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Surgical First Assistant Jobs in Spring, TX (NOW HIRING)

CommonSpirit Health

CVOR Surgical Technician

Houston, TX · On-site

$1.9K - $2.5K/wk

Certified First Assistant - Certified Surgical Technologists, upon hire or * Licensed Vocational Nurse: CA, upon hire and * Basic Life Support - CPR, within 14 - days Preferred * Associates Other ...

CommonSpirit Health

CVOR Surgical Technician

Houston, TX · On-site

$1.9K - $2.5K/wk

Certified First Assistant - Certified Surgical Technologists, upon hire or * Licensed Vocational Nurse: CA, upon hire and * Basic Life Support - CPR, within 14 - days Preferred * Associates Other ...

CommonSpirit Health

CVOR Surgical Technician

Houston, TX · On-site

$1.9K - $2.5K/wk

Certified First Assistant - Certified Surgical Technologists, upon hire or * Licensed Vocational Nurse: CA, upon hire and * Basic Life Support - CPR, within 14 - days Preferred * Associates Other ...

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Surgical First Assistant information

See Spring, TX salary details

$14

$33

$67

How much do surgical first assistant jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for surgical first assistant in Spring, TX is $33.51, according to ZipRecruiter salary data. Most workers in this role earn between $26.73 and $37.21 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 operations, requiring certification and knowledge of surgical procedures. It offers a stable job outlook with opportunities for specialization and advancement, often involving working in hospitals or surgical centers. The role demands strong communication skills, attention to detail, and the ability to work in high-pressure environments.

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 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 fields can also influence earning potential.
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Surgical First Assistant jobs near you
Infographic showing various Surgical First Assistant job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $69,692 per year, or $33.5 per hour.

McNair OR Surgical Technician

Baylor St. Luke's Medical Center

Houston, TX • On-site

$34 - $50.58/hr

Other

Re-posted 3 days ago

Job description

Where You'll Work
Baylor St. Luke's Medical Center is an 1,045 bed facility located in the Texas medical center. A joint venture with Baylor College of Medicine, Baylor St. Luke's is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more. The hospital is home to the Dan L Duncan Comprehensive Cancer Center, a nationally-accredited and NCI-designated comprehensive cancer center. Our new McNair Campus is designed around the human experience-modeled on evidence-based practices for the safety of patients, visitors, staff, and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care, research, and education.
Job Summary and Responsibilities
As our Surgical Tech, you will help prepare the operating room and surgical team so they can successfully perform a variety of surgical procedures for patients.
Every day you will set up surgical equipment and instruments, assist the surgical team, and ensure a sterile environment. You will be expected to adapt quickly, collaborate effectively within the OR team, and contribute directly to the patient's healing process.
To be successful in this role, you must possess adaptability, a strong team-player mindset, and enthusiasm for supporting complex surgical procedures.
  • Demonstrates superior knowledge and practice in the first scrub role
  • Understands supply costs and independently Works with team to assure that quality of care is maintained while cost containment is considered
  • Demonstrates superior knowledge of the varied surgical equipment and advanced surgical instrumentation. Assures appropriate equipment and supplies are available for each procedure
  • Assists in communication with Biomedical Services on the status of equipment needing repair or maintenance
  • Educates staff in the care of instrumentation and equipment

Job Requirements
Required
  • High School Graduate General Studies, upon hire or
  • High School GED General Studies, upon hire
  • Certified Surgical Technologist, upon hire or
  • Technologist in Surgery-Certified, upon hire or
  • Certified First Assistant - Certified Surgical Technologists, upon hire or
  • Licensed Vocational Nurse: CA, upon hire and
  • Basic Life Support - CPR, within 14 - days

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