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Surgical First Assist information

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$16

$38

$77

How much do surgical first assist jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for surgical first assist in Rochester, MN is $38.27, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $42.50 per hour, depending on experience, location, and employer.

What can surgical first assistants do?

Surgical first assistants support surgeons during procedures by providing exposure, hemostasis, and tissue handling. They may also help with patient positioning, instrument management, and maintaining a sterile environment, often requiring certification and knowledge of surgical techniques.

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

To thrive as a Surgical First Assist, you need extensive knowledge of surgical procedures, anatomy, and sterile techniques, usually backed by a clinical degree and certification such as the CSA or CSFA. Familiarity with surgical instruments, operating room technology, and electronic medical records is essential. Strong attention to detail, excellent communication, and the ability to remain calm under pressure are crucial soft skills. These competencies ensure patient safety, effective teamwork, and optimal surgical outcomes.

What is a surgical first assist?

Surgical First Assists, also known as surgical first assistants or first surgical assistants, are healthcare professionals who provide direct support to surgeons during surgical procedures. Their responsibilities include helping with patient positioning, maintaining a sterile field, controlling bleeding, suturing incisions, and ensuring the surgical team's efficiency and safety. They work closely with surgeons and other operating room staff to optimize patient outcomes and may be registered nurses, physician assistants, or other trained professionals with specialized surgical training.

What is the difference between Surgical First Assist vs Surgical Technologist?

AspectSurgical First AssistSurgical Technologist
CredentialsCertified Surgical First Assistant (CSFA), RN with additional trainingCertified Surgical Technologist (CST)
Work EnvironmentAssist during surgeries, work closely with surgeons in operating roomsPrepare operating rooms, sterilize equipment, assist during surgeries
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical centers, clinics

While both roles support surgical teams, Surgical First Assistants actively assist during procedures and have advanced certifications, whereas Surgical Technologists primarily prepare the operating room and assist in non-sterile tasks. Understanding these differences helps in choosing the right career path or job fit within surgical settings.

What are some typical challenges a surgical first assist might face during procedures, and how can they be addressed?

Surgical First Assists often encounter fast-paced, high-pressure environments where quick decision-making and adaptability are crucial. Challenges may include anticipating the surgeon's needs, maintaining sterility in unpredictable situations, and effectively communicating with the surgical team. To address these, developing strong situational awareness, enhancing technical skills through ongoing training, and fostering open communication with colleagues are essential. Proactively preparing for each case and participating in pre-operative briefings can also help mitigate common challenges.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn higher salaries in regions with a high cost of living and greater demand for healthcare services, such as metropolitan areas with large hospitals and specialized surgical centers. States or cities with a higher volume of complex surgeries and advanced medical facilities often offer increased compensation for this role.

How to become a surgical first assistant?

To become a surgical first assistant, individuals typically need to complete a relevant healthcare program such as a surgical technology or physician assistant program, obtain certification like the Certified Surgical First Assistant (CSFA), and gain clinical experience in surgical settings. Licensing requirements vary by state and facility, and strong knowledge of surgical procedures, anatomy, and sterile techniques is essential.
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Surgical First Assist jobs near you
Infographic showing various Surgical First Assist job openings in Rochester, MN as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 3% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $79,607 per year, or $38.3 per hour.

Certified Surgical First Assistant (CSFA) - Operating Room

Olmsted Medical Center-MAIN

Rochester, MN

Full-time

Re-posted 26 days ago

Job description

0.8 FTE - Day Shifts $5,000.00 Sign on Bonus with work commitment

Starting wage - $37.14 - $55.71 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.

Qualifications:

  • Graduate of a Commission on Accreditation of Allied Health Education Program (CAAHEP) Surgical First Assistant program
  • Current certification as a Certified Surgical Assistant (CSA) or Certified Surgical First Assistant (CSFA)
  • Operating Room experience or training within the last three years preferred
  • Knowledge of the principles of aseptic technique and perioperative policies and procedural guidelines
  • BLS certified within 90 days of hire

Job Responsibilities:

  • Provides visualization of the operative site.
  • Utilizes appropriate techniques to assist with hemostasis.
  • Utilizes appropriate techniques in closure of body planes.
  • Selects and applies appropriate wound dressings.
  • Provides assistance in securing drainage system to tissue.
  • Participates in volume replacement or auto transfusion techniques as appropriate.
  • Assists with positioning the patient.
  • Prepares the skin for procedure.
  • Anticipates the needs of the surgeon.
  • Maintains confidentiality.
  • Maintains ongoing self-development.
  • Other duties as assigned.