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Surgical First Jobs (NOW HIRING)

Covenant Health

SURGICAL FIRST ASSISTANT

Knoxville, TN · On-site

Surgical First Assistant, Operating Room $7,500 Sign-on Bonus for Experienced SFAs Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health's flagship ...

Inova

Surgical First Assistant

Alexandria, VA · On-site

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 ...

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 ...

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 jobs pay per week?

As of Aug 8, 2026, the average weekly pay for surgical first in the United States is $1,882.31, according to ZipRecruiter salary data. Most workers in this role earn between $1,403.85 and $2,307.69 per week, depending on experience, location, and employer.

What is the difference between Surgical First vs Surgical Assistant?

AspectSurgical FirstSurgical Assistant
CertificationsTypically requires surgical technician or assistant certificationsRequires surgical technician or assistant certifications
Work EnvironmentOperates in operating rooms, assisting during surgeriesWorks alongside surgeons, assisting with procedures and patient care
Job RolePrepares operating rooms, sterilizes equipment, assists during surgerySupports surgeons during procedures, manages instruments, patient positioning

Both Surgical First and Surgical Assistant roles involve assisting in the operating room and require similar certifications. However, Surgical First often focuses more on preparing the environment and sterilization, while Surgical Assistants are more involved in directly supporting surgeons during procedures. Understanding these differences helps in choosing the right career path in surgical support roles.

Is a surgical first assistant a good career?

A surgical first assistant plays a vital role in the operating room by assisting surgeons during procedures, requiring certification and strong knowledge of surgical techniques. It offers a stable career with opportunities for specialization and advancement, often with competitive salaries and the need for ongoing training. The role is suitable for individuals interested in healthcare and surgical environments.

What degree do you need to be a surgical first assist?

A surgical first assist typically needs at least an associate's or bachelor's degree in a healthcare field such as nursing, physician assistant studies, or surgical technology. Many states also require certification or licensure, such as passing the Certified Surgical First Assistant (CSFA) exam or becoming a licensed physician assistant or registered nurse with specialized training. Relevant clinical experience and knowledge of surgical procedures are also essential.
What cities are hiring for Surgical First jobs? Cities with the most Surgical First job openings:
What are the most commonly searched types of Surgical First jobs? The most popular types of Surgical First jobs are:
Surgical First jobs near you
Infographic showing various Surgical First job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $97,880 per year, or $47.1 per hour.

Surgical First Assistant

Inova Primary Care

Falls Church, VA • On-site

Part-time

Medical, Dental, Vision, PTO

Re-posted 6 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description

Inova Fairfax Hospital is looking for a dedicated Surgical First Assist to join the team! This position will be full time, days and shifts will vary based on case load. 

Inova is consistently ranked as a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 

Inova Featured Benefits:

  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities

Surgical First Assistant Job Responsibilities:

  • The Surgical First Assistant ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. 
  • Provides direction and guidance to others regarding practice, serves as a resource preceptor, and mentor. 
  • Provides safe therapeutic care by collaboration with surgeons and health care team in performing a safe operation with optimal outcomes for the patient. 
  • Utilizes standards, guidelines and pathways for care delivery. 
  • Incorporates data and information to continuously improve care and practice to enhance outcomes. 
  • Teamwork-communicates effectively and works cooperatively with others and has respect for and understanding other clinical disciplines. 
  • Serves as a resource in at least 2 specialty areas/procedures.
  • May perform additional duties as assigned.

Minimum Qualifications:

  • Education:  Completion of Surgical First Assistant program through an accredited organization; or Medical school graduate with surgical training; or completion of a surgical assistant training program during military service in the United States.
  • Experience: Minimum of 1 year of experience as a Surgical First Assistant; or 2 years of Surgical Technologist experience
  • Certification: Basic Life Support from American Heart Association required upon start.
  • License: Licensed as Surgical Assistant in the Commonwealth of Virginia required upon start

Preferred experience:

  • AAS in Surgical Assisting or Surgical Technologist
  • Experience in the areas of Robotics, GYN and OB preferred.

We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare. 

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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