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Surgical First Assistant Jobs in Rochester Hills, MI

ILLUUM COSMETIC SURGERY

OR FIRST ASSIST

Novi, MI

New plastic surgery practice open in Novi, MICompetitive compensation and benefitsAn opportunity to ... EducationCurrent Michigan RN license, BSN preferredRegistered Nurse First Assistant (RNFA) and/or ...

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All JobsSurgical First JobsSurgical First Assistant JobsSurgical First Assistant Jobs in Rochester Hills, MI

Surgical First Assistant information

See Rochester Hills, MI salary details

$15

$34

$69

How much do surgical first assistant jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for surgical first assistant in Rochester Hills, MI is $34.66, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $38.51 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 Rochester Hills, MI as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 23% Part Time, 1% Temporary, and 5% Contract. Highlights an 99% In-person, and 1% Hybrid job distribution, with an average salary of $72,086 per year, or $34.7 per hour.

Surgical Technology First Assist

Surgeons Choice Medical Center

Southfield, MI • On-site

$35.50 - $40/hr

Full-time

Medical, Life, Retirement, PTO

Posted 10 days ago

Job description

SURGICAL TECHNOLOGY FIRST ASSIST

$10,000 SIGN ON BONUS  (payable over 24 months)

6:30A - 5:00P (4 - 10 hr. shifts)


Responsibilities: 

Responsible for preparing instruments and supplies to perform procedures according to the physician’s documented preferred routine.  Ability to prepare the operating field for procedures while performing routine and delegated duties.  Provides aide in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient.


WHAT WE ARE LOOKING FOR: 

  • The Surgical Technology First Assistant works in a dual role as a Certified Surgical Technologist (CST) and a First Assistant.
  • Preparation of patient for surgery including but not limited to surgical scrub preparation, positioning, draping, sterile field maintenance.
  • Skillfully sutures all varieties of tissues / tissue planes with appropriate suture materials and suturing techniques. Assists in closure of wound or independently closes wound under the direction of the surgeon.

Primary Services Performed at Southfield Location: Ortho, Neuro, Spine, General, ENT, GYN


Education/Experience

  • Successful completion of an AST certified Surgical First Assistant Program or 3+ years of First Assistant experience required. 
  • Experience in surgery specialties of Orthopedic and Hand required.


Licensure/Certification

  • AST Surgical First Assistant certification preferred.
  • Current BLS certification required.   


OUR COMMITMENT TO OUR STAFF:

  • Health Safety Measures in place for everyone
  • A diverse & inclusive workforce that embraces communication, caring and courtesy.
  • Positive Onboarding Experience
  • Health Insurance plans effective 1st of the month following 30 days.
  • Company-paid Life Insurance
  • Supplemental Life and Disability insurance plans
  • Generous PTO accrual at start of employment.
  • Tuition Reimbursement & Continuing Education opportunities
  • 401k with company match
  • Company Events
  • Community Discounts
  • And more!


Apply