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Surgical First Assistant Jobs in Delaware (NOW HIRING)

Rishabh RPO

Surgical Tech - First Assist

Seaford, DE · On-site

$31 - $46/hr

Job Title :- Surgical Tech - First Assist Location :- 801 Middleford Road, Seaford, DE, 19973 Duration :- Permanent full time Shift :- Variable Shifts Position Summary: As defined by the American ...

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All JobsSurgical First JobsSurgical First Assistant JobsSurgical First Assistant Jobs in Delaware

Surgical First Assistant information

See Delaware salary details

$16

$37

$76

How much do surgical first assistant jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for surgical first assistant in Delaware is $37.68, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $41.88 per hour, depending on experience, location, and employer.

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. Factors like experience, certifications, and working in specialized surgical environments can also influence earning potential.

How does a Surgical First Assistant typically collaborate with surgeons and other members of the surgical team during procedures?

A Surgical First Assistant works closely with the lead surgeon and the entire operating room team to ensure procedures run smoothly and safely. Their responsibilities include anticipating the surgeon’s needs, providing technical support such as tissue retraction, suction, and suturing, and maintaining clear communication throughout the surgery. Collaboration requires adaptability, quick decision-making, and a thorough understanding of surgical protocols. Effective teamwork is vital, as the assistant helps maintain sterile fields, manages instruments, and supports patient safety at every stage of the operation.

What is a Surgical First Assistant?

A Surgical First Assistant is a trained healthcare professional who assists surgeons during surgical procedures. Their responsibilities include providing exposure, controlling bleeding, suturing incisions, and ensuring the surgical field is maintained. They work closely with surgeons, nurses, and other operating room staff to help ensure surgeries are conducted safely and efficiently. Surgical First Assistants may be registered nurses, physician assistants, or other certified professionals who have completed additional specialized training.

How much does a surgical first assistant make an hour?

A surgical first assistant typically earns between $30 and $70 per hour, depending on experience, location, and work setting. Certified assistants with specialized skills tend to earn higher wages, especially in hospitals or surgical centers that require advanced certifications and skills in sterile techniques and surgical procedures.

How Do You Become a Surgical First Assistant?

You can become a Surgical First Assistant by first getting certified as a Surgical Technologist. You can then pursue the Certified Surgical First Assistant (CSFA) credential to enhance your learning process as well as your professional profile. The minimum education requirement for this job is an associate degree, but some employers will prefer a bachelor’s degree prior to your certification. At your earliest opportunity, you should begin working in a medical environment, such as a hospital or clinic.

What are the key skills and qualifications needed to thrive as a Surgical First Assistant, and why are they important?

To thrive as a Surgical First Assistant, you need in-depth knowledge of surgical procedures, anatomy, sterile techniques, and typically a certification such as the Certified Surgical First Assistant (CSFA) or equivalent. Familiarity with surgical instruments, advanced suturing techniques, and operating room technology is essential. Excellent communication, attention to detail, and the ability to anticipate surgeons’ needs are vital soft skills in this role. These skills and qualities ensure patient safety, efficient surgical workflows, and optimal support for surgeons during procedures.

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

AspectSurgical First AssistantSurgical Technologist
CredentialsCertified Surgical First Assistant (CSFA), surgical assisting certificationsCertified Surgical Technologist (CST), surgical tech certifications
Work EnvironmentAssist surgeons during procedures, work closely in the operating roomPrepare operating rooms, sterilize instruments, assist in setup
Employer & IndustryHospitals, surgical centers, clinicsHospitals, surgical centers, outpatient facilities
Common Search/ComparisonYesNo

The Surgical First Assistant and Surgical Technologist roles both operate in the operating room environment but differ significantly. Surgical First Assistants actively assist surgeons during procedures, requiring advanced certifications like CSFA. Surgical Technologists prepare the OR and support the surgical team but do not directly assist during surgery. Understanding these differences helps in choosing the right career path or job search focus.

What does a first assist do in surgery?

A surgical first assistant helps the surgeon during procedures by controlling bleeding, holding tissues, suturing, and providing exposure of the surgical site. They must have knowledge of surgical instruments and sterile techniques and often work closely with the surgical team in the operating room.

What qualifications do you need to be a surgical assistant?

To become a surgical first assistant, candidates typically need a high school diploma or equivalent, along with specialized training or certification such as Certified Surgical First Assistant (CSFA) or Certified Surgical Assistant (CSA). Many employers prefer candidates with prior experience in healthcare, such as a surgical technologist or nurse, and strong knowledge of surgical procedures and sterile techniques.
More about Surgical First Assistant jobs
What are popular job titles related to Surgical First Assistant jobs in Delaware? For Surgical First Assistant jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Surgical First Assistant jobs in Delaware look for? The top searched job categories for Surgical First Assistant jobs in Delaware are:
What cities in Delaware are hiring for Surgical First Assistant jobs? Cities in Delaware with the most Surgical First Assistant job openings:
Surgical First Assistant jobs near you
Infographic showing various Surgical First Assistant job openings in Delaware as of July 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution, with an average salary of $78,383 per year, or $37.7 per hour.

Surgical First Assistant

Medical Solutions Direct Hire

Bethel, DE • On-site

Full-time

Posted 29 days ago

Job description

Medical Solutions Direct Hire is seeking a Surgical First Assistant for a job in Bethel, Delaware.

Job Description & Requirements
  • Specialty: Surgical First Assistant
  • Discipline: Allied Health Professional
  • Duration: Ongoing
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Staff

Job Title: Surgical First Assistant (CSFA)
Specialty: Surgical Services / Operating Room
Position Type: Direct Hire

Position Overview

Seeking an experienced Certified Surgical First Assistant (CSFA) to support surgical procedures in a fast-paced operating room environment. This role is strictly a technical position and does not include charting or medication administration responsibilities.

Key Responsibilities
  • Perform surgical first assist duties across multiple service lines
  • Maintain sterile field and adhere to all surgical safety protocols
  • Assist surgeons during procedures with instrumentation, exposure, and closure
  • Collaborate with the surgical team to ensure efficient case flow
  • Follow all facility policies and regulatory standards
Schedule
  • Monday – Friday
  • Day shifts
  • 4 x 10-hour shifts
  • Call required
  • No floating required
Unit Details
  • 6 Operating Rooms
  • Scrubs provided
Requirements

Experience

  • Minimum 2 years of Surgical Tech experience required
  • Surgical First Assist experience required

Certifications

  • Certified Surgical First Assistant (CSFA) via NBSTSA – Required
  • Basic Life Support (BLS) – AHA required
Submission Requirements
  • Proof of CSFA certification
  • Proof of BLS (AHA) certification
  • Confirmation of 2+ years of Surgical Tech experience

Medical Solutions Job #793018

About Medical Solutions Direct Hire

At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it, there’s a whole lot of care going on in our world and that’s just the way we like it. What do we do? Medical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Through our family of brands, we also serve a segment of clients outside of the healthcare space. And we’re the very best at what we do. You’ll love our culture that’s filled with heart and soul. As a company and employer, we’re sincerely and unabashedly us. We lead as humans first and believe the unique qualities of each team member make us better together. We share a purpose for helping others and the drive to make a difference. And we offer endless opportunities for personal and professional growth, throughout your career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry awards, and received accolades for the impact we’ve made in business and within our community. But the only way to really get to know us, is to join us. We think you’ll fit right in.

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