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                                                                    EXHIBIT 10.3

                               FIRST AMENDMENT TO
                 AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT

         THIS FIRST AMENDMENT TO AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT
(this "Agreement") is made and entered into as of June 22, 2001 by and
among AMSURG CORP., a Tennessee corporation (the "Borrower"), the several banks
and other financial institutions from time to time party hereto (the "Lenders"),
and SUNTRUST BANK, in its capacity as Administrative Agent for the Lenders (the
"Administrative Agent" or "Agent").

                                    RECITALS:

         1.       The Borrower and the Lenders entered into an Amended and
Restated Revolving Credit Agreement dated May 5, 2000 (the "Agreement).

         2.       The Borrower and Lender desire to amend the Agreement as
provided herein.

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable consideration, the Borrower and the Lender agree as follows:

         1.       Section 7.13(b)(iii) shall hereby be amended and restated as
follows:

                           (iii)    the aggregate number of Acquisitions, in any
                  rolling twelve (12) month period since the Closing Date, does
                  not exceed twelve (12); provided, however, that if the sum of
                  the aggregate Revolving Credit Exposures of all Lenders plus
                  the pro forma cost of any proposed Acquisition is less than
                  $50,000,000, then the limitations set forth in this Section
                  7.13(b)(iii) shall not apply;

         2.       The Agreement is not amended in any other respect

         3.       The Borrower represents and warrants that no Event of Default
has occurred under the Agreement.

         4.       The Borrower agrees that its obligations are valid and
binding, enforceable in accordance with their respective terms, subject to no
defense, counterclaim, or objection.

         5.       This agreement may be executed in any number of separate
counterparts (including by telecopy), and all of said counterparts taken
together shall be deemed to constitute one and the same instrument.

               [SIGNATURE LINES CONTINUED ON THE FOLLOWING PAGES]
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         IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
duly executed by their respective authorized officers as of the day and year
first above written.

                                             BORROWER:

                                             AMSURG CORP.

                                             By: /s/ Claire M. Gulmi
                                                -------------------------------

                                             Title:  CFO
                                                   ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             SUNTRUST BANK
                                             as Administrative Agent, as Issuing
                                             Bank, and as a Lender

                                             By: /s/ Mark D. Matthew
                                                -------------------------------

                                             Title:  Director
                                                   ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             BANK OF AMERICA, N.A.,
                                             as Syndication Agent and as a
                                             Lender

                                             By: /s/ James W. Griffin
                                                -------------------------------

                                             Title:  Senior Vice President
                                                   ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             FIRSTAR BANK, N.A.,
                                             as a Lender

                                             By:  /s/ L. Alec Blanc, III
                                                -------------------------------

                                             Title:  Senior Vice President
                                                   ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             BANK OF OKLAHOMA, N.A.,
                                             as a Lender

                                             By: /s/ Heather E. Williams
                                                -------------------------------

                                             Title:  Commercial Lending Officer
                                                   ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             FIRST TENNESSEE BANK, NATIONAL
                                             ASSOCIATION, as a Lender

                                             By: /s/ Deryl J. Bauman
                                                -------------------------------

                                             Title:  Vice President
                                                   ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             KEY CORPORATE CAPITAL, INC., as a
                                             Lender

                                             By: /s/ Terry A. Graffis
                                                -------------------------------

                                             Title:  Senior Vice President
                                                   ----------------------------<PAGE>
                                                                    EXHIBIT 10.4

                               SECOND AMENDMENT TO
                 AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT

         THIS SECOND AMENDMENT TO AMENDED AND RESTATED REVOLVING CREDIT
AGREEMENT (this "Amendment") is made and entered into as of February 5, 2003 by
and among AMSURG CORP., a Tennessee corporation (the "Borrower"), the several
banks and other financial institutions from time to time party hereto (the
"Lenders"), and SUNTRUST BANK, in its capacity as Administrative Agent for the
Lenders (the "Administrative Agent").

                                    RECITALS:

         1.       The Borrower, Lenders and Administrative Agent entered into
that certain Amended and Restated Revolving Credit Agreement dated May 5, 2000,
as amended by that certain First Amendment to Amended and Restated Revolving
Credit Agreement dated June 22, 2001 (as amended, the "Agreement").

         2.       The Borrower and Lender desire to further amend the Agreement
as provided herein.

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable consideration, the Borrower, the Lenders and the Administrative Agent
agree as follows:

         1.       Section 7.5 of the Agreement is hereby amended and restated as

follows:

                  SECTION 7.5 RESTRICTED PAYMENTS. Except for dividends payable
         from a Wholly Owned Subsidiary to the Borrower, the Borrower will not,
         and will not permit any of its corporate Subsidiaries to, declare or
         make, or agree to pay or make, directly or indirectly, any dividend on
         any class of its stock, or make any payment on account of, or set
         apart assets for a sinking or other analogous fund for, the purchase
         redemption, retirement, defeasance or other acquisition of, any shares
         of treasury stock (each, a "Restricted Payment"); provided however the
         Borrower shall be permitted to purchase in the aggregate during the
         term of this Agreement treasury stock totaling no greater than
         $25,000,000.

         2.       The Agreement is not amended in any other respect.

         3.       The Borrower represents and warrants that no Event of Default
has occurred and is continuing under the Agreement

         4.       The Borrower agrees that its obligations are valid and
binding, enforceable in accordance with their respective terms, subject to no
defense, counterclaim, or objection.

         5.       This Amendment may be executed in any number of separate
counterparts (including by telecopy), and all of said counterparts taken
together shall be deemed to constitute one and the same instrument and will be
effective upon execution by Borrower, Administrative Agent and the Required
Lenders.
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         IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
duly executed by their respective authorized officers as of the day and year
first above written.

                                             BORROWER:

                                             AMSURG CORP.

                                             By: /s/ Claire M. Gulmi
                                                 ------------------------------

                                             Title: CFO
                                                    ---------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             SUNTRUST BANK
                                             as Administrative Agent, as Issuing
                                             Bank, and as a Lender

                                             By: /s/ Mark D. Matthew
                                                 ------------------------------

                                             Title: Director
                                                    ---------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             BANK OF AMERICA, N.A.,
                                             as Syndication Agent and as a
                                             Lender

                                             By: /s/ Elizabeth L. Knox
                                                 ------------------------------

                                             Title: Senior Vice President
                                                    ---------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                           US BANK, NATIONAL ASSOCIATION,
                                           successor-in-interest to Firstar
                                           Bank, N.A., as a Lender

                                           By: /s/ S.W. Choppin
                                               -------------------------------

                                           Title: Senior Vice President
                                                  ----------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             AMSOUTH BANK,
                                             as a Lender

                                             By: /s/ William H. Berrell
                                                 ------------------------------

                                             Title: Vice President
                                                    ---------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                    STANDARD FEDERAL, N.A.,
                                    successor-in-interest to Michigan
                                    National Bank, as a Lender

                                    By: /s/ Ralph P. Binggeser
                                        -----------------------------------

                                    Title: Commercial Relationship Manager
                                           -------------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             BANK OF OKLAHOMA, N.A.,
                                             as a Lender

                                             By: /s/ Heather E. Williams
                                                 ------------------------------

                                             Title: Assistant Vice President
                                                    ---------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             FIRST TENNESSEE BANK, NATIONAL
                                             ASSOCIATION, as a Lender

                                             By: Deryl J. Bauman
                                                 ------------------------------

                                             Title: Vice President
                                                    ---------------------------

                      [SIGNATURES CONTINUED ON NEXT PAGE]
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                                             KEY CORPORATE CAPITAL, INC., as a
                                             Lender

                                             By: /s/ Wendy Butler
                                                 ------------------------------

                                             Title: Vice President
                                                    ---------------------------

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