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Surgical First Assistant Jobs (NOW HIRING)

Inova

Surgical First Assistant

Alexandria, VA · On-site

$48.51 - $79.07/hr

Inova Alexandria Hospital is looking for a dedicated Surgical First Assist to join the team! Full-time (40 hrs/week) Day Shift: Monday-Friday, either two shifts-7:00am-3:00pm and two shifts-7:00am-7 ...

LifeCenter Northwest

Surgical First Assist

Bellevue, WA

$99K - $148K/yr

The Surgical First Assist (SFA) is accountable for all activities related to the surgical recovery and safe preservation of organs from donors. SFA's wear many different 'Scrub-Hats' in the delicate ...

Inova

Surgical First Assistant

Alexandria, VA

Inova Alexandria Hospital is looking for a dedicated Surgical First Assist to join the team! Full-time (40 hrs/week) Day Shift: Monday-Friday, either two shifts-7:00am-3:00pm and two shifts-7:00am-7 ...

Insight

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 ...

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How much do surgical first assistant jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for surgical first assistant in the United States is $37.65, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $41.83 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 cities are hiring for Surgical First Assistant jobs? Cities with the most Surgical First Assistant job openings:
Who are the top companies hiring for Surgical First Assistant jobs? The top employers for Surgical First Assistant jobs are:
What states have the most Surgical First Assistant jobs? States with the most job openings for Surgical First Assistant jobs include:
What job categories do people searching Surgical First Assistant jobs look for? The top searched job categories for Surgical First Assistant jobs are:
Surgical First Assistant jobs near you
Infographic showing various Surgical First Assistant job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $78,315 per year, or $37.7 per hour.
Surgical First Assistant

Surgical First Assistant

TriStar Centennial Medical Center

Franklin, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

TriStar Health rating

6.8

Company rating: 6.8 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

Job description

Surgical First Assistant- FT Days

Do you want to join an organization that invests in you as a(an) Surgical First Assistant? At TriStar Centennial Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

What qualifications you will need:


  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • (CSA) Certified Surgical Assistant, or (CSFA) Certified Surgical First Assistant, or (SA-C) Surgical Assistant Certified, or (SA) Surgical Assistant must be obtained within 60 days of employment start date

No Travel Required

No experience Required Years of Experience

Benefits

TriStar Centennial Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

TriStar Centennial Medical Center is a 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include heart and vascular and imaging. These also include neurosciences, oncology, orthopedics, pediatrics, rehabilitation, sleep disorder, and women's services. We are an affiliate of TriStar Health. TriStar Centennial Medical Center is a 43-acre campus. We are home to TriStar Centennial Heart & Vascular Center. We are home to TriStar Centennial Women's Hospital. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Surgical First Assistant opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

What TriStar Health employees say

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Hours and flexibility

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