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Spine Surgery First Assistant Jobs (NOW HIRING)

APS Health

$73K - $99K/yr

Functions as a Surgical First Assistant in the Operating Room * Positions and drapes the patient ... spine surgery * Current Texas State License * Board certified by NCCPA * Active BLS and ACLS

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Spine Surgery First Assistant information

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$13

$27

$62

How much do spine surgery first assistant jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for spine surgery 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 spine surgery first assistant?

A Spine Surgery First Assistant is a trained medical professional who assists the primary surgeon during spinal surgeries. Their responsibilities include preparing the operating room, positioning patients, passing instruments, controlling bleeding, and helping with wound closure. They work closely with the surgical team to ensure procedures run smoothly and safely. The role requires specialized knowledge of spine anatomy and surgical techniques, and these assistants can be physician assistants, nurse practitioners, or surgical technologists with additional training in spine surgery.

What are the typical collaboration dynamics between a spine surgery first assistant and the surgical team during procedures?

As a Spine Surgery First Assistant, you will work closely with surgeons, anesthesiologists, scrub nurses, and surgical technologists throughout each procedure. Your responsibilities often include preparing the operating room, positioning patients, assisting with exposure and instrumentation, and providing critical support during complex spinal surgeries. Effective communication and situational awareness are essential, as you must anticipate the surgeon’s needs and adapt to rapidly changing circumstances. This collaborative environment fosters continuous learning and is key to delivering optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a spine surgery first assistant, and why are they important?

To thrive as a Spine Surgery First Assistant, you need advanced knowledge of surgical procedures, anatomy, and sterile techniques, typically supported by a certification such as CSA or CSFA and relevant clinical experience. Familiarity with surgical instruments, intraoperative imaging systems, and electronic health records is vital. Exceptional attention to detail, teamwork, and the ability to remain calm under pressure set top professionals apart in this field. These skills ensure patient safety, surgical efficiency, and optimal outcomes in complex spine operations.

What are popular job titles related to Spine Surgery First Assistant jobs?

For Spine Surgery First Assistant jobs, the most frequently searched job titles are:

Infographic showing various Spine Surgery 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.

Ortho Spine/Neurosurgery Licensed Surgical Assistant (LSA)

Frisco, TX • On-site

AP Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about AP Healthexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description

Ortho Spine/Neurosurgery Licensed Surgical Assistant (LSA)

AP Health is a private practice comprised of advanced practice providers. We provide perioperative services to hospitals, surgeons, and surgery centers. We partner with facilities to offer service line coverage with highly trained and knowledgeable Advanced Practice Providers to first assist in surgery.

AP Health is seeking highly experienced LSAs to join our Dallas and Frisco teams. A successful candidate would have at least 2+ years of experience in Ortho Spine and/or Neurosurgery. This job is strictly a surgical only position with no clinic time. This is an exciting opportunity to join a distinguished team that delivers top tier care.

This is NOT a travel, locum, placement, or per diem position. AP Health is not a staffing company.

What will you do:
  • Functions as a Surgical First Assistant in the Operating Room
  • Positions and drapes the patient under the direction of the surgeon
  • Suturing and retracting of all tissue layers
  • Assists in the intra-operative care of the patient by performing technical duties as assigned
  • Rotating on-call responsibilities
What do you need:
  • 2+ years experience functioning as a surgical first assist in neuro and/or spine surgery
  • Current Texas State License
  • Board certified by NCCPA
  • Active BLS and ACLS
  • Comprehensive and flexible medical, dental, and vision insurance
  • Short and long-term disability, basic and supplemental life
  • 401K retirement plan with company matching
  • Participation in the company’s Employee Stock Option Plan (ESOP)
  • Paid state license, malpractice, and other agreed upon licenses and dues
  • Annual $1,500 allotment accompanied by 3 paid days off for Continuing Medical Education (CME)
  • Generous PTO and "life/work" balance

AP Health is a certified Great Place to Work a national recognition based on employee feedback about workplace culture and experience. If you have a passion for patient-centered care and interest in working in a fast-paced operating room atmosphere - join our team today!

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