Surgical First Assistant Jobs

Surgical First Assistant jobs are open across hospitals, ambulatory surgery centers, and specialty surgical practices, from new-grad to senior levels, with specializations in orthopedic, cardiovascular, and neurosurgical procedures. Find a role that fits from the openings below and apply directly.

Find Surgical First Assistant Jobs

Overview

Open roles52+
Top stateTennessee
Top employerAscension
Top cityNashville, TN
Work type100% On-site
Top industryHealthcare

Showing 5 of 52+ Surgical First Assistant jobs

UF Health
Surgical First Assistant
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UF Health
Added 1d ago
Surgical First Assistant
UF Health
Leesburg, Florida
Nursing
Healthcare Administration
Patient Services & Wellbeing
On-Site
High School
10,000+

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University of Kentucky
Surgical First Assistant
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University of Kentucky
Added 6d ago
Surgical First Assistant
University of Kentucky
Lexington, Kentucky
Nursing
Healthcare Administration
Patient Services & Wellbeing
$30 - $53/hr
On-Site
High School
10,000+

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CHRISTUS Health
Surgical First Assistant
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CHRISTUS Health
Added 1w ago
Surgical First Assistant
CHRISTUS Health
Alamogordo, New Mexico
Nursing
Healthcare Administration
Patient Services & Wellbeing
On-Site
High School
10,000+

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CHRISTUS Health
Surgical First Assistant Lead
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CHRISTUS Health
Added 1w ago
Surgical First Assistant Lead
CHRISTUS Health
Alexandria, Louisiana
Nursing
Medical Specialists
Healthcare Administration
Surgeons
On-Site
High School
10,000+

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Olmsted Medical Center
Certified Surgical First Assistant
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Olmsted Medical Center
Added 1w ago
Certified Surgical First Assistant
Olmsted Medical Center
Rochester, Minnesota
Nursing
Allied Health
Healthcare Administration
Patient Services & Wellbeing
$37 - $55/hr
On-Site
Other
1,001-5,000

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Surgical First Assistant Job Market

A snapshot from current openings nationwide, updated as new roles post.

Who's Hiring

  • Ascension
    Ascension10
  • CHRISTUS Health
    CHRISTUS Health5
  • Olmsted Medical Center
    Olmsted Medical Center5
  • UCHealth
    UCHealth3
  • WellSpan Health
    WellSpan Health3

Top Industries Hiring

  • Healthcare & Medical Services45
  • Consulting & Professional Services2
  • Education2
  • Technology & Software1

What Employers Look For

The qualifications that appear most often in surgical first assistant jobs.

  • Current CNFA or CSFA certification from a nationally recognized credentialing body
  • Minimum two years of first-assist experience in an operating room setting
  • Proficiency in open, laparoscopic, and robotic-assisted surgical procedures
  • BLS and ACLS certification current at time of hire
  • Completion of an accredited surgical first assistant or surgical technology program
  • Familiarity with sterile field management, instrumentation, and surgical site preparation

Tips for Your Surgical First Assistant Job Search

List every procedure you've scrubbed

Hiring managers scan for specific case volume, not just credentials. List orthopedic, laparoscopic, or cardiovascular procedures you've assisted with and note case counts where your memory allows. Generic 'surgical experience' won't stand out.

Verify your CNFA or CSFA is current

Many job postings filter out applicants whose certification has lapsed. Double-check your CNFA or CSFA renewal date before you apply, and if it's within three months of expiring, renew it first so you don't stall an offer.

Target ASC openings alongside hospital postings

Ambulatory surgery centers hire surgical first assistants steadily and often move faster from interview to offer than large hospital systems. Search specifically for ASC and outpatient surgical center postings so you don't miss that segment of openings.

Apply early to roles that fit

Migrate Mate lists surgical first assistant openings from across the United States in one place, so you can find roles that match your specialty and apply directly to each listing without jumping between multiple sites.

Prepare for a practical skills interview

Many surgical facilities add a clinical or scenario-based round after the initial HR screen. Practice walking through your first-assist protocol for a common case type, your response to surgical complications, and your sterile technique decisions out loud before that stage.

Negotiate start date around credentialing timelines

Hospital privilege credentialing can take four to eight weeks after an offer. Ask the hiring coordinator about their credentialing timeline before you accept so your start date is realistic and you don't jeopardize your current position by leaving too early.

Surgical First Assistant Jobs: Frequently Asked Questions

Which companies are hiring the most surgical first assistants?

The companies hiring the most surgical first assistants right now include Ascension, CHRISTUS Health, and Olmsted Medical Center, with the largest share of openings in Tennessee, Louisiana, and Minnesota, based on current listings on Migrate Mate as of June 2026. Health systems and large ambulatory surgery center networks consistently post the highest volume of openings.

How many surgical first assistant jobs are remote?

About 0% of surgical first assistant openings are fully remote or hybrid as of June 2026, reflecting the hands-on nature of most surgical roles. The sub-areas most likely to offer remote or hybrid arrangements include surgical education, clinical training coordination, and surgical sales support roles that carry a first-assist background requirement.

How do you become a surgical first assistant?

You become a surgical first assistant by completing an accredited surgical technology or surgical first assistant program, accumulating clinical hours in an operating room, and then earning your CNFA or CSFA certification through a recognized credentialing body. Many candidates start as surgical technologists, build case volume across specialties, and then complete a formal first-assist training program before sitting for certification.

How do you get hired as a surgical first assistant with little experience?

Getting hired with limited experience means leading with your certification, case-type exposure during training rotations, and any scrub-tech experience you can document with procedure specifics. Target smaller ambulatory surgery centers and specialty clinics, which are more likely to invest in developing newer first assistants than large hospital systems. Emphasizing your training in a high-demand specialty like orthopedics or general surgery also strengthens your candidacy early on.

What does the surgical first assistant interview process look like?

The surgical first assistant interview process typically starts with a phone screen by a recruiter or nurse manager, followed by an in-person or video interview with the surgical services director or lead surgeon. Many facilities include a clinical scenario round where you walk through your first-assist decisions for a specific case type. A credential and reference check, and sometimes a tour of the OR suite, usually complete the process before an offer is extended.

Where can I find and apply to surgical first assistant jobs?

You can find and apply to surgical first assistant jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that match your specialty and experience level, then apply directly to each listing. No detours to external sites are needed.

See All 52+ Surgical First Assistant Jobs

Jump back to the full list of openings and apply to any surgical first assistant role that fits.

Find Surgical First Assistant Jobs