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Certified Surgical First Assist Jobs (NOW HIRING)

Certified Surgical First Assistant

Seattle, WA · On-site

$100K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

About the Role Medworks is seeking a Certified Surgical First Assistant to support surgical procedures across hospitals and ambulatory surgery centers throughout the Seattle metropolitan area. This ...

Certified Surgical First Assistant (CSFA) | Portland, OR Join a leading healthcare organization committed to delivering exceptional surgical care. Adventist Health Portland is seeking a skilled and ...

Surgical First Assist

San Antonio, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Surgical First Assistant certification * SA-C - Surgical Assistant, Certified through the American Board of Surgical Assistants (ABSA) * CSA - Certified Surgical Assistant through the National ...

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Certified Surgical First Assist information

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$15

$43

$68

How much do certified surgical first assist jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for certified surgical first assist in the United States is $43.34, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $52.40 per hour, depending on experience, location, and employer.

What does a certified surgical first assist do?

A Certified Surgical First Assist (CSFA) works closely with surgeons by providing direct support before, during, and after surgical procedures. They help with tasks such as positioning the patient, ensuring proper exposure of the surgical site, controlling bleeding, and suturing incisions. CSFAs also collaborate with scrub techs, circulating nurses, and anesthesiologists to maintain a sterile and efficient environment. This role requires strong teamwork, communication, and adaptability to respond to the dynamic needs of the surgical team.

What are the key skills and qualifications needed to thrive as a certified surgical first assist?

To thrive as a Certified Surgical First Assist, you need advanced knowledge of surgical procedures, sterile techniques, and a related healthcare degree with certification such as the CSFA credential. Familiarity with operating room equipment, surgical instruments, and electronic health records is essential. Strong attention to detail, teamwork, and the ability to stay calm under pressure are crucial soft skills. These capabilities ensure patient safety, efficient surgical support, and seamless collaboration within the surgical team.

What is a certified surgical first assist?

Certified Surgical First Assists (CSFAs) are highly trained healthcare professionals who work alongside surgeons during surgical procedures. They provide direct assistance by helping control bleeding, suturing incisions, and ensuring optimal visibility for the surgeon. CSFAs play a critical role in patient safety and surgical outcomes by anticipating the surgeon’s needs and responding quickly during operations. They typically have advanced education and certification beyond that of a standard surgical technologist. Their expertise allows them to take on more responsibilities in the operating room, contributing to a successful surgical team.

What is the difference between Certified Surgical First Assist vs Surgical Technologist?

AspectCertified Surgical First AssistSurgical Technologist
CredentialsCertified Surgical First Assist (CSFA) certification, RN or surgical assistant certificationPost-secondary education, certification as Surgical Technologist (CST)
Work EnvironmentOperating rooms, assisting surgeons during proceduresPreparing operating rooms, sterilizing equipment, passing instruments
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical centers, clinics

Certified Surgical First Assist and Surgical Technologist both work in surgical settings, but the CSFA has advanced training to assist directly during surgeries, while Surgical Technologists prepare the environment and assist indirectly. The CSFA typically requires additional certifications and hands-on experience, making it a more specialized role in surgical teams.

What cities are hiring for Certified Surgical First Assist jobs?

Cities with the most Certified Surgical First Assist job openings:

What states have the most Certified Surgical First Assist jobs?

States with the most job openings for Certified Surgical First Assist jobs include:

Infographic showing various Certified Surgical First Assist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $90,141 per year, or $43.3 per hour.

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago


United Surgical Partners International rating

5.7

Company rating: 5.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz


Job description

Franklin Surgery Center is Hiring a Certified Surgical First Assistant

Welcome to Franklin Surgery Center! Franklin Surgery Center performs a broad range of outpatient surgical procedures. Our mission is to care for every patient and their family as if they were our own. Each patient, each family, each and every time.  

Certified Surgical First Assistant at Franklin Surgery Center

A surgical first assistant plays a vital role in a successful surgical procedure. They are primarily in charge of assisting surgeons, such as by arranging and handing over tools, holding open incisions, and dressing surgical wounds.

Qualifications

  • High School Diploma/GED
  • Completion of a Surgical Technician Program.
  • NBSTSA Surgical First Assistant Certification required.
  • Two years of Certified Surgical First Assistant experience in multiple specialties or an equivalent combination of education and experience is required.
  • Orthopedic experience required.  
  • Able to deal with problems involving a few concrete variables in standardized situations. Other skills and abilities: General familiarity with medical terminology as it pertains to anatomy and surgical procedures in an operating room.
  • Willing to train new grads

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes:

  • Medical, dental, vision, and prescription coverage
  • Life and AD&D coverage
  • Availability of short- and long-term disability
  • Flexible financial benefits including FSAs and HSAs
  • 401(k) and access to retirement planning
  • Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of, our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

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#USP-123


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