The reason I ask this question is I have been reading through many threads where some have suggested that if all else fails they will get scramble into a prelim surgery spot. Afterwards they will try to get into a pgy2 categorical surgery position or re-enter the match and go for pgy1 categorical surgery or a family med residency if all else fails. From my understanding, getting a prelim or transitional IM spot is difficult. 1) So are prelim surgery spots easier to get into than categorical IM or FM spots? 2) Are these prelim surgery spots still available after the scramble? 3) Are there situations where many prelim surgery spots go unfilled for the year? The reason I am interested is because I am a IMG and my USMLE scores are low. I always wanted to do a general surgery residency but got no interviews for it. I was thinking if I do not match into family med this year, I should maybe try to scramble into prelim surgery. The reason I feel this would be good for me is in two ways - 1) Get my foot in the door for surgery in the future, and 2) if surgery does not work out at least get that US Clinical experience that is lacking in my CV for family med in next years match. I have been lurking around doing a lot of reading here. As I have mentioned before I have seen many threads of should I or shouldn't I do prelim surgery, but those situations are by people with high scores. I do not have high scores or US clinical experience so I could be wrong in thinking that getting a prelim surgery spot is possible. Anyways, thanks in advance for any input.