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Surgical First Assist Jobs (NOW HIRING)

Surgical First Assistant $5,000 Sign-on Bonus for New Grads $7,500 Sign-on Bonus for Experienced Candidates Full Time, 80 Hours Per Pay Period, Day Shift Fort Loudoun Overview: Fort Loudoun Medical ...

Overview Surgical First Assistant, Operating Room $7,500 Sign-on Bonus for Experienced SFAs Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health ...

Inova Alexandria Hospital is looking for a dedicated Surgical First Assist to join the team! Full-time (40 hrs/week) Day Shift: Monday-Friday, either two shifts-7:00am-3:00pm and two shifts-7:00am-7 ...

Surgical First Assistant, Operating Room $7,500 Sign-on Bonus for Experienced SFAs Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health's flagship ...

Overview Surgical First Assistant, Operating Room $7,500 Sign-on Bonus for Experienced SFAs $5,000 Sign-on Bonus for New Grad SFAs Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview:

SURGICAL FIRST ASSISTANT

Chicago, IL ยท On-site

$33.50 - $43.50/hr

GENERAL SUMMARY The Surgical First Assist (SFA) is a highly skilled, clinically proficient professional who works directly under the supervision of the attending surgeon to provide advanced ...

Surgical First Assist

Bellevue, WA ยท On-site

$99K - $148K/yr

The Surgical First Assist (SFA) is accountable for all activities related to the surgical recovery and safe preservation of organs from donors. SFA's wear many different 'Scrub-Hats' in the delicate ...

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Surgical First Assist information

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$75

How much do surgical first assist jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for surgical first assist in the United States is $37.65, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $41.83 per hour, depending on experience, location, and employer.

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 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 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.

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.

How long does it take to become a surgical first assist?

Becoming a surgical first assist typically requires completing a relevant healthcare degree, such as a physician assistant or nurse practitioner program, which takes about 2-4 years. Additionally, gaining specialized surgical assisting training and certification, such as the Certified Surgical First Assistant (CSFA) credential, can take several months to a year after completing the educational requirements.

What can a surgical first assistant do?

A surgical first assistant supports surgeons during procedures by providing exposure, hemostasis, tissue handling, and suturing. They work under the surgeon's supervision, often requiring certification and knowledge of surgical instruments and sterile techniques to ensure patient safety and efficient operation flow.

What degree do you need to be a surgical first assist?

To become a surgical first assist, individuals typically need to have a healthcare-related degree such as a registered nurse (RN), physician assistant (PA), or surgical technologist certification, along with specialized training and experience in surgical procedures. Many states also require certification from organizations like the National Surgical Assistant Association (NSAA) or the American Board of Surgical Assistants (ABSA).

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 specialized healthcare services, such as metropolitan areas with large hospitals and medical centers. States or cities with a higher volume of complex surgeries and advanced medical facilities often offer increased compensation for experienced surgical first assistants. Factors like certifications, experience, and working in specialized surgical environments also influence earning potential.

What cities are hiring for Surgical First Assist jobs?

Cities with the most Surgical First Assist job openings:

What states have the most Surgical First Assist jobs?

States with the most job openings for Surgical First Assist jobs include:

Infographic showing various Surgical First Assist 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 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $78,315 per year, or $37.7 per hour.

SURGICAL FIRST ASSISTANT

Covenant Health

Lenoir City, TN โ€ข On-site

Full-time

Re-posted 2 days ago


Job description

Surgical First Assistant

$5,000 Sign-on Bonus for New Grads

$7,500 Sign-on Bonus for Experienced Candidates

Full Time, 80 Hours Per Pay Period, Day Shift

Fort Loudoun Overview:  

Fort Loudoun Medical Center, part of Covenant Health, is an 87,000-square-foot hospital serving Loudon County and surrounding communities. Based in Lenoir City, TN, with more than 200 physicians across 29 specialties, the facility offers advanced technology including MRI, CT, ultrasound, diagnostic X-rays, womenโ€™s imaging, and nuclear medicine unique to the region. Featuring private patient rooms and comprehensive services such as emergency care, surgery, and specialized treatments, our dedicated team of physicians, staff, and volunteers is committed to providing excellent care to every patient, every time. 

Position Summary:

With directed delegation, assists the surgeon throughout the entire surgical procedure. The surgeon may allow the surgical first assistant to tie or cauterize vessels, muscle, or fat under their immediate direction or observation; the surgical first assistant may close the skin with suture or staples and place dressings. It is the surgeonโ€™s responsibility to verify the acceptability and appropriateness of the closure.


  • Under supervision of MD/surgeon, facilitates patient care by providing surgical first assistant duties for the surgeon before, during and after surgical procedures; follows unit standards and processes to deliver age-appropriate care for all patients; demonstrates accountability as an individual and team member in meeting patient/family needs; participates in identifying cost-effective measures for clinical care.
  • Demonstrates expanded knowledge of surgical anatomy/ physiology and operative technique to work collaboratively with the surgeon and the other team members.
  • May apply dressings as appropriate in an aseptic manner as delegated by the surgeon.
  • Assists the operating room team in safely transferring the patient to and from the Operating Room; demonstrates proper positioning techniques; reports to the circulator and surgeon bilateral pedal pulses and posterior tibial pulses when appropriate; knows the proper position for cases and understands the use of proper positioning aids to protect nerves, bony prominences and to maintain circulation.
  • Recognizes safety hazards and initiates appropriate preventative and/or corrective actions to ensure a safe environment for the patient and the surgical team throughout the perioperative experience
  • Plans, sets up, performs, and cleans up the assigned surgical procedure as a surgical first assistant and/or as a scrub tech; demonstrates knowledge of equipment and instrumentation pertaining to case; safely operates special equipment which may be used in surgical cases (e.g. lasers, microscopes, tourniquets, endoscopes, drills, saws, etc.); maintains instrument and equipment integrity; performs room turn-over and terminal cleaning; utilizes supplies appropriately and in a cost effective manner. When called upon can assist in daily assignments; makes sure all needed supplies/implants are available for assigned case(s); brings to the coordinator the changes that need to be made to the preference maps.
  • Demonstrates knowledge of and the ability to apply the principles of asepsis in creating and maintaining the sterile field; uses proper technique when scrubbing, gowning, gloving, and setting up of sterile fields; recognizes what is sterile and what is unsterile; recognizes contamination and takes proper action to correct situation; continually monitors the sterile field and surgical team to assure that sterility is maintained.
  • Performs sharp, sponge, and instrument counts according to policy; demonstrates proper counting technique for all countables and applies proper procedures with incorrect counts; demonstrates understanding of exceptions to counts when in the functioning role of a surgical assistant.
  • May be cross trained to provide surgical services in multiple specialty areas.
  • Makes an effort to do pre/post op rounding when appropriate.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Minimum Education:           

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:         

Must have previously worked as a Surgical Technologist (CST or Non-Certified CST). Experience performing certified surgical technologist duties in an operating suite sufficient to meet the experience requirements mandated by one of the certifying bodies indicated below.

License/Certification:           

Must have and maintain one of the following certifications:

  • Certified First Assistant (CSFA) by the National Board of Surgical Technology and Surgical Assisting (NBSTSA);
  • Certified Surgical Assistant (CSA) by the National Surgical Assistants Association (NSAA).
  • Surgical Assistant-Certified (SA-C) by the American Board of Surgical Assistants (ABSA)