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A surgical specialist is a physician who has additional training in a specific area of surgery. The American Board of Medical Specialties acknowledges the following surgical specialties: general surgery, thoracic and cardiac surgery, colon and rectal surgery, obstetrics and gynecological surgery, neurological surgery, ophthalmic surgery, oral and maxillofacial surgery, orthopedic surgery, otolaryngological surgery, pediatric surgery, plastic surgery, urological surgery, and vascular surgery. Some procedures are performed by more than one type of specialist. Also, some surgeons may choose to specialize in specific procedures within their specialty area. For example, a plastic and maxillofacial surgeon may specialize in performing rhinoplasty procedures.