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First Assist Jobs (NOW HIRING)

UVA Health

Surgical First Assistant

Culpeper, VA · On-site

$30.55 - $49.61/hr

Surgical First Assistant Job Code: SS1701 4 ten hour days 0700-1730 with one call shift per week 1730-0700 and every 4th weekend Friday 1730-Monday 0700. ABOUT US We are ushering in a new era of ...

CT Assist

Travel Surgical First Assistant

Lafayette, IN · On-site

$2.0K - $3.0K/wk

CT Assist is seeking a travel Surgical First Assistant for a travel job in Lafayette, Indiana. & Requirements * Specialty: Surgical First Assistant * Discipline: Allied Health Professional * Start ...

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How much do first assist jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for first assist in the United States is $18.95, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $21.15 per hour, depending on experience, location, and employer.

What skills do you need for a first assist?

A first assist role typically requires strong communication skills, attention to detail, and the ability to follow instructions precisely. Knowledge of medical procedures, certifications such as CPR or basic life support, and the ability to work in a fast-paced environment are also important.

What are some common challenges faced by first assist professionals in the operating room, and how can they be managed?

First Assist professionals often encounter the challenge of adapting quickly to different surgeons' preferences and surgical techniques, as well as managing fast-paced, high-pressure situations. Effective communication and anticipation of the surgical team's needs are essential to ensure smooth procedures. Staying current with advances in surgical technology and participating in ongoing training can help First Assists overcome these challenges and contribute positively to patient outcomes.

What is a first assist?

First Assist professionals, also known as Surgical First Assistants or First Assistants, are healthcare practitioners who work alongside surgeons during operations. Their primary role is to provide direct support in the operating room, such as preparing the surgical site, controlling bleeding, suturing, and handling surgical instruments. First Assists may be registered nurses, physician assistants, or surgical technologists with specialized training. They are essential team members who help ensure procedures run smoothly, safely, and efficiently. Their responsibilities vary depending on the surgical team and type of procedure.

What is the difference between First Assist vs Surgical Technologist?

AspectFirst AssistSurgical Technologist
CredentialsCertified First Assistant (CFA), surgical assisting certificationsCertified Surgical Technologist (CST), surgical tech certifications
Work EnvironmentAssist surgeons directly during procedures, operating roomsPrepare operating rooms, sterilize instruments, assist during surgeries
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical centers, clinics

First Assist and Surgical Technologist roles both work in surgical settings, but First Assist professionals directly support surgeons during procedures, requiring advanced certifications. Surgical Technologists prepare the operating room and assist indirectly. While both are vital in surgical teams, First Assist roles involve more direct patient and surgical support, often with higher certification requirements.

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

To thrive as a First Assist, you need a solid background in surgical techniques, anatomy, and sterile procedures, usually supported by certification as a Surgical First Assistant or Physician Assistant. Familiarity with surgical instruments, operating room technology, and patient monitoring systems is essential. Strong attention to detail, teamwork, and the ability to remain calm under pressure are critical soft skills for this role. These competencies ensure safe, efficient surgeries and optimal outcomes for patients.

How long does it take to be a first assist?

Becoming a first assist typically requires completing a registered nursing program or a physician assistant program, followed by specialized training or certification in surgical assisting. The process can take approximately 2 to 4 years depending on the educational path and certification requirements.
What cities are hiring for First Assist jobs? Cities with the most First Assist job openings:
What states have the most First Assist jobs? States with the most job openings for First Assist jobs include:
First Assist jobs near you
Infographic showing various First Assist 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 $39,407 per year, or $18.9 per hour.

Orthopedic Surgical First Assistant

Avant First Assistants, LLC

Houston, TX • On-site

Full-time

Re-posted 12 days ago

Job description

Description
At Avant First Assistants, LLC, you will play a critical role as an Orthopedic Surgical First Assistant, providing advanced intraoperative support that enhances surgeon efficiency and contributes directly to safe, high-quality patient outcomes. In this role, you will collaborate closely with orthopedic surgeons and the surgical team to ensure precise, efficient procedures while maintaining the highest standards of patient safety and surgical excellence.
You will be part of a high-performing team of surgical professionals who share a commitment to professionalism, clinical expertise, and exceptional patient care. Our First Assistants are trusted members of the operating room, recognized for their ability to anticipate surgical needs, support complex orthopedic procedures, and contribute to seamless surgical workflow.
Avant First Assistants has built a strong reputation as a trusted partner within the healthcare community, and our team takes pride in the meaningful impact we make every day. We foster an innovative and growth-oriented culture where continuous learning, professional development, and clinical excellence are actively encouraged and supported.
At Avant, you will work in a collaborative and inclusive environment that values respect, diversity, and the well-being of every team member. If you are seeking an opportunity to apply your expertise within an organization that truly values your skills, dedication, and long-term professional growth, we look forward to welcoming you to the Avant team.
Responsibilities
$48
Qualifications
$49

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