Ambulatory Surgical Centers Market - By Ownership, By Surgery Type, By Specialty Type, By Service - Global Forecast, 2025 - 2034

Ambulatory Surgical Centers Market Size

The global ambulatory surgical centers market was estimated at USD 99.6 billion in 2024. The market is expected to grow from USD 105.5 billion in 2025 to USD 159.3 billion by 2034, growing at a CAGR of 4.7%. This high growth is attributed to several factors including rise in number of surgical procedures performed in these settings, increasing prevalence of chronic diseases such as cancer, obesity, diabetes, etc. coupled with supportive reimbursement policies among other factors.

Ambulatory surgery centers (ASCs) are outpatient healthcare facilities designed to make surgical care more accessible and convenient for patients. These centers allow individuals to undergo a range of procedures, including diagnostic and preventive surgeries, all on the same day. Major healthcare providers in the industry include Tenet Health, Ramsay Sante, SCA HEALTH, Community Health Systems, and AMSURG, among other players. Physicians often choose to own these facilities because it offers more than just professional fees, they provide an additional source of income and a chance to provide better value-based care. This makes these facilities a popular and financially appealing option compared to other healthcare settings.
 

The market experienced strong growth, increasing from USD 81.9 billion in 2021 to USD 93.8 billion in 2023, with a CAGR of 7% over the analysis period. The growth was driven by several factors, including a rise in surgical procedures, the worldwide expansion of ambulatory facilities, and the availability of more affordable treatments compared to hospital settings. For instance, as per the recently published data, the surgical procedural volume performed in ASCs is expected to record growth of around 25% in next 10 years period in the U.S. This substantial number of procedures and the healthy growth rate suggest the market will continue its upward trend.
 

Chronic diseases such as obesity, cancer, heart disorders, and diabetes continue to impact millions of lives across the world, causing significant disability and loss of lives. For instance, in a 2022 report published by Global Cancer Observatory, the number of prevalent cases reported for a period of 5 years were 53.5 million. As more people prioritize early diagnosis and treatment, the industry is expected to grow steadily, addressing these critical health challenges.
 

Additionally, favorable reimbursements and government policies for ambulatory surgical centers continue to drive market growth. For example, the Centers for Medicare & Medicaid Services (CMS), updated its Ambulatory Surgical Center (ASC) Payment structure making an increase in Medicare part B payment for different biosimilar biological products. The updated payment changes have been made effective from January, 2025, thus supporting the U.S. citizens financially.
 

Ambulatory surgery centers (ASCs) are outpatient healthcare facilities designed to make surgical care more accessible and convenient for patients. These centers allow individuals to undergo a range of procedures, including diagnostic and preventive surgeries, all on the same day. From orthopedics to neurology and ophthalmology, ASCs cater to various specialties, ensuring patients receive timely and efficient care.
 

Ambulatory Surgical Centers Market Trends

The market is expected to fuel the industry’s growth owing to trends such as advances in medical technologies, shift from inpatient to outpatient settings, expansion of ambulatory surgical center networks in emerging countries and integration of advanced equipment and solutions in the facility.
 

• In the last couple of years, healthcare providers have had an advantage in shifting more surgical procedures from expensive inpatient hospital settings to more affordable outpatient facilities. This shift aligns with value-based payment models, which reward providers for cutting costs while ensuring patients receive high-quality care with positive outcomes.
   
• For example, cataract surgeries and tonsillectomies are among the key examples of high-volume surgeries that are now mainly carried out on a same-day basis in many European countries. According to the data reported in 2023 by OECD, ambulatory surgery accounts for around 90% of all cataract surgeries performed in the OECD countries.
   
• Additionally, devices such as imaging systems, navigation tools, and surgical robots, that were only available in large hospitals with significant resources, are now becoming more common in ambulatory surgery centers. As technology continues to improve, this advanced equipment is expected to become standard mode of care in outpatient facilities, giving ASC operators more opportunities to expand their services.
   
• Further, expansion of same day surgical facilities along with available financial incentives are expected to have a positive impact on the volume of minor surgeries conducted on a same-day basis.
   

Ambulatory Surgical Centers Market Analysis

The market was valued at USD 81.9 billion in 2021. The market size reached USD 93.8 billion in 2023, from USD 87.9 billion in 2022.
 

Based on ownership, the market is segmented into physician only, hospital only, corporate only, physician and hospital, physician and corporate, and other ownership types. The physician only segment accounted for 58.8% of the market in 2024 as the physician-led ambulatory settings have better control in the decision making process and can focus on core expertise. The segment is expected to exceed USD 88.1 billion by 2034, growing at a CAGR of 4.1% during the forecast period. Whereas the physician and hospital ownership category is expected to grow with the highest CAGR of 6.3% over the forecast timeline. This growth is driven by the increasing reliance on physicians and their active participation in co-management roles within this ownership model.
 

