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High Quality Content by WIKIPEDIA articles! The Surgeon General of the United States is the operational head of the Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters of public health in the federal government. The Surgeon General's office and staff are known as the Office of the Surgeon General (OSG).The Surgeon General is nominated by the U.S. President and confirmed via majority vote by the Senate. The Surgeon General serves a four-year term of office and is the highest ranking uniformed officer of the PHSCC, holding the grade of a three-star vice admiral while in office.