A physician attains the status of Fellow and becomes Board Certified after passing rigorous evaluations by representatives from the college or the respective board. The representatives evaluate the physician’s education, training, professional qualifications, surgical competence and ethical conduct. If the physician’s above credentials are found to be consistent with the high standards established by these Associations, they are granted the status of Fellow in the American College of Surgeons, which is designated by the letters F.A.C.S. after their name, and designated as a Board Certified Surgeon.

A physician is considered a candidate member in the American College of Surgeons, or Board Eligible when they have completed their residency training and are first starting their careers.