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Orthopedic Surgical First Assistant Jobs (NOW HIRING)

AP Health

Orthopedic Surgical PA

Fort Lauderdale, FL · On-site

Orthopedic Surgical Physician Assistant Location: Fort Lauderdale, FL AP Health is a private ... Functions as a Surgical First Assistant in the Operating Room * Positions and drapes the patient ...

AP Health

Orthopedic Surgical PA

Fort Lauderdale, FL · On-site

Orthopedic Surgical Physician Assistant Location: Fort Lauderdale, FL AP Health is a private ... Functions as a Surgical First Assistant in the Operating Room * Positions and drapes the patient ...

Arizona Surgical Physician Assistants, LLC

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PA/NP Surgical Assistant

Phoenix, AZ · On-site

$100K - $140K/yr

Experienced Surgical Physician Assistant (PA-C) or Nurse Practitioner (NP) Orthopedic * Spine * Neurosurgery Surgical First Assist Full-Time | Arizona Join Arizona's Premier Surgical First Assist ...

Arizona Surgical Physician Assistants, LLC

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PA/NP Surgical Assistant

Phoenix, AZ · On-site

$100K - $140K/yr

Experienced Surgical Physician Assistant (PA-C) or Nurse Practitioner (NP) Orthopedic * Spine * Neurosurgery Surgical First Assist Full-Time | Arizona Join Arizona's Premier Surgical First Assist ...

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

As of Aug 29, 2026, the average hourly pay for orthopedic 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 an orthopedic surgical first assistant?

An Orthopedic Surgical First Assistant is a trained healthcare professional who assists orthopedic surgeons during surgical procedures. They are responsible for tasks such as preparing the surgical site, handling instruments, providing exposure of the operative area, and assisting with suturing and wound closure. Their expertise helps ensure surgeries are performed efficiently and safely. Orthopedic Surgical First Assistants often have backgrounds as physician assistants, registered nurses, or surgical technologists with specialized training in orthopedics.

What are the key skills and qualifications needed to thrive as an orthopedic surgical first assistant?

To thrive as an Orthopedic Surgical First Assistant, you need advanced knowledge of surgical procedures, anatomy, and sterile techniques, typically supported by certification such as CSFA or SA-C and relevant clinical experience. Familiarity with surgical instruments, orthopedic-specific equipment, and electronic medical record (EMR) systems is crucial. Exceptional teamwork, communication, and the ability to remain calm under pressure are standout soft skills in this role. These competencies are vital for ensuring patient safety, efficient surgical procedures, and effective collaboration with the surgical team.

What are some common challenges faced by orthopedic surgical first assistants during procedures, and how can they be addressed?

Orthopedic Surgical First Assistants often encounter challenges such as managing complex instrumentation, adapting to unexpected changes during surgery, and maintaining clear communication with surgeons and the operating room team. These challenges can be addressed by thorough preoperative preparation, continuous education on the latest surgical techniques, and fostering strong teamwork skills. Proactively anticipating the surgeon's needs and being adaptable in high-pressure situations are key to ensuring positive surgical outcomes and a smooth workflow.

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

AspectOrthopedic Surgical First AssistantSurgical Technologist
CredentialsCertified First Assistant (CFA), surgical assisting certificationsPost-secondary education, certification (e.g., CST)
Work EnvironmentOperating rooms during orthopedic surgeriesAssist in various surgeries, including orthopedic, in operating rooms
Employer & IndustryHospitals, surgical centers specializing in orthopedicsHospitals, outpatient surgical centers across multiple specialties

Orthopedic Surgical First Assistants and Surgical Technologists both work in operating rooms, but the first assistant has advanced certifications and directly supports surgeons during orthopedic procedures. Surgical Technologists prepare the operating room and assist with instrument handling, but do not provide direct surgical assistance. The roles differ mainly in level of responsibility, certification, and scope of practice.

How do I become an orthopedic surgical first assistant?

To become an orthopedic surgical first assistant, one typically needs to complete a formal education program such as a surgical assisting or physician assistant program, obtain certification like the Certified Surgical First Assistant (CSFA) credential from the National Board of Surgical Technology and Surgical Assisting (NBSTSA), and gain clinical experience in surgical settings. Licensing or certification requirements vary by state or country, and strong knowledge of anatomy, surgical procedures, and sterile techniques are essential.
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Orthopedic Surgical First Assistant jobs near you
Infographic showing various Orthopedic 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 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $57,122 per year, or $27.5 per hour.

Orthopedic Surgical First Assistant

Houston, TX • On-site

Avant First Assistants, LLC
See more jobs at Avant First Assistants, LLCexternal

Full-time

Re-posted 2 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
$4a
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$4b

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