Anesthesiologist Salary in South Africa

Medical doctors who are responsible for providing anesthesia and pain relief to patients during medical procedures are known as anesthesiologists. Their role in the healthcare system is indispensable, ensuring patient comfort throughout surgery. So, how much does an anesthesiologist make in South Africa?

Occupation:Anesthesiologist
Monthly Salary Range:R 75000 – R 309000
Average Monthly Salary:R 214291.3
Description:Anesthesiologist refers to a medical specialist who is concerned with comprehensive patient care throughout the whole surgical procedure. They typically provide and supervise the administration of local, regional, or general anesthesia, as well as sedation, before, during, or after medical procedures.
Minimum Qualification:Becoming an anesthesiologist in South Africa requires completing an undergraduate degree in medicine and undergoing a two-year hospital internship. Afterward, a four-year anesthesia residency program must be completed, and then the individual will become eligible to take a certified exam to become a licensed anesthetist.

Anesthesiologists in South Africa earn competitive salaries, which increase with experience, seniority, and workload. Entry-level specialists typically earn between R75,000 and R90,000 per month. Mid-level specialists earn between R100,000 and R145,000, while senior anesthesiologists can earn R145,000 to R170,000 per month. In some cases, with additional responsibilities and overtime, monthly earnings can reach R309,000.

Salaries can vary depending on the type of hospital, location, and specialist skills. Those working in private hospitals or major cities often earn higher salaries than their counterparts in public or rural hospitals.

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Anesthesiologists also receive additional benefits, including transportation, housing, and performance-based bonuses. On-call duties, night shifts, and overtime can significantly increase overall earnings. Specialists with additional subspecialty skills, such as pain management, may command higher pay.

Salary Structure by Experience

Level / SeniorityApproximate Monthly Salary (ZAR)
Entry-Level / Junior SpecialistR75,000 – R90,000
Mid-Level Specialist / ExperiencedR100,000 – R145,000
Senior Specialist / Well-EstablishedR145,000 – R170,000
Top-Level Specialist / Heavy WorkloadR200,000 – R309,000

Experience, seniority, specialist grade, and workload are the main factors affecting salary growth.

Responsibilities of Anesthesiologists

What do anesthesiologists do? What are their main responsibilities? The following are the duties that anesthesiologists perform:

Providing Sedation & Anesthesia

Anesthesiologists’ main purpose is to provide local, regional, or general anesthesia to patients to let them experience painless surgical procedures. Furthermore, they also provide effective pain management techniques to ensure patient remain comfortable after their medical procedures.

Developing Care Plans & Monitoring

They also develop a care plan to ensure that the patient is comfortable and stable during the medical procedures. In addition to this, anesthesiologists monitor the vital signs of the patients, including blood pressure, heart rate, oxygen levels, etc., to make adjustments to anesthesia as needed.

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How much do anesthesiologists make in South Africa?

The average income of anesthesiologists in South Africa is estimated to be R1,198,300 per year. However, the income can vary significantly due to the location, qualification level, and experience of the anesthesiologist.

Which city provides the highest anesthesiologist salary in South Africa?

Anesthesiologists’ salary also depends upon location. In major cities like Johannesburg or Cape Town, where demand is higher, salaries tend to be higher compared to rural regions. An anesthesiologist in Johannesburg earns an average salary of approximately R3,341K, while their counterpart in Witbank receives an average income of R2,083K.

To sum up, anesthesiologists is a medical profession that focuses on providing anesthesia and pain relief to patients during surgical procedures. The average income of anesthesiologists in South Africa amounts to R1,198,300 per year. However, keep in mind that the salary may vary across South Africa due to the location and other factors, including the qualification and experience level of the anesthesiologist.

Article Modified on December 8, 2025. The data in this article is written and collected by multiple authors. Learn how we research on About Us.