The US Department of Veterans Affairs (VA) presents a compelling option for surgeons desiring to serve their country and veterans within the civilian sector. Embarking on a career as a VA surgeon is a choice informed by your professional goals, preferred work environment, and dedication to veterans’ care. This chapter is designed for a wide range of professionals, including military surgeons transitioning to civilian life, reservists aiming to make the most of federal benefits, and civilian surgeons drawn to the distinct challenges posed by the VA system. It provides a straightforward guide to understanding the intricacies of the Department of Veterans Affairs. Our aim is to clarify the extensive benefits of working at a VA hospital, delivering an actionable guide for those who aspire to practice surgery within America’s most extensive healthcare network. As a basic introduction, this chapter underlines the rewarding opportunities and distinctive obstacles associated with a career in the VA, setting the stage for a fulfilling professional journey.