Physician Assistant in South Africa: read the median against a +27% outlook
The South Africa national median for a physician assistant is R 882 000 a year. Among 1 metros with observed data, pay runs from about R 618 000 in Johannesburg to R 618 000 in Johannesburg (1×).
Physician assistants examine, diagnose, and treat patients under a physician's supervision. Common screening skills include Diagnosis, Treatment, Prescribing, and EMR.
A modeled national band runs about R 643 900–R 1 173 100 around that midpoint. Licensing and immigration rules are independent of this cash sort. Employment outlook for the occupation is sketched at +27% over a decade — a national demand guess, not a hiring guarantee in every South African city.
When metro percentiles appear, prefer those over this national midpoint for a named city. Until then, treat R 882 000 as a country-level sketch and pressure-test any offer with tax and cost-of-living tools.
South Africa shows about 3.2% CPI in 2025. A physician assistant raise that trails inflation is a real-pay cut even if it still beats last year’s peers. This occupation is also covered in 39 other countries — useful for remote or relocation shortlists, after FX and local tax. Nearby healthcare titles on this site include Registered Nurse, Nurse Practitioner, Physician, and Pharmacist.
How to use Physician Assistant pay data in South Africa
Start with the national median (R 882 000), then pick the metro where you would actually work. Observed city rows below are stronger than a pay-index guess. If your city is missing, stay on this page for the country figure and check the South Africa hub for other careers.
Convert gross through the salary calculator before comparing two cities — tax and rent often reorder a cash ranking. Figures are estimates for research, not employer bands.
National band vs top metro
National sketch: R 643 900 (10th) → R 882 000 (median) → R 1 173 100 (90th). Johannesburg’s observed median is R 618 000, with a local band about R 437 000–R 873 000. If an offer is “at the South Africa median” but the job is in Johannesburg, you may still be under local market.