Orthopedic surgeons rarely realize how much practice value is created long before a buyer shows up.

This article breaks down a three‑year succession runway designed for independent orthopedic practices: Year 3 focuses on systemization and personal goodwill documentation, Year 2 on associate hiring and referral mapping, and Year 1 on buyer engagement, deal structure, and tax planning.

You’ll see how hospital productivity benchmarks, surgeon‑dependent revenue, ASC equity, and properly documented personal goodwill can change EBITDA multiples and after‑tax proceeds by seven figures at exit.

When you sell your orthopedic practice, the IRS cares how much of the price is the business—and how much is you. This article explains personal vs. enterprise goodwill, why early documentation matters, and how thoughtful planning can translate into six‑figure tax savings at exit.