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Surgical Tech First Assistant Jobs in Texas (NOW HIRING)

Valley Baptist - Brownsville

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care. Responsible for ensuring appropriate equipment is available; reviewing ...

Valley Baptist - Brownsville

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care. Responsible for ensuring appropriate equipment is available; reviewing ...

Tenet Health

Surgical Tech First Assistant

Brownsville, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care. Responsibilities Responsible for ensuring appropriate equipment is ...

Valley Baptist - Brownsville

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care. Responsible for ensuring appropriate equipment is available; reviewing ...

Tenet Health

Surgical Tech First Assistant

Brownsville, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care. Embark on a rewarding career with Valley Baptist - Brownsville hospital.

Tenet Health

Surgical Tech First Assistant

Brownsville, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care. Embark on a rewarding career with Valley Baptist - Brownsville hospital.

Netpace

Certified Surg Tech - First Assist

Austin, TX · On-site

  • Medical

  • Retirement

  • PTO

Certified Surg Tech Specialty: First Assist Job Type: Permanent Minimum Guaranteed Hours: 36 JOB SUMMARY The Surgical Tech First Assistant works in a dual role as a Certified Surgical Technologist ...

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Surgical Tech First Assistant information

See Texas salary details

$12

$25

$58

How much do surgical tech first assistant jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for surgical tech first assistant in Texas is $25.59, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $27.98 per hour, depending on experience, location, and employer.

What is a surgical tech first assistant?

A Surgical Tech First Assistant, also known as a Surgical First Assistant or Surgical Assistant, is a highly skilled professional who works closely with surgeons during surgical procedures. Their main responsibilities include helping to control bleeding, closing incisions, handling tissues, and providing other critical support to ensure the operation goes smoothly. They may also be involved in preoperative and postoperative care. Surgical Tech First Assistants must have advanced training beyond that of a standard surgical technologist, often including certification and hands-on clinical experience.

What are the key skills and qualifications needed to thrive as a surgical tech first assistant?

To thrive as a Surgical Tech First Assistant, you need a solid background in surgical procedures, anatomy, and sterile technique, typically supported by completion of an accredited surgical assisting program and certification (such as CSFA or CFA). Familiarity with surgical instruments, operating room protocols, and electronic documentation systems is essential. Strong attention to detail, teamwork, and effective communication are crucial soft skills in this role. These competencies are vital to ensure patient safety, support surgeons efficiently, and maintain smooth surgical workflows.

What are some of the most common challenges faced by surgical tech first assistants in the operating room?

Surgical Tech First Assistants often encounter challenges such as adapting quickly to unexpected changes during procedures, maintaining sterile technique under pressure, and effectively anticipating the needs of the surgical team. They must also manage the demands of long surgeries and periods of standing, while ensuring clear communication with surgeons, nurses, and anesthesiologists. Successfully navigating these challenges requires strong organizational skills, adaptability, and a collaborative mindset to ensure patient safety and optimal surgical outcomes.

What is the difference between Surgical Tech First Assistant vs Surgical Technologist?

AspectSurgical Tech First AssistantSurgical Technologist
CredentialsCertified Surgical First Assistant (CSFA), additional trainingCertified Surgical Technologist (CST)
Work EnvironmentAssist surgeons directly during procedures, operating roomsPrepare operating rooms, sterilize equipment, assist in setup
Employer & IndustryHospitals, surgical centers, outpatient clinicsHospitals, outpatient surgical facilities, clinics

The Surgical Tech First Assistant works closely with surgeons during procedures, providing direct assistance, while Surgical Technologists prepare the operating room and support the surgical team. Both roles require certification, but the First Assistant has additional training to perform more advanced tasks during surgery.

What cities in Texas are hiring for Surgical Tech First Assistant jobs?

Cities in Texas with the most Surgical Tech First Assistant job openings:

Surgical Tech First Assistant jobs near you
Infographic showing various Surgical Tech First Assistant job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $53,218 per year, or $25.6 per hour.

Surgical Tech First Assistant

Valley Baptist - Brownsville

Olmito, TX

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

This position may qualify for a sign-on bonus.
Full Time, Days
The surgical technologist first assistant, under the direction and supervision of the surgeon, provides aid in exposure, hemostasis, closure, and other intraoperative technical functions that are within validated skills received during approved, first assistant training course as well as those approved by applicable regulatory agencies, e.g. state and/or federal. The surgical technologist first assistant may also perform preoperative and postoperative duties to facilitate patient care.
Responsible for ensuring appropriate equipment is available; reviewing permit to confirm procedure; assist in moving and positioning patient; providing assistance throughout the procedure in a variety of surgical techniques.
Education:
Required: Graduate of a CAAHEP accredited program.
Preferred: Associate degree.
Experience:
Required: 3 years scrub and/or assisting experience.
Preferred: 5 years as surgical technician.
Certifications:
Required: AHA BLS, Surgical Technology certification, Surgical First Assistant certification, currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy.
#LI-SC1
Embark on a rewarding career with Valley Baptist - Brownsville hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.
At Valley Baptist - Brownsville, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status
We help people achieve health for life through compassionate service inspired by faith.Since the early 1920s, Valley Baptist Medical Center hospitals have been involved in the community, caring for the health and spiritual needs of people in the Rio Grande Valley. We are dedicated to continuing our strong tradition of providing quality, compassionate healthcare that puts people first. Our mission is to serve, heal and educate with concern for the whole patient, an understanding of the economic environment and a relentless commitment to quality. Join our team!

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