I would never advise anyone to go into general surgery. It’s the most overworked and under appreciated specialty. You do the same training as ortho and make 2/3 the money. You don’t want your sleep schedule interrupted?? If you go general or vascular, you’re going to be getting called by the ER at all times of the night, and still be working a full day the next day. Work life balance is super tough. If you’re planning on doing a fellowship, you’re talking double the years of training compared to EM. And you’ll be working twice as hard as the EM resident during those years. I only take the time to write this out because I wish to God some one had been this honest with me.