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First Assistant Jobs in Dallas, TX (NOW HIRING)

Mission Hospital

Surgical First Assist

Lewisville, TX · On-site

Surgical First Assist Job Summary and Qualifications What qualifications you will need: * Basic Cardiac Life Support must be obtained within 30 days of employment start date * (CST) Certified ...

Invited

1st Assistant Superintendent

Mckinney, TX · On-site

Superintendent First Assistant at Premier Country Club in McKinney, TX | The Clubs of Stonebridge Ranch Ready to join a dynamic company in the hospitality and service industry where people help drive ...

ClubCorp

1st Assistant Superintendent

Mckinney, TX · On-site

Superintendent First Assistant at Premier Country Club in McKinney, TX | The Clubs of Stonebridge Ranch Ready to join a dynamic company in the hospitality and service industry where people help drive ...

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Showing results 1-20

All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Dallas, TX

First Assistant information

See Dallas, TX salary details

$32.2K

$132.1K

$189.5K

How much do first assistant jobs pay per year?

As of Jul 13, 2026, the average yearly pay for first assistant in Dallas, TX is $132,070.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,100.00 and $178,600.00 per year, depending on experience, location, and employer.

What are First Assistants?

First Assistants, often referred to as First Assistant Directors (First ADs) in film and television production, are responsible for coordinating all production activities on set. They assist the director by managing the shooting schedule, ensuring that cast and crew are prepared, and facilitating communication between departments. Their role is essential in keeping the production running smoothly, safely, and on time. First Assistants also help enforce safety protocols and can be involved in overseeing rehearsals and blocking scenes. Overall, they play a key organizational and leadership role in any production.

What are the key skills and qualifications needed to thrive as a First Assistant, and why are they important?

To thrive as a First Assistant, you need a comprehensive understanding of surgical procedures, aseptic techniques, and anatomy, usually backed by a relevant certification such as Certified Surgical First Assistant (CSFA) or equivalent clinical training. Familiarity with surgical instruments, operating room protocols, and electronic medical records is typically required. Strong attention to detail, effective communication, and the ability to work well under pressure are essential soft skills. These competencies ensure optimal surgical outcomes, enhance patient safety, and support seamless teamwork in the operating room.

What is the difference between First Assistant vs Second Assistant?

AspectFirst AssistantSecond Assistant
CredentialsTypically requires medical or legal certifications, depending on industrySimilar credentials, often with less experience required
Work EnvironmentHigh-pressure settings, assisting lead professionalsSupport role, often in administrative or support settings
Employer & Industry UsageUsed in legal, medical, or film industries as a primary support roleSupporting role, often subordinate to First Assistant
Common Search & ComparisonOften compared for responsibilities and qualificationsLess frequently searched in comparison to First Assistant

The First Assistant typically holds more responsibilities, requires specific certifications, and works closely with lead professionals in high-pressure environments. The Second Assistant generally provides support and performs delegated tasks, often with less experience or certification requirements. Understanding these differences helps clarify career progression and role expectations within the industry.

What's the easiest hospital job to get?

The easiest hospital job to get is often a patient transporter or hospital aide, which typically requires minimal formal education and on-the-job training. These roles usually have high turnover and may not require certifications, making them accessible entry-level positions in healthcare settings.

How much do first assistants make per hour?

First assistants typically earn between $15 and $25 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require skills in organization and communication.

What are some common challenges First Assistants face when supporting high-level executives or teams?

First Assistants often juggle multiple priorities, such as managing complex calendars, responding to urgent requests, and coordinating logistics for meetings or events. One common challenge is maintaining clear communication and anticipating the needs of executives, which requires strong organizational skills and discretion. Additionally, First Assistants may need to adapt quickly to changing schedules or last-minute tasks, making flexibility and problem-solving essential. Building good relationships with both internal teams and external contacts also helps ensure smooth workflow and successful collaboration.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn the highest salaries in regions with a high cost of living and advanced healthcare facilities, such as metropolitan areas or states with strong medical industries. Factors like experience, certifications, and the complexity of surgeries also influence earning potential, with those working in specialized or high-demand surgical fields typically earning more.

What does a first assistant do?

A first assistant is a key member of a production team, often in film or theater, responsible for supporting the director or producer by managing schedules, coordinating communication, and assisting with logistical tasks. They may also handle administrative duties, oversee daily operations, and ensure the smooth flow of the project. Strong organizational skills and knowledge of production processes are essential for this role.
What are the most commonly searched types of First jobs in Dallas, TX? The most popular types of First jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for First Assistant jobs? Cities near Dallas, TX with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Dallas, TX as of July 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 100% In-person job distribution, with an average salary of $132,070 per year, or $63.5 per hour.

Certified First Assist (Surgical First Assistant)

Westside Plastic Surgery

Fort Worth, TX

$50/hr

Full-time

Posted 3 days ago

Job description

A busy, high-volume plastic surgery practice is seeking an experienced Certified First Assist to support the surgeon during operative procedures. This role requires advanced intraoperative assisting skills, strict sterile technique, and prior experience specifically in plastic surgery cases.Responsibilities

  • Provide first-assist support during plastic surgery procedures, including:

    • Tissue handling and retraction

    • Suturing and wound closure

    • Hemostasis assistance

  • Maintain strict sterile technique and OR protocols

  • Assist with patient positioning, prepping, and draping

  • Collaborate with the surgeon, anesthesia team, nursing staff, and OR personnel

  • Support post-operative dressing application and patient transfer

  • Ensure compliance with all safety and regulatory standards

Required SkillsCertification Requirement

  • Must be a Certified First Assistant (CFA, CSFA, or equivalent)

Professional Insurance Requirement

  • Must maintain an active professional liability (malpractice) insurance policy

  • Proof of coverage required prior to start date

Experience Requirement

  • Prior surgical first assist experience required

  • Plastic surgery experience is required

Skills

  • Strong knowledge of sterile technique and surgical instrumentation

  • Ability to work efficiently in a fast-paced OR environment

  • Excellent communication and professionalism

Schedule

Work schedule will vary based on surgical volume, with coverage needed as required on Mondays, Tuesdays, and Thursdays.

Compensation

$50 per hour


To apply, please submit your resume and certification documentation.
Do not contact the office directly regarding this position.