I make 7.5% commission as a Med Rep for Medacta - No base pay - Earned around $45k last year - Is this normal in this field?

It's understandable to feel frustrated with your current comp package as a Med Rep, especially when there's no base pay and you're essentially relying on commissions alone. Unfortunately, this type of "100% commission" structure is all too common in sales-oriented roles like yours. The root cause is often a combination of industry norms, employer cost-cutting measures, and the employer's ability to leverage their power in the hiring process. The good news is there are steps you can take to improve your situation. First, use a framework like the Market Intelligence System to thoroughly research typical pay for your role, experience level, and location. Sites like Glassdoor, Levels.fyi, and PayScale can provide valuable data. This will help you understand your true market value. Next, document your individual performance using the Performance Documentation Engine. Quantify your achievements, impact, and how you've exceeded expectations. This gives you concrete evidence to support your case during negotiations. Finally, apply the Objection Response Framework to anticipate and address any pushback from your employer. Be prepared to make a compelling case for why you deserve higher pay, grounded in market data and your own results. When you approach negotiations armed with this knowledge and evidence, you'll be in a much stronger position to secure the compensation you deserve. And the impact goes beyond just your take-home pay - it signals your value and unlocks other opportunities for growth and advancement down the line.