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Surgical First Assistant Jobs in Meridian, ID (NOW HIRING)

Saint Alphonsus Health System

PA - Surgery

Boise, ID · On-site

The surgical APP's first assist in all cardiac and thoracic operations and manage the CVICU as well as the step-down unit. The program participates in the STS Registry and aggressively benchmarks ...

Saint Alphonsus Health System

Surgery

Boise, ID · On-site

The surgical APP's first assist in all cardiac and thoracic operations and manage the CVICU as well as the step-down unit. The program participates in the STS Registry and aggressively benchmarks ...

TNAA

Operating Room (OR) Registered Nurse RN

Boise, ID · On-site

$59.86/hr

Inventory of surgical items pre- and post-procedure. Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture ...

TNAA

Operating Room (OR) Registered Nurse RN

Boise, ID · On-site

$59.86/hr

Inventory of surgical items pre- and post-procedure. Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture ...

TNAA TotalMed RN

Travel Operating Room RN

Boise, ID · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel Operating Room RN

Boise, ID · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

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All JobsSurgical First JobsSurgical First Assistant JobsSurgical First Assistant Jobs in Meridian, ID

Surgical First Assistant information

See Meridian, ID salary details

$16

$36

$73

How much do surgical first assistant jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for surgical first assistant in Meridian, ID is $36.50, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $40.53 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.
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Surgical First Assistant jobs near you
Infographic showing various Surgical First Assistant job openings in Meridian, ID as of August 2026, with employment types broken down into 3% As Needed, 69% Full Time, 21% Part Time, 1% Temporary, and 6% Contract. Highlights an 99% In-person, and 1% Hybrid job distribution, with an average salary of $73,850 per year, or $35.5 per hour.

Cardiothoracic Physician Assistant

Palm Careers

Nampa, ID • On-site

$20K/mo

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

We are hiring an experienced cardiothoracic physician assistant in Beautiful Boise, Idaho!

The Cardiac Surgical Advanced Practice Providers first assist in all cardiac and thoracic operations and manage the CVICU as well as the step-down unit. Full Continuum of Care Opportunity with a primary responsibility of First Assisting!

Excellent Quality of Life! 4 10-hour shifts per week (generally 6am-4pm)

Very Little On-Call: Shared equitably among group APPs (7 nights per month)

Comprehensive Salary and Benefits:

  • $20,000 Sign On Bonus

  • PTO & CME Allocation, Relo Assistance, Health/Dental/Vision,Retirement (403b)

The Cardiothoracic Surgery program is a 3 Surgeon practice, 8 APP's, 4 CVOR specialized anesthesiologists, and 4 perfusionists who work together with an experienced staff on a dedicated floor that houses both the 10-bed dedicated CVICU, 3 dedicated CVORs, and a 6 bed step down unit. Our team of providers is projected to perform over 350 open heart surgeries and over 175 thoracic surgeries (including 80 robotic lobectomies), as well as over 160 TAVRs and 75 MitraClips. Our practice specializes in adult cardiac surgery, Aortic surgery, Minimally Invasive Valve Surgery, Robotic Thoracic surgery, and Hybrid Maze procedure for the treatment of Atrial Fibrillation. Our practice also implants and manages ECMO and the Impella 5.5.