Most surgeons start year-end tax planning too late—and leave tens of thousands of dollars on the table. This article outlines a five-month protocol for surgeon practice owners, detailing how donor-advised funds, equipment purchases under Section 179, retirement plan amendments, Roth conversions, and installment sale planning must be sequenced from July through December to maximize 2026 tax savings.

June looks quiet on the calendar, but it is one of the most important months for surgeon practice owners to reassess taxes and cash flow. In about 30 minutes, you can review income pacing, estimated payments, retirement plan funding, and household liquidity before the June 15 deadline. That midyear “audit” turns vague concern into one clear decision, so the rest of 2026 feels planned instead of reactive.

Most surgeons get second opinions in the OR, not in their financial lives. This article shows how a coordinated review of entity structure, retirement plan design, tax strategy, and investments can uncover six‑figure opportunities hiding between your CPA, advisor, and attorney.