• Physicians hold majority ownership stakes in both types of ambulatory surgery centers including single and multi-specialty. This is because physicians value the importance of being able to schedule surgeries as per their convenience, work with medical teams they trust, use equipment they prefer, and set up facilities that truly meet their practice needs.
   
• When physicians own an ASC, they gain full control over how they manage and profit from their practice. This ownership approach lets surgeons and healthcare professionals freely run their practices in ways that benefit their patients the most.
   
• Additionally, patients also find it more comfortable to interact with a direct reach to their surgeons/doctors in these centers. This straightforward communication ensures patients get personal attention and quick answers when they have concerns.
   
• On the other hand, ASCs jointly owned by physicians and hospitals make up about 18.3% of the market. Healthcare centers bring together the advantages of hospital resources and physician independence, helping deliver better coordinated patient care while drawing both patient referrals and insurance contracts.
   
• Furthermore, corporate-owned ambulatory facilities represent 7.3% of the market. These facilities keep growing steadily as they can open new locations, secure investments, and run efficient operations across various regions.
   

Based on surgery type, the ambulatory surgical centers market is segmented into ophthalmology, endoscopy, orthopedic, neurology, pain management, plastic surgery, podiatry, otolaryngology, obstetrics/gynecology, dental, and others surgery types. The ophthalmology segment accounted for the highest market share of 23.7% in 2024 owing to high demand for various ophthalmic procedures such as cataract surgery, cost-effectiveness and growing aging population.
 

• Ambulatory surgery centers (ASCs) offer essential ophthalmic procedures, helping patients receive efficient and affordable treatment for their eye conditions. Patients can undergo common procedures such as cataract surgery, refractive surgeries, LASIK, and retinal procedures in these centers.
   
• More patients now choose ASCs for their eye procedures, due to the growing shift toward outpatient surgery across different medical settings. This change allows the patients to save their finances on healthcare costs, receive faster treatment, and experience a better overall care experience.
   
• The growing ageing population is one of the primary factors propelling the procedural volume across various regions. For example, according to a recently published article, China performs the highest number of cataract surgeries in the world with more than 10 million procedures annually.
   
• Endoscopy segment makes up the second-largest share at 15.6% in 2024, owing to rise in patients suffering from different gastroenterology-related procedures such as colorectal cancer, coupled with preference for minimally invasive procedures.
   
• Orthopedic procedures accounted for 9.8% of ASC services in 2024, driven by rise in number of patient population for trauma due to road mishaps, injuries, falls and rising prevalence of orthopedic diseases.
   
• Pain management services are expected to record the fastest growth rate of 6.1% over the forecast timeline. This growth is attributed to growing geriatric population, lifestyle diseases, and rise in use of nonsteroidal anti-inflammatory drugs among other contributing factors.
   

Based on specialty type, the ambulatory surgical centers market is segmented into single specialty and multi-specialty. The single specialty segment accounted for the highest market share of 60.3% in 2024 as these centers focus on specific surgical areas and are favored for their high reimbursement rates and strict safety standards.

• Single-specialty ambulatory surgery centers are catering to the increasing needs of patients, especially in commonly sought-after specialties such as ophthalmology, neurology, endoscopies, and orthopedics. These facilities offer personalized care in an efficient environment where patients get less waiting time, leading to better healthcare experiences and more affordable treatment choices.
   
• For medical professionals, these specialized centers create an ideal workplace with well-trained teams and purpose-built equipment tailored to their specific procedures. In addition, these centers are equipped with advanced technological devices and solutions that result in a higher number of procedures with significant efficiency.
   
• Single-specialty centers serve a vital role in communities where specific medical services are in high demand. However, as urban areas become more competitive and payment systems change, some single-specialty ASCs are beginning to broaden their medical services.
   
• Further, multi-specialty ambulatory surgery centers segment is anticipated to witness higher growth with a CAGR of 5% over the analysis period. These facilities are becoming more popular as they offer a wide range of medical procedures to meet different patient needs. Healthcare payers favor these centers because they provide complete medical care in one place at lower costs.
   

Based on service, the ambulatory surgical centers market is segmented into treatment and diagnosis. The treatment segment accounted for the highest market share of 75.2% in 2024 owing to the rising incidence of chronic disorders, availability of cost-effective treatments and supportive reimbursement schemes.
 

• There is a constant rise in the number of people visiting an ambulatory surgical center for better and shorter treatments due to the rising cases of chronic conditions such as cancer, heart diseases, diabetes, and other diseases. For instance, according to the data reported in the National Diabetes Statistics Report by Centers for Disease Control and Prevention (CDC), more than 11.6 percent of the total U.S. citizens have diabetes.
   
