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

As of Aug 18, 2026, the average hourly pay for certified surgical first assistant in the United States is $27.46, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $30.05 per hour, depending on experience, location, and employer.

What is a certified surgical first assistant?

Certified Surgical First Assistants (CSFAs) are highly trained healthcare professionals who work alongside surgeons during surgical procedures. Their primary role is to provide direct assistance in the operating room, which can include tasks such as suturing incisions, controlling bleeding, and ensuring the operative field remains clear. CSFAs have advanced knowledge of surgical techniques and sterile procedures, and they help optimize patient outcomes by supporting the surgical team. They are required to obtain certification through accredited programs and by passing a national examination. CSFAs often work in hospitals, surgical centers, and other healthcare settings.

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

To thrive as a Certified Surgical First Assistant, you need a comprehensive understanding of surgical procedures, anatomy, and sterile techniques, typically supported by a relevant degree and certification (such as CSFA or CSA). Proficiency with surgical instruments, operating room protocols, and electronic documentation systems is crucial. Strong attention to detail, communication, and teamwork skills set top performers apart in this role. These abilities are vital for ensuring patient safety, efficient surgical workflows, and positive outcomes during operative procedures.

What are some common challenges certified surgical first assistants face during surgical procedures, and how can they effectively overcome them?

Certified Surgical First Assistants often encounter challenges such as adapting to rapidly changing situations in the operating room, maintaining clear communication with the surgical team, and managing high-pressure or unexpected complications. Successfully overcoming these challenges requires strong situational awareness, excellent teamwork skills, and a deep understanding of surgical protocols. Proactively anticipating the surgeon's needs and staying calm under pressure are key strategies that help CSFAs support positive patient outcomes and maintain a smooth workflow during procedures.

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

AspectCertified Surgical First AssistantSurgical Technologist
CredentialsCertification (e.g., CSFA), specialized trainingPost-secondary education, certification (e.g., CST)
Work EnvironmentAssist surgeons directly during surgeriesPrepare operating rooms, sterilize equipment
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical facilities

The Certified Surgical First Assistant and Surgical Technologist roles both support surgical teams but differ in responsibilities. The CSFA actively assists during surgeries, requiring advanced certification, while Surgical Technologists prepare the operating room and assist indirectly. Both roles are vital in surgical settings, with CSFAs having more direct patient contact and technical duties.

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Certified Surgical First Assistant jobs near you
Infographic showing various Certified Surgical First Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $57,122 per year, or $27.5 per hour.

Certified Surgical First Asst

Parkview Health

Fort Wayne, IN

Full-time

Re-posted 3 days ago

Parkview Health rating

7.2

Company rating: 7.2 out of 10

Based on 280 frontline employees who took The Breakroom Quiz

349th of 888 rated healthcare providers

Job description

Summary

Under the Perioperative leader, assumes responsibility and accountability for assuring quality care as a health care team member within the Perioperative environment. The scope of responsibility of the Certified Surgical First Assistant includes the ability to anticipate, plan for, and respond to the needs of the patient, surgeon, and other team members. In addition the CSFA participates in and actively assists the surgeon in completing the operation safely and expeditiously by helping to provide exposure, maintain hemostasis, and other technical functions. Maintains confidentiality of information regarding patients, patient families, coworkers, and physicians.

Education

Must have a high school diploma or the equivalent GED. Must be a graduate from surgical assisting program accredited through ARC/STSA, a collaborative effort of ASA, ACS, and SASA, by CAAHEP. CAAHEP is a recognized accreditation agency of the Council for Higher Education Accreditation (CHEA).

Licensure/Certification

Must have a certification for surgical first assistant obtained through the National Board of Surgical Technology and Surgical Assisting (NBSTSA). Maintains certification by earning approved continuing education or by successfully retaking the certifying examination at the conclusion of the renewal period. Must maintain current CPR certification.

Experience

Health care experience preferred.

Other Qualifications

Must have excellent verbal and written communication skills. Must be able to demonstrate a working knowledge of general computer skills and applications. Must be able to lift 50 pounds; 100 pounds shared lifting. Requires knowledge of specialized first assistant techniques, procedures and adequate equipment related to hemostasis, retracting and suturing.

What Parkview Health employees say

Pay

Benefits

Hours and flexibility

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About Parkview Health

Sourced by ZipRecruiter

Parkview Health, headquartered in Fort Wayne, IN, US, operates within the healthcare industry providing a wide range of medical services and community wellness programs. These include primary care, specialty health services, emergency care, rehabilitation, and home health services among others. The non-profit health system was founded in 1878 and continues to serve its surrounding communities with a dedication to quality health and wellness.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Fort Wayne, IN, US

Year founded

1995

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