ABS Pediatric Surgery
Pediatric Surgery Qualifying Examination
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ExploreAbout this exam
Pediatric surgery certification is the American Board of Surgery credential for surgeons who provide diagnostic, operative, and postoperative care to children with congenital and acquired anomalies and diseases. The scope is deliberately broad: it includes developmental, inflammatory, neoplastic, and traumatic conditions, and it extends from surgical problems in utero through infancy, childhood, adolescence, and sometimes young adulthood.
The pathway is not a standalone track. Applicants must first complete an ACGME- or RCPSC-accredited pediatric surgery residency and hold initial certification in general surgery. A full and unrestricted license is required to register for the Pediatric Surgery Qualifying Examination (PSQE). Eligibility lasts no more than seven academic years after fellowship training, beginning immediately at fellowship completion.
The PSQE is the written qualifying step; candidates must also pass the Pediatric Surgery Certifying Examination. The 2027 PSQE is computer-based at Pearson testing centers, with dates on Sept. 13 and Sept. 22, 2027, an application deadline of July 1, 2027, and a late deadline of July 15, 2027. The exam fee is listed as TBD.
Prepare from the ABS exam content outline, pediatric surgery EPAs, and SCORE curriculum outlines. Build breadth across the full pediatric age range, then practice mixed, timed review. This guide is independent and is not affiliated with the ABS.
What you'll study
About ABS Pediatric Surgery preparation
Who is eligible for the Pediatric Surgery Qualifying Examination?
Candidates must have completed an ACGME- or RCPSC-accredited pediatric surgery residency and hold initial certification in general surgery. A full and unrestricted license is required to register for the PSQE. Eligibility runs no more than seven academic years after fellowship training, starting immediately at fellowship completion.
What does the exam cover?
The PSQE tests the knowledge base of pediatric surgery as ABS defines it: diagnostic, operative, and postoperative care for children with congenital and acquired anomalies and diseases that are developmental, inflammatory, neoplastic, or traumatic. The scope includes surgical problems in utero, infancy, childhood, adolescence, and sometimes young adulthood. Use the ABS content outline for detailed content.
What is the format and where is it administered?
It is a computer-based exam delivered at Pearson testing centers. For 2027, ABS lists a Sept. 13-22 window and says the exam will be offered Monday, Sept. 13 and Wednesday, Sept. 22, 2027; candidates choose one date during registration, pending center availability. The reviewed pages do not state the number of questions or the time limit.
When is the 2027 exam and what are the deadlines?
The 2027 PSQE window is Sept. 13-22, 2027. The application deadline is July 1, 2027, and the late application deadline is July 15, 2027. Materials must be received by 4:30 p.m. ET on the deadline date; no applications are accepted after 11:59 p.m. ET on the late deadline.
How much does it cost?
The 2027 PSQE exam fee is listed as TBD. ABS states that payment of both the application fee and the exam fee is required to register. Application fees are nonrefundable. If you withdraw more than 15 business days before the first day of the exam window, the exam fee is refunded minus a $400 processing fee.
What happens if I need to withdraw or miss the exam?
Withdrawals must be in writing and confirmed by the ABS office. More than 15 business days before the first day of the window: exam fee refunded minus $400. Fewer than 15 business days or no-show: entire exam fee forfeited. Exam fees cannot be carried over to the following year. Oral exam fees are nonrefundable.
How many questions are on the PSQE, and what score is passing?
The ABS pages reviewed here do not publish an item count, exam duration, or passing score for the PSQE. Do not rely on memory or older figures. Confirm these details in the current ABS candidate booklet and exam content outline before you build a timed practice plan.
Can I retake the exam if I fail?
The reviewed ABS pages do not state a retake limit, waiting period, or number of attempts for the PSQE. Because exam fees cannot be carried over, a repeat attempt requires a new registration and fee. Check the current ABS policies and candidate booklet for the governing rules before assuming you can retest immediately.
Is the PSQE the last step to become board certified?
No. ABS requires successful completion of both the Pediatric Surgery Qualifying Exam and the Pediatric Surgery Certifying Exam. The 2027 certifying exam is listed as virtual, Feb. 2-4, 2027, with a $1,700 fee and registration available after the 2026 PSQE results are released.
What eligibility mistake most often derails applicants?
Delaying initial certification in general surgery. ABS states that delays in completing initial certification in surgery will delay the pediatric surgery application and therefore reduce a candidate's eligibility for certification in pediatric surgery. It recommends attaining general surgery certification before the end of pediatric surgery fellowship.