Hi. Just wondering what are the steps and years in takes to become an orthopedic surgeon specializing in surgeries of the spine? I assume it would be like this... What else am I missing? 1) Graduate Med School 2) Internship & Residency - how many years? 3) Fellowship in General Surgery - how many years? 4) Sub specialty training in Back sugeries - how many years? Is that progression correct? And is sub-speciatly training the same thing as a fellowship?