• The segmental growth is driven by factors including the availability of a wide range of treatment procedures, providing convenient outpatient support, specialization in minimally invasive surgeries, and supportive reimbursement plans among others.
   
• The diagnosis segment is expected to grow robustly over the projected timeframe and reach around USD 37.5 billion by 2034. This growth is supported by an increase in the number of patients visiting these centers, access to advanced diagnostic and imaging equipment coupled with preference for preventive checkups and early diagnosis.
   

North America dominated the global ambulatory surgical centers market with the leading market share of 43.1% in 2024.

• The U.S. market was valued at USD 33.2 billion and USD 35.6 billion in 2021 and 2022, respectively. The market size reached USD 40 billion in 2024, growing from USD 37.9 billion in 2023 and is anticipated to grow at a CAGR of 3.5% between 2025 and 2034.
   
• The volume and scope of care within ambulatory surgery centers continues to grow significantly, making healthcare more accessible and convenient for both providers and patients. ASCs have transformed the outpatient experience by offering a more comfortable, cost-effective alternative to traditional hospital settings.
   
• According to a published article, more surgical procedures in the U.S. are moving to ASCs or non-hospital locations. This shift is reflected in the steady 4% annual growth of the ambulatory surgical centers industry for the 10 year period from 2017 to 2027.
   
• States such as California, Florida, Texas, Georgia, and Maryland are leading this healthcare transformation, with more ambulatory surgical centers being established and developed to meet growing patient needs. For example, California leads in the highest number of Medicare-certified ambulatory surgery centers in the U.S. with an operating facility count of around 900 ASCs as of March 2025.
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• Moreover, patients benefit from ASCs through lower costs, quicker appointment scheduling, and reduced risk of infections compared to traditional hospitals.
   

The Europe ambulatory surgical centers market accounted for USD 26.3 billion in 2024 and is anticipated to show lucrative growth over the forecast period.
 

• As healthcare needs evolve, medical facilities in the region are increasingly moving toward outpatient services, driven by practical considerations and improved efficiency. Patients benefit from ASCs through lower costs, quicker appointment scheduling, and reduced risk of infections compared to traditional hospitals. The region's healthcare regulations and policies provide strong support for expanding these outpatient facilities.
   
• Germany holds a key position in healthcare innovation and continues to attract significant investment from hospitals, private equity firms, and physician groups in the country. This investment drives the development of new facilities and patient-focused ASC settings that prioritize value-based care.
   
• On the other hand, countries such as UK, France, and Italy among other also support regional growth owing to the growing patient footfall in outpatient facilities, increasing preference for minimally-invasive surgical procedures and difference in cost structure compared to hospital settings.
   

The Asia Pacific ambulatory surgical centers market is anticipated to grow at the highest CAGR of 7.3% during the analysis timeframe.
 

• Increase in number of people suffering from non-communicable diseases, the ageing population, and a growing middle class that expects better healthcare facilities and services among other factors are driving growth in the region.
   
• In addition, significant investment and focus on developing better healthcare infrastructure in countries such as China, India, Indonesia, etc. is further propelling the demand for outpatient healthcare facilities such as ASCs. For example, as reported in a published report by APACMed in 2022, Fresenius Medical
   
• collaborated with a Chinese provincial government to develop guidelines and stand-alone dialysis centers that resulted in easing the pressure on public hospitals in the region.
   
• Similar developments in other regional countries owing to increased healthcare spending and setting-up of multi-specialty centers is anticipated to push the regional growth throughout the forecast period.
   

The Latin America ambulatory surgical centers market is experiencing robust growth over the analysis timeframe.
 

• In countries such as Brazil, Mexico, and Argentina, the governments are directing resources towards expanding outpatient healthcare facilities including ASCs especially in the metro cities of the region. These efforts assist in increasing the footfall in such surgical settings, owing to cost-effectiveness and shorter stays, thereby fueling the market growth.
   
• Public-private partnerships and expanding private insurance coverage are making it easier to develop ambulatory surgical centers (ASCs) in the region. The market continues to grow as better healthcare infrastructure and supportive regulations create an environment that helps ASCs expand across the region, especially in specialties that serve many patients.
   
• Further, lower infection risks, growing elderly community, and affordability in treatments are key variables expected to support the regional growth.
   

Ambulatory Surgical Centers Market Share

Leading companies such as Tenet Health, SCA HEALTH, AMSURG and SURGERY PARTNERS, together hold around 10% of the market share in the fragmented global market. Major players are adopting key strategies, including joint ventures with physicians, integration of value-based care and technology, development of new ASCs, and specialty-focused expansion.
 

