ENT Credentials 101: What “FACS” and “FAAO-HNS” Actually Mean

When looking for an ENT, or ear, nose, and throat doctor, you might notice letters after their name that aren’t familiar—like FACS or FAAO-HNS. At San Antonio Breathe Free, patients often ask what these credentials mean and why they matter. Understanding them can help you feel more confident when choosing a provider for sinus, allergy, or other ENT concerns.
Why Credentials Matter
Medical credentials tell you about a doctor’s training, qualifications, and professional recognition. For ENTs, certain letters indicate additional steps beyond medical school and residency. They show that a doctor has met specific standards, passed exams, and committed to ongoing education in their field.
While online reviews and ratings can offer helpful insights, credentials provide verified evidence of a physician’s training and experience. They give you a clearer idea of the level of expertise a doctor brings to your care.
What “FACS” Means
The letters FACS stand for Fellow of the American College of Surgeons. This designation shows that a physician has passed rigorous evaluations of their education, training, surgical competence, and ethical standards.
To earn FACS status, a doctor must:
- Graduate from an accredited medical school
- Complete a residency in their specialty (for ENTs, this typically involves 5 years of specialized training after medical school)
- Demonstrate competence in surgical procedures relevant to their field
- Maintain high ethical standards in practice
- Participate in ongoing professional education
In short, FACS is a marker that a surgeon has met strict requirements for safe and effective surgical care. It’s a credential that applies not only to ENTs but also to surgeons in many specialties.
What “FAAO-HNS” Means
The letters FAAO-HNS stand for Fellow of the American Academy of Otolaryngology–Head and Neck Surgery. This credential is specific to ENT doctors and indicates that the physician is board-certified in otolaryngology.
Board certification through the AAO-HNS involves:
- Completing an accredited residency in otolaryngology
- Passing a comprehensive written exam covering the full scope of ENT care
- Passing an oral exam that tests practical knowledge and clinical decision-making
- Committing to continuing education and staying current with advances in ENT care
FAAO-HNS shows that an ENT has not only completed training but has also met national standards for knowledge and skills in diagnosing and treating conditions of the ear, nose, throat, and related structures of the head and neck.
Why These Credentials Matter to Patients
You might wonder why these letters are important if a doctor already has an MD or DO degree. Credentials like FACS and FAAO-HNS provide additional assurance that your ENT:
- Has completed extensive, specialized training beyond medical school
- Has met rigorous testing standards for clinical and surgical care
- Stays current with advances in ENT treatment and best practices
While credentials don’t guarantee results, they help ensure that your doctor has the training and oversight necessary to provide safe, knowledgeable care.
How to Use Credentials When Choosing an ENT
When reviewing potential ENTs, credentials can help you make informed decisions. Here are some tips:
- Check for Board Certification: Look for FAAO-HNS or similar board certifications in otolaryngology. This confirms the doctor has passed national standards.
- Consider Surgical Recognition: FACS indicates additional scrutiny for surgical competence, which may be relevant if you need procedures like sinus surgery or tonsil removal.
- Ask Questions: It’s okay to ask your ENT what their credentials mean and how their training applies to your care. Most doctors are happy to explain.
- Combine with Experience and Communication: Credentials are one factor. You should also feel comfortable discussing your symptoms and treatment options with your doctor.
Remember, a highly qualified ENT combines training, experience, and the ability to communicate clearly with patients. Credentials are a concrete way to verify that foundational expertise.
Beyond Letters: What Really Matters
While FAAO-HNS and FACS are important indicators of training and professionalism, your experience matters too. A doctor who listens carefully, explains treatment options, and works with you to address your symptoms can make a big difference in care. Credentials and bedside manner go hand in hand.
At San Antonio Breathe Free, the team of board-certified ENTs uses their training to guide diagnosis and treatment, while also taking time to answer questions and help patients feel informed.
Learn More About ENT Credentials and Care
Understanding credentials like FACS and FAAO-HNS helps you choose an ENT with verified training and expertise. These designations reflect years of education, examinations, and professional commitment—but they work best when paired with clear communication and personalized care.
If you’re ready to explore ENT care with knowledgeable, board-certified providers, schedule a consultation with San Antonio Breathe Free today and learn more about how their training and experience can help you manage sinus, allergy, and other ENT concerns.


