How much does a surgical assistant make?
a year · about $32 an hour
A typical surgical assistant in the United States makes $66,800 a year, about $32 an hour, about the same as a typical US worker (median, May 2025, US Bureau of Labor Statistics).
What do they do?
Before surgery, they check the patient and supplies and help keep the operating area sterile. During the operation, they pass tools, hold tissue aside, help stop bleeding, and close the cut.
Did you know? A U.S. CSFA certification test lasts four hours and has 175 multiple-choice questions—but only 150 count toward the score.
Is that a lot?
Compared with jobs you knowIf 100 people had this job
Most earn between $39,690 and $107,610How do you become one?
After high school, complete postsecondary training; the CSFA route requires graduating from a CAAHEP-accredited surgical first assistant program and passing its exam. Some states regulate this work, so check your state's rules.
School needed: Vocational school or a few years' experience
Good for people who like building and doing and keeping things organized
Why does pay differ?
In the United States, surgical assistants with more experience or sought-after credentials may earn more; pay also differs by location and employer type. BLS shows different pay patterns across outpatient centers, hospitals, and medical or dental offices.
Where does it pay most?
Highest in Tennessee ($81,640), lowest in Georgia ($49,520).
See every state
Top 5 and bottom 3 states, typical (median) yearly pay.
Jobs like this
Data table and sources
| Lower earner (10th from bottom) | Typical person (median) | Higher earner (10th from top) | People in this job |
|---|---|---|---|
| $39,690 | $66,800 | $107,610 | about 22,000 |
| State | Typical person (median) | People in this job |
|---|---|---|
| Tennessee | $81,640 | about 750 |
| Illinois | $80,210 | about 2,000 |
| Virginia | $78,910 | about 1,000 |
| Wisconsin | $78,030 | about 810 |
| Ohio | $77,450 | about 970 |
Official definition: Assist in operations, under the supervision of surgeons. May, in accordance with state laws, help surgeons to make incisions and close surgical sites, manipulate or remove tissues, implant surgical devices or drains, suction the surgical site, place catheters, clamp or cauterize vessels or tissue, and apply dressings to surgical site. Excludes “Registered Nurses” (29-1141) and “Surgical Technologists” (29-2055).
Source: US Bureau of Labor Statistics, OEWS May 2025 (bls.gov); descriptions and related jobs from O*NET 31.0. Figures as of May 2025, full-time yearly pay (hourly × 2,080 hours). bls.gov/oes · O*NET OnLine
Pages used for the text
- www.bls.gov/ooh/healthcare/surgical-technologists.htm
- www.onetonline.org/link/details/29-9093.00
- www.nbstsa.org/csfa-eligibility
- www.nbstsa.org/csfa-certification
- www.bls.gov/careeroutlook/2015/article/wage-differences.htm
Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY