Surgical Assistants and Technologists

Surgical assistants and technologists help with surgical operations. Surgical assistants, also called surgical first assistants, help surgeons with tasks such as making incisions, placing clamps, and closing surgical sites. Surgical technologists, also called operating room technicians, prepare operating rooms, arrange equipment, and help doctors and first assistants during surgeries.

Duties

Surgical technologists typically do the following:

• Prepare operating rooms for surgery
• Sterilize equipment and make sure that there are adequate supplies for surgery
• Ready patients for surgery, such as by washing and disinfecting incision sites
• Help surgeons during surgery by passing them instruments and other sterile supplies
• Count supplies, such as surgical instruments, to ensure that no foreign objects are retained in patients
• Maintain a sterile environment to prevent patient infection

Before an operation, surgical technologists prepare the operating room by setting up surgical instruments and equipment. They prepare sterile solutions and medications used in surgery and check that all surgical equipment is working properly. Surgical technologists also bring patients to the operating room and get them ready for surgery by positioning them on the table, covering them with sterile drapes, and washing and disinfecting incision sites. And they help the surgical team put on sterile gowns.

During an operation, surgical technologists pