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

As of Aug 8, 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 can certified surgical first assistants do?

Certified surgical first assistants support surgeons during procedures by providing exposure, handling tissues, and suturing. They work in operating rooms, often requiring knowledge of sterile techniques and surgical instruments, and must hold certification such as the Certified Surgical First Assistant (CSFA) credential.

How many years does it take to become a certified surgical first assistant?

Becoming a certified surgical first assistant typically requires completing a surgical assisting program, which can take about 1 to 2 years, and gaining relevant healthcare experience such as working as a surgical technologist or nurse. Afterward, candidates must pass the Certified Surgical First Assistant (CSFA) exam to become certified.

Are surgical first assistants in high demand?

Surgical first assistants are in high demand due to the increasing number of surgeries and the need for specialized support in operating rooms. They typically require certification and work closely with surgeons, making their skills valuable in hospitals, surgical centers, and outpatient facilities.

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, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $57,122 per year, or $27.5 per hour.

Certified Surgical First Assistant (CSFA) - General Surgery

Lifepoint Health

Lake Havasu City, AZ

$15K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

LifePoint Health rating

6.0

Company rating: 6.0 out of 10

Based on 271 frontline employees who took The Breakroom Quiz

749th of 887 rated healthcare providers

Job description

Certified Surgical First Assist (CSFA) - General Surgery 

Job Type: Full Time | Day 

$15,000 Sign on Bonus (3 yr commitment)

Schedule: 5x8, Day (6:30 am - 3:00 pm), Monday - Friday

Your experience matters

Havasu Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Certified Surgical First Assist joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More about our team

At Havasu Regional Medical Center, our Certified Surgical First Assist play a critical role in delivering safe, high-quality surgical care. Working side by side with surgeons and the operating room team, you are an essential part of ensuring efficient procedures and positive patient outcomes. Our culture is built on genuine care for both our patients and one another, with patient safety and well-being at the center of everything we do. You'll be supported by strong teamwork and leaders who are present, approachable, and truly invested in your success. In our most recent culture survey, team members shared how much they value the supportive environment and the people they work alongside each day.

How you'll contribute 

A Certified Surgical First Assist (CSFA) who excels in this role: 

  • Provides direct assistance to the surgeon(s) during surgical procedures.
  • Positions patients to give best exposure for surgical procedures, using stabilizing equipment, when necessary, while maximizing patient comfort and safety.
  • Provides visualization of the operative site using appropriate methods, including manipulation of tissue and materials, retraction, sponging, suctioning, and irrigation.
  • Utilizes appropriate techniques to achieve temporary and permanent hemostasis.
  • Assists with body plane closure, application of wound dressings, and securing of drainage systems.

 Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.

 What we're looking for

Applicants should have a current Arizona Certified Surgical First Assist (CSFA) with the National Board of Surgical Technology and Surgical Assisting and Graduate of a Program in Discipline Required. Associate's Degree Preferred. Minimum of 1 year of CSFA experience required.

Additional requirements include:

  • Certifications: Basic Life Support (BLS) required within 30 days of hire
  • Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
  • Licenses: Certified Surgical First Assist (CSFA) with the National Board of Surgical Technology and Surgical Assisting
  • Education: Associate degree Preferred; Graduate of a Program in Discipline Required
  • Experience: Minimum of 1 year of CSFA experience required.

 

 

More about Havasu Regional Medical Center

 Havasu Regional Medical Center is a Joint Commission accredited, Medicare certified hospital located in Lake Havasu City, Arizona. Havasu Regional Medical Center is a joint venture between PHC-Lake Havasu, Inc. and many community physicians. Through this ongoing collaboration, we are able to identify and focus on the elements that make for a

quality-driven healthcare environment for our patients. Havasu Regional Medical Center is partially owned or invested in by physicians. 

As a community hospital and regional referral center for healthcare, Havasu Regional Medical Center offers a broad and comprehensive scope of services in major medical disciplines. A medical staff of more than 33 affiliated physicians represents a broad cross section of expertise in 31 medical specialties.

Havasu Regional Medical Center provides 24-hour emergency service with full-time emergency physicians on duty. The hospital has also earned an ALS Base Hospital Certificate from the state of Arizona, authorizing medical direction and support of prehospital care providers such as fire department or ambulance personnel. 

EEOC Statement

"Havasu Regional Medical Center is an Equal Opportunity Employer. Havasu Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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