1

Surgical Tech First Assistant Jobs in Texas (NOW HIRING)

Surgical First Assist

San Antonio, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

He/she performs responsibilities of both the Surgical Technologist and the Surgical First Assistant based on department needs and as directed by the unit director or designee. The Surgical First ...

Surgical First Assist

San Antonio, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

He/she performs responsibilities of both the Surgical Technologist and the Surgical First Assistant based on department needs and as directed by the unit director or designee. The Surgical First ...

Surgical First Assist

Cibolo, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

He/she performs responsibilities of both the Surgical Technologist and the Surgical First Assistant based on department needs and as directed by the unit director or designee. The Surgical First ...

Surgical Technician

San Antonio, TX

$23.50 - $53/hr

  • Retirement

Salary Ranges Surgical Tech I (0+ yrs) Surgical Tech II (2+ yrs) Surgical Tech III (3+ yrs) Surgical Tech First Assistant (CSA, CFSA, or SA-C is Required) $23.50 - $38.50 $25.50 - $41.50 $26.50 - $43 ...

Surgical Technician

San Antonio, TX · On-site

$23.50 - $53/hr

  • Retirement

Salary Ranges Surgical Tech I (0+ yrs) Surgical Tech II (2+ yrs) Surgical Tech III (3+ yrs) Surgical Tech First Assistant (CSA, CFSA, or SA-C is Required) $23.50 - $38.50 $25.50 - $41.50 $26.50 - $43 ...

Surgical First Assist

New Braunfels, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

He/she performs responsibilities of both the Surgical Technologist and the Surgical First Assistant based on department needs and as directed by the unit director or designee. The Surgical First ...

Salary Ranges Surgical Tech I (0+ yrs) Surgical Tech II (2+ yrs) Surgical Tech III (3+ yrs) Surgical Tech First Assistant (CSA, CFSA, or SA-C is Required) $23.50 - $38.50 $25.50 - $41.50 $26.50 - $43 ...

Salary Ranges Surgical Tech I (0+ yrs) Surgical Tech II (2+ yrs) Surgical Tech III (3+ yrs) Surgical Tech First Assistant (CSA, CFSA, or SA-C is Required) $23.50 - $38.50 $25.50 - $41.50 $26.50 - $43 ...

Showing results 41-60

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:

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 Assit

HCA Florida University Hospital

Pasadena, TX • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


HCA Florida Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 483 frontline employees who took The Breakroom Quiz

669th of 888 rated healthcare providers


Job description

Surgical Tech First Assistant

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Surgical Tech First Assistant with HCA Houston Healthcare Southeast you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

Provides direct patient care to infant through geriatric patient. Addresses the physical and general aspects of care related to the surgical environment. Communicates with surgeon continuously as needed about the patient's condition. Assist surgeon during operative and invasive procedures providing aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. In addition to intraoperative duties, the surgical assistant also performs preoperative and postoperative duties to better facilitate proper patient care. The surgical assistant performs these functions during the procedure under the direction and supervision of the surgeon and in accordance with hospital policy and appropriate laws and regulations. Participates in performance improvement activities.

What You Will Do In This Role:
  • Strives to meet expectations/needs of customers; responds to concerns with sense of urgency; seeks win-win solutions for unreasonable patient/customer expectations.
  • Seeks opportunities for improvement; prevents small problems from becoming large ones; pays attention to detail; follows instructions and protocol/procedures; adheres to company Standards of Behavior; maintains integrity in all aspects of his/her work.
  • Builds effective working relationships; finds and provides information to clarify situations; expands on original ideas; contributes own ideas; places high priority on other team members goals; gains team agreement to support ideas; clearly explains rationale behind ideas/goals; demonstrates sensitivity to differing cultural views and needs; meets attendance and punctuality requirements.
  • Seeks to understand changes in work tasks/processes; actively seeks information about new tasks/processes; treats change and new tasks/processes as opportunities for learning and personal growth; speaks positively about changes to others; quickly modifies behavior to deal effectively with change.
  • Demonstrates knowledge and application of the surgical process.
  • Functions in collaboration with and at the direction of the surgeon being assisted.
  • Serves as the patient and family advocate with respect to the patient's right to privacy by protecting confidential information.
  • Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
  • Demonstrates knowledge of the occurrence reporting system; uses system to report potential patient safety issues.
  • Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patient's care which results in patient harm.
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
  • Certificate, or Associate Degree

No Travel Required

No experience Required Years of Experience

Benefits

HCA Houston Healthcare Southeast, 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.

HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas. We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered nurses and expert technicians, the community has come to rely on us for top-quality, comprehensive and compassionate healthcare. HCA Houston Southeast is the only hospital in Pasadena with both Chest Pain Center Accreditation with Primary PCI and Resuscitation by the American College of Cardiology and full accreditation by The Joint Commission on the Accreditation of Healthcare Organizations. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Surgical Tech First Assit opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

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 HCA Florida Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom