In 2026, the differences in salaries and working conditions for doctors in Europe are more pronounced than ever. France, Spain, and Italy, three major destinations for European practitioners, offer very different working environments. Here is a clear comparison to better understand where it's good to practice medicine in Europe.
💶 2026 Average Salary Comparison
The figures below correspond to an indicative average for a full-time hospital doctor with several years of experience. Incomes may vary based on specialty, public or private sector, and region of practice.
| Country | Average Annual Gross Salary | Net Salary Before Tax | Days Off / Year |
|---|---|---|---|
| France | €75,000 – €120,000 | ≈ €60,000 – €95,000 | 25 working days + RTT |
| Spain | €50,000 – €80,000 | ≈ €40,000 – €65,000 | 30 working days |
| Italy | €45,000 – €75,000 | ≈ €36,000 – €60,000 | 28 working days |
France stands out with higher salaries and better social protection, notably thanks to the withholding tax system and a solid pension system. To calculate your potential earnings according to your specialty, try our salary simulator.
🏥 Working Conditions and Life Balance
In France, multidisciplinary teamwork is central. Doctors benefit from a collaborative environment and modern facilities, with a better work-life balance framework than in Spain or Italy.
In Spain, hours are often longer, especially in the public sector, but administrative workload is lighter. In Italy, medicine remains more hierarchical, and regional salary disparities are very pronounced.
Key takeaway: France combines salary stability, a structured work environment, and better social coverage — three major elements for European doctors seeking a sustainable career.
🌍 Why European Doctors Choose France
Beyond the level of pay, practitioners are attracted by job security, quality medical infrastructure, and career advancement opportunities. Automatic recognition of European degrees also simplifies procedures. To learn more, see our guide to registering with the Order of Doctors .
📊 Trends for 2026
The demand for practitioners continues to rise in Europe, especially in rural areas. France plans to enhance its attractiveness by easing administrative procedures and promoting medical careers from abroad. This dynamic opens concrete opportunities for doctors trained in the EU.
Contact Us
Are you a European doctor looking for the best-paid opportunities in 2026? Euromotion Medical will support you at every step of your installation in France.
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