich instead) you’re very fortunate, but that’s not for everyone.

(edited for typos!)

Edited

The OP said she's used to a pretty luxurious lifestyle and people are saying she won't get that in london on 110k a year if they have kids. They are right.

I have a similar HH income to OP's current situation without kids. Big London mortgage (2200k pcm) but few other expenses.

We save and enjoy nice holidays, don't have to count pennies but a kid or two in London nurseries would make things tight for a few years.

DBD1975 · 19/07/2025 18:29

BestIntentioned · 19/07/2025 15:36

Not meaning to sound rude but is there much call for private orthopedic work?

I’d say don’t give up work. The amount he earns won’t ho that far in sustaining a family. School fees out of the question.

Do you have a private income? If not I’d emphasis even more not relying on him. It’s not good to be reliant on one salary. And it gives men ideas about power within the relationship.

There is a huge demand, think about all the private hospitals and private insurance schemes, for example, BUPA. Due to NHS waiting lists a lot of people are turning to private healthcare, even going privately I have had to wait 4 months for an appointment but I was told I would wait 3 - 4 years on the NHS.

Notouchingmybhuna · 19/07/2025 18:28

When you say you’re used to a lot of luxury, what does that look like IRL? Designer clothes? Expensive holidays? Top of the range cars?

Letsgotosomewhereelse · 19/07/2025 18:27

Takes a considerable amount of time to build up a private practice - it’s been a growth area because of the long wait lists after Covid. Those same wait lists are tumbling down. People are much less willing to part with 5-10k when they only have to wait 20 weeks instead of 2 years for a hip replacement

Anyhoo OP - it doesn’t sound like you’re married yet? Just making plans for the future? Not to burst your bubble but most surgeons I know ( a lot) are married to other surgeons, anaesthetists or GPs (as one delightful one told me “someone has to do the easy job” referencing his GP wife). Even they whinge constantly about not having enough money.

They are also horribly unfaithful as far as stereotypes go - so take the usual MN advice of those who’ve gone before you:

  • stay in work
  • keep your own income source
  • don’t give up your independence
HonestOpalHelper · 19/07/2025 18:27

TheGrimSmile · 19/07/2025 18:22

This is peak mumsnet. Can't raise a family on 110 k 😆

Absolutely, bonkers!! I'm a teacher and see families living fine on less than £40K , not flashily but making ends meet. £110K should be more than adequate to live very comfortably, unless you are useless with finances!