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Surgical First Assistant Jobs in Chicago, IL (NOW HIRING)

SURGICAL FIRST ASSISTANT

Chicago, IL · 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 ...

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 ...

What additional preferences we're seeking * 3 or more years experience as Surgical First Assistant Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO) to all ...

What additional requirements you'll need * 3 or more years experience as Surgical First Assistant Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health ...

... · Surgical first assist in the operating room for neurosurgery cases · Full Time; 5 days per week plus one weekend per month of Neurosurgery call · Outpatient clinic weekly · Weekend call ...

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Surgical First Assistant information

See Chicago, IL salary details

$17

$38

$78

How much do surgical first assistant jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for surgical first assistant in Chicago, IL is $38.79, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $43.08 per hour, depending on experience, location, and employer.

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 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.

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 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.

Is a surgical first assistant a good career?

A surgical first assistant is a skilled healthcare professional who supports surgeons during procedures, requiring certification and knowledge of surgical techniques. It offers a stable job outlook with opportunities for specialization and advancement, often involving working in operating rooms with a team. The role provides meaningful work in patient care and typically involves a demanding schedule with high responsibility.

What qualifications do you need to be a surgical first assistant?

To become a surgical first assistant, candidates typically need to have a healthcare background such as a registered nurse, surgical technologist, or physician assistant, along with specialized training in surgical assisting. Certification through organizations like the National Surgical Assistant Association (NSAA) or the American Association of Surgical Assistants (AASA) is often required or preferred. Additionally, strong knowledge of surgical procedures, anatomy, and sterile techniques is essential.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn higher salaries in regions with a higher cost of living and greater demand for specialized healthcare services. Typically, urban areas and regions with large hospitals or medical centers offer the highest compensation, especially for those with advanced certifications and experience. Salary can also vary based on the healthcare facility and geographic demand for surgical services.

What are popular job titles related to Surgical First Assistant jobs in Chicago, IL?

For Surgical First Assistant jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Surgical First Assistant jobs in Chicago, IL look for?

The top searched job categories for Surgical First Assistant jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Surgical First Assistant jobs?

Cities near Chicago, IL with the most Surgical First Assistant job openings:

Infographic showing various Surgical First Assistant job openings in Chicago, IL as of August 2026, with employment types broken down into 5% As Needed, 74% Full Time, 16% Part Time, and 5% Contract. Highlights an 100% In-person job distribution, with an average salary of $80,676 per year, or $38.8 per hour.

SURGICAL FIRST ASSISTANT

Insight

Chicago, IL • On-site

$33.50 - $43.50/hr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 22 days ago


Insight Enterprises rating

8.2

Company rating: 8.2 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

57th of 225 rated it services


Job description

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 intraoperative support. This role extends beyond traditional assisting - it requires a forward-thinking mindset focused on innovation, efficiency, and collaboration across the surgical continuum. The SFA serves as a key resource in developing and implementing process improvements, integrating new technologies, and advancing surgical outcomes. Clinical skills performed under direct supervision of the surgeon include but are not limited to: incision, dissection, clamping, cutting, tying, providing hemostasis, insertion of laparoscopic ports, and closure of body planes & skin.
The SFA collaborates closely with all surgical team members to facilitate through-put and optimize safe patient care. They may function in the scrub role for a variety of surgical procedures as needed.
III. DESCRIPTION A. ESSENTIAL DUTIES AND RESPONSIBILITIES
Key Responsibilities
Clinical Excellence & Intraoperative Support
• Performs all functions of a Surgical First Assist including exposure, hemostasis, suturing, tissue handling, and wound closure under the surgeon's direction.
• Anticipates surgeon needs throughout each procedure, ensuring instruments, supplies, and devices are ready for immediate use.
• Maintains sterile technique and ensures patient safety and positioning integrity at all times.
• Proactively identifies opportunities to improve case efficiency and instrument utilization.
Innovation & Process Improvement
• Collaborates with surgical leadership and vendors to trial new technologies, instruments, and minimally invasive techniques.
• Participates in multidisciplinary performance improvement initiatives, including reduction of turnover times, standardization of instrument trays, and cost-efficiency efforts.
• Contributes to digital documentation workflows, assisting in implementing systems that optimize case tracking, inventory, and data analytics.
• Provides feedback on new devices or methods that enhance precision and patient outcomes.
Education, Mentorship & Leadership
• Serves as a clinical mentor to surgical technologists, residents, and nursing staff.
• Participates in orientation and education of new team members and cross-trained staff.
• Engages in continuing education to stay current on advancements in surgical techniques and perioperative best practices.
• Promotes a culture of collaboration, continuous learning, and patient-centered innovation
Collaboration & Teamwork
• Partners with surgeons, anesthesia providers, and perioperative staff to coordinate and execute high-quality surgical care.
• Assists in the preparation for surgical cases, assuring that supplies, equipment and instruments are available and in working order prior to the start of each case.
• Assists the surgical team in the transport, transfer and positioning of patients in the operating room.
• Participates in pre-op briefings and post-op debriefings to evaluate case flow and identify improvement opportunities.
• Assists in maintaining supply and equipment inventory.
• Communicates proactively and professionally across the care team to ensure seamless patient experiences.
• On-call duties as scheduled.
• Other duties as assigned.
B. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES
Qualifications
• Certified Surgical First Assist (CSFA), Certified First Assistant (CFA), or Physician Assistant (PA-C) / RNFA credential required.
• Minimum 3-5 years of surgical experience; advanced proficiency in multiple specialties preferred (e.g., Orthopedic, Neurosurgery, General, or Robotics).
• Strong understanding of sterile technique, surgical instrumentation, and anatomy.
• Demonstrated ability to integrate technology and process improvement into practice.
• Excellent problem-solving, critical thinking, and interpersonal communication skills.
Preferred Attributes
• Passionate about surgical innovation, data-driven improvement, and interdisciplinary collaboration.
• Actively participates in surgical committees, vendor evaluations, or technology trials.
• Forward-thinking, self-directed, and capable of balancing clinical precision with creativity.
• Experienced in EMR documentation, efficiency dashboards, or digital workflow initiatives
Performance Metrics
• Case efficiency and surgeon satisfaction scores.
• Reduction in intraoperative delays and supply waste.
• Participation in innovation or quality improvement projects.
• Contribution to staff development and cross-training success rates.
IV. Ensures that care is provided for all patients utilizing the attributes of:
• Unconditional love
• Trustworthy collaboration
• Health Education
• Contagious calm
• Perfect skill in fostering safety and comfort
• Creation of a restorative environment
• Cares for self
• Watchfulness
• Power derived from service
• Participatory - authoritative management
V. EDUCATION AND EXPERIENCE
• Certified Surgical First Assist (CSFA), Certified First Assistant (CFA), or Physician Assistant (PA-C) / RNFA credential required.
• Minimum 3-5 years of surgical experience; advanced proficiency in multiple specialties preferred (e.g., Orthopedic, Neurosurgery, General, or Robotics).
Benefits:
  • Paid Sick Time - effective 90 days after employment
  • Paid Vacation Time - effective 90 days after employment
  • Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
  • Short and long-term disability and basic life insurance - after 30 days of employment

Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!
Disclaimer:
The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of functions, tasks, duties, responsibilities and requirements of employees so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of Insight Hospital and Medical Center.

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