Blog » The Prudent Plastic Surgeon

April 5, 2026

Sorta Random Sunday: Life Isn’t After the Problems, It Is the Problems

For a long time, I carried around a quiet assumption that I don’t think I ever said out loud, but I definitely believed. At some

April 3, 2026

Roth Conversions for Doctors: When the Math Gets More Interesting

The appeal is simple: move more money into Roth while potentially paying tax on a lower value.

April 1, 2026

Cash-Out Refinance for Doctors: When It Builds Wealth and When It Backfires

We pulled $57,721 tax-free from a rental property, but it came with a real tradeoff: lower monthly cash flow.

March 30, 2026

Health Savings Accounts: A Secret Wealth Building Vehicle for Doctors

For high-income doctors, an HSA can be a powerful way to reduce taxes and build long-term wealth.

March 29, 2026

2 Selves Every Doctor Should Understand

The difference between living an experience and remembering it may explain more about physician fulfillment than you think.

March 27, 2026

My 7 Favorite All Weather Stock Index Funds & ETFs

In general, when I talk about investments here, I stick to generalities. And the reason is simple. There are a million ways that you can

March 26, 2026

If Your Time Is Worth $400+ an Hour, Why Are You Still Doing $40/hour Tasks?

The future of clinical AI belongs to tools that are efficient and trustworthy.

March 25, 2026

Lifestyle Creep and Physicians.

The fastest way for physicians to feel broke on a high income is locking in fixed costs too early.

March 23, 2026

7 Hidden Lessons Medical School Never Teaches Doctors

Technical skill is only part of what determines whether physicians thrive in practice.

March 22, 2026

Sometimes the right answer is no

Even a great opportunity can be the wrong choice if it does not fit your life in that moment.

March 20, 2026

You're Not a Widget Maker. How Doctors Make Money for Their Practice

It’s a lot more than just seeing patients.

March 19, 2026

Is “Fair Market Value” Used Against Physicians?

Why compensation benchmarks aren’t as objective as they seem

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