Major ASC operators, including Tenet (through USPI), SURGERY PARTNERS, and SCA Health, work closely with physicians and hospitals to create joint ventures that bring together clinical expertise and financial goals. When physicians and hospitals collaborate, it creates an environment of increased engagement, better patient care, and stronger referral networks. These partnerships help ASCs grow their presence in important markets while building healthcare networks that attract more patients, improve insurance negotiations, and foster lasting relationships.

Companies like AMSURG and Regent Surgical Health focus on specific medical specialties, particularly common and financially viable procedures in eye care, digestive health, and orthopedics. By concentrating on these areas, surgical centers can work more efficiently, complete procedures more quickly, and deliver better results for their patients.

HCA Healthcare, Ramsay Sante, Mednation, and Endeavor Health hold substantial market share by continuously expanding their ASC networks, building strong physician relationships, and equipping their facilities with advanced medical technology.
 

Ambulatory Surgical Centers Market Companies

Few of the prominent players operating in the ambulatory surgical centers industry include:

• AMSURG
• ASD MANAGEMENT
• Community Health Systems
• Cura Day Surgery
• Endeavor Health
• HCA Healthcare
• Mednation
• Nova Medical Centers
• Pediatrix
• Physicians endoscopy
• Pinnacle III
• Proliance SURGEONS
• Ramsay Sante
• Regent Surgical
• SCA HEALTH
• SURGCENTER DEVELOPMENT
• SURGERY PARTNERS
• Surgical Management Professionals
• Tenet Health
• Trias MD
   
• Tenet Health

Tenet Health grows its ASC presence through USPI by acquiring facilities and developing partnerships with physicians. The company focuses on centers that offer multiple specialties and works closely with hospital systems while using value-based care methods to grow nationwide and perform more outpatient surgeries.
 

• AMSURG

AMSURG creates specialized ASCs that focus on specific medical areas, especially gastroenterology and ophthalmology. The company partners with physicians, uses data to improve performance, and opens new facilities to remain a key player in outpatient surgery services.
 

• SCA Health

SCA Health builds strong partnerships with physicians and health systems to grow its ambulatory surgery center (ASC) network. The organization improves clinical quality, streamlines day-to-day operations, and integrates digital solutions while using value-based care approaches to deliver better patient care and satisfy healthcare payer needs across medical specialties.
 

Ambulatory Surgical Centers Industry News:

• In June 2025, Smith+Nephew, a leading global medical device manufacturer, announced a strategic partnership with Standard Health to contribute to the development of the first-ever Orthopedic Ambulatory Surgery Centre in the UK. The new center will be in Poole, Dorset and is expected to offer services to range of orthopedic procedures to the patients. Standard Health has plans to open additional 10 centers in next three years and a total of 20 such centers by 2030 in the UK.
   
• In December 2023, NorthShore and Edward-Elmhurst Health announced the name of a unified brand for their newly combined health system as Endeavor Health. The new entity is the result of a merger between NorthShore University HealthSystem (NorthShore) and Edward-Elmhurst Health. The new brand serving majorly in the Chicago area is expected to continue to serve the patients with improved healthcare services and treatments.
   
• In April 2024, Commons Clinic announced an investment of USD 9.75 million in Marina Orthopedic & Spine Institute (MOSI). This investment may enable the company to improve its capabilities in surgical care and expand its network of ambulatory surgery centers (ASCs) in the U.S.
   
• In March 2023, UT Health San Antonio announced that it has opened a new outpatient location and surgery center in northwest Bexar County of U.S. to cater to the region's growing population. This development may allow the company to improve its regional presence in the industry.
   

The ambulatory surgical centers market research report includes an in-depth coverage of the industry with estimates and forecast in terms of revenue in USD Million and from 2021 - 2034 for the following segments:

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Market, By Ownership

• Physician only
• Hospital only
• Corporate only
• Physician and hospital
• Physician and corporate
• Other ownership types

Market, By Surgery Type

• Ophthalmology
• Endoscopy
• Orthopedic
• Neurology
• Pain management
• Plastic Surgery
• Podiatry
• Otolaryngology
• Obstetrics / Gynecology
• Dental
• Others surgery types

Market, By Specialty Type

• Single specialty
• Multi-specialty

Market, By Service

• Treatment
• Diagnosis

The above information is provided for the following regions and countries:

• North America
  • U.S.
  • Canada
• Europe
  • Germany
  • UK
  • France
  • Spain
  • Italy
  • Netherlands
• Asia Pacific
  • China
  • Japan
  • India
  • Australia
  • South Korea 
• Latin America
  • Brazil
  • Mexico
  • Argentina
• Middle East and Africa
  • Saudi Arabia
  • South Africa
  • UAE