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First Assistant Jobs in Philadelphia, PA (NOW HIRING)

Gift of Life

Surgical 1st Assistant

Philadelphia, PA

The Surgical First Assistant will work with organ recovery and transplant surgeons, assisting in the recovery of organs for transplant, research, and tissue. In addition to performing first assistant ...

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First Assistant information

See Philadelphia, PA salary details

$31.1K

$127.5K

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How much do first assistant jobs pay per year?

As of Aug 14, 2026, the average yearly pay for first assistant in Philadelphia, PA is $127,543.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $172,500.00 per year, depending on experience, location, and employer.

How do I become a first assistant?

To become a first assistant, typically you need relevant experience in the field, strong communication and organizational skills, and often a background in the specific industry or role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

What is a first assistant?

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 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.

What are the most commonly searched types of First jobs in Philadelphia, PA?

The most popular types of First jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for First Assistant jobs?

Cities near Philadelphia, PA with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Philadelphia, PA 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 $134,664 per year, or $64.7 per hour.

Surgical 1st Assistant

Gift of Life

Philadelphia, PA

Full-time

Medical, Dental, Vision, Retirement

Re-posted 15 days ago

Job description

Summary:

The Surgical First Assistant will work with organ recovery and transplant surgeons, assisting in the recovery of organs for transplant, research, and tissue. In addition to performing first assistant duties you may be cross-trained in additional roles within the department that include, but not limited to, pulsatile preservation of kidneys, tissue recovery, and organ preservation.

Essential Duties and Responsibilities:

· Performs the role of Surgical first assistant
Must possess a working knowledge of operating room procedures, infection control, and surgical attire. Demonstrates the ability to anticipate the needs and work closely with our organ recovery and transplant surgeons. Assists with all aspects of the organ and tissue recovery process, which includes but is not limited to clamping, suturing, tying, ligating, and cutting of tissue per the surgeon’s directive.

· Performs tissue and research recovery
Performs recoveries adhering to and exemplifying established protocols and procedures. Coordinates clinical activities with OR staff, Transplant Coordinator staff, and Perfusion staff. Follows procedures for maintaining a sterile environment during recovery. Follows good documentation practices.

· Performs the role of pulsatile preservation of the kidneys
May be cross-trained to perform pulsatile preservation of kidneys. Adheres to the policies and procedures applicable to the pulsatile preservation role.

· Supports department training and quality processes
Precepts and trains team members as assigned. Assists with the continued implementation and improvement of safety and quality assurance programs. Makes recommendations to department leadership to improve procedures for tissue and organ recovery.

• Participates in special projects to support the department’s contribution to the Gift of Life Mission

Provides support to department and organization leadership in meeting annual departmental goals and objectives. Assists department leadership with special projects.

Qualification Requirements (Education, Experience, Skill, Knowledge & Ability):

  • Completion of a formal surgical first assistant training program.
  • Experience working in an operating room as a first assistant.
  • Must be able to remain alert and work 18-24 or more consecutive hours, perform on-call duties on scheduled weekdays, weekends and holidays and regularly participate in continuing education and mandatory staff meetings.
  • Possess a valid driver’s license, be insurable and possess or be capable of acquiring a valid U.S passport or valid travel documentation.
  • First Assistant certification preferred
  • Must be able to drive to any hospital in the Gift of Life service area and may need to fly via helicopter or fixed-wing aircraft to hospitals within our service area or anywhere in the United States and Canada.
  • Knowledge of surgical aseptic techniques, human anatomy, and physiology
  • Strong interpersonal skills and ability to partner with colleagues and peers
  • Ability to multitask and prioritize in a rapidly changing and high-pressure clinical environment
  • Proficiency with the Microsoft Office suite

Physical Demands:

  • Must be able to stand for extended periods of time and lift 50-70 pounds in order to move supplies and position patients.
  • Must be able to remain alert and work for 18-24 or more consecutive hours.
  • Must be able to drive in adverse weather conditions.
  • Must be able to drive to any hospital in the Gift of Life service area and may need to fly via helicopter or fixed-wing aircraft to hospitals within our service area or anywhere in the United States and Canada.

What’s in it for you?

  • Outstanding benefits package including medical, prescription drug, dental and vision insurance; tuition assistance, and 403(b) with employer match up to 11%,
  • Guaranteed pay for a 40-hour work week.
  • Opportunity to work with welcoming, inclusive co-workers.

We are an equal opportunity employer and support diversity in our workplace