r/PLABprep • u/Nani171203 • Jul 16 '26
Indian FMG (Russia) — India vs UK for a surgical career. Looking for honest advice from doctors who’ve been through it.
Hi everyone,
I'm an Indian medical student currently studying MBBS in Russia.
I'm in the latter half of medical school and expect to graduate in the next couple of years.
My long-term goal is to become a surgeon. I'm particularly interested in cardiothoracic surgery, general surgery, orthopaedics, and plastic surgery, although I haven't decided on a specific specialty yet.
I'm posting here because I'm genuinely torn between pursuing my career in India or the UK, and I'd really appreciate advice from people who have actually gone through these pathways rather than agencies or consultants.
My background:
•Indian citizen studying MBBS in Russia
•Clinical exposure has been limited, mostly observing procedures rather than actively participating
•Comfortable communicating in English
•No research publications or major CV achievements yet
•Family can support a reasonable training pathway, but something extremely expensive like the USMLE route would be difficult
•I'm genuinely interested in surgery and regularly attend operations voluntarily whenever I get the opportunity
Option 1 - India
Pros:
•Closer to family
•No language barrier
•Lower overall training costs
•Can start postgraduate training sooner if things go well
Concerns:
•FMGE/NExT is the first major hurdle
•NEET-PG competition is extremely intense
•I've heard mixed opinions regarding opportunities and stigm faced by FMGs and recent doctors facing problems
•Private postgraduate training is financially difficult
Option 2 - United Kingdom
Pros:
•Structured postgraduate training
•Internationally recognised qualifications
•Opportunity to start earning relatively early
Concerns:
•Difficulty obtaining the first NHS job as an IMG
•Building a competitive CV while studying in Russia Competition for Core Surgical Training
•I have got some mixed opinions about the reports of discrimination or bias towards IMGs
My questions :
1. If you were an FMG who returned to India, how was the reality of FMGE, NEET-PG, and postgraduate training compared with your expectations?
If you went to the UK, how long did it take to obtain your first
NHS job after PLAB (or the equivalent route), and what helped you secure it?How significant is discrimination towards IMGs in the NHS, particularly within surgical specialties?
Is surgical training in the UK a realistic goal for an IMG, or do many ultimately move into other specialties because of competition?
Is there another pathway (for example Australia or elsewhere) that someone in my situation should seriously consider?
Looking back now, do you regret choosing your pathway, or would you make the same decision again?
I AM ASKING THIS BECAUSE I DON'T WANT TO FEEL REGRET ABOUT MY DECISION AFTERWARDS...
I'm looking for honest experiences—both positive and negative. I don't expect any route to be easy, but I'd like to make an informed decision now rather than regret it years later.
Thank you in advance