Choosing the right state to practice obstetrics and gynecology can influence career satisfaction, earning potential, and work–life balance. Whether you’re an early-career obstetrician-gynecologist building a patient base or an experienced provider looking to relocate, location matters.

The list below features the top 10 states that offer the most favorable conditions for obstetricians and gynecologists—blending salary potential, growth opportunities (clinical, stewardship, and public health roles), and supportive health care and public health infrastructure.

1. Washington – Annual mean wage is $364,060, the highest in the Bureau of Labor Statistics (BLS) state list. Regional price parities (RPP) (all items) are 108.562. The state pairs top published pay with a sizable metro market, including high wages in the Seattle–Tacoma–Bellevue area.

2. Connecticut – High published pay within a small geographic footprint. Regional price parities are 103.689. Annual mean wage is $353,750.

3. Colorado – Annual mean wage is $353,190. RPP are 101.382. In Colorado, Denver–Aurora–Lakewood ranks among the metro areas with the largest obstetrics and gynecology (ObGyn) employment totals, and Boulder is among the top-paying metros.

4. North Dakota – Lower regional price levels with RPP at 88.572, paired with access gaps. In North Dakota, 73.6% of counties are classified as maternity care deserts, and 5.7% have low or moderate access rather than full access. Annual mean wage is $349,380.

5. Indiana – Annual mean wage is $331,870. RPP are 92.184. In Indiana, 23.9% of counties are classified as maternity care deserts, and 20.7% have low or moderate access rather than full access.

6. Hawaii – A high job concentration for obstetricians and gynecologists (location quotient 2.79) and full statewide maternity care access, with 100% of counties classified as full access versus 54.8% nationwide. RPP are 108.609. Annual mean wage is $323,430.

7. Alaska – Annual mean wage is $306,700 with a location quotient of 1.82. RPP are 101.715. Anchorage also ranks among metros with higher ObGyn job concentration.

8. Texas – Lower-than-average regional price levels with RPP at 97.175, alongside access gaps. In Texas, 49.6% of counties are classified as maternity care deserts, and 15.7% have low or moderate access rather than full access. Employment is 910. Annual mean wage is $287,330.

9. Georgia – Annual mean wage is $276,130 with employment of 980 and a location quotient of 1.57. RPP are 96.699. Atlanta–Sandy Springs–Roswell ranks among the metros with the largest ObGyn employment totals and higher job concentration.

10. New York – A large ObGyn job base (employment: 2,350) with above-average job concentration (location quotient 1.92), including relatively high metro concentration in Syracuse and Rochester. RPP are 107.626 and annual mean wage is $262,790.

Sources: Bureau of Labor Statistics, Federal Reserve Bank of St. Louis, March of Dimes