Are you asking about general surgery? And ACGME, AOA, both? What was your COMLEX?
With a 241, good grades, strong letters, some research and aways at choice places, you should have a decent shot at ACGME gen surg programs that take DOs. But just know that the NRMP reports DO applicants having a 50% match rate into the field.
Assuming you have a similar COMLEX, your board scores won’t keep you from matching into an AOA program. Of course, ideally target programs with intial accreditation.