Who Earns What

How much does a surgical assistant make?

US Surgical Assistants
$66,800

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 know
This job$66,800
Typical worker$50,980
Elementary teacher$63,970
Doctor$244,180
Cashier$32,880

If 100 people had this job

Most earn between $39,690 and $107,610
52 of 100
more than half

How 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
Whole US$66,800
Tennessee$81,640
Illinois$80,210
Virginia$78,910
Wisconsin$78,030
Ohio$77,450
Indiana$56,620
Michigan$56,430
Georgia$49,520

Top 5 and bottom 3 states, typical (median) yearly pay.

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Who earns more?
Data table and sources
Surgical assistant pay in the United States (May 2025, median and spread) — Data: US BLS OEWS, May 2025
Lower earner (10th from bottom)Typical person (median)Higher earner (10th from top)People in this job
$39,690$66,800$107,610about 22,000
States where surgical assistants earn the most (median, May 2025)
StateTypical person (median)People in this job
Tennessee$81,640about 750
Illinois$80,210about 2,000
Virginia$78,910about 1,000
Wisconsin$78,030about 810
Ohio$77,450about 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

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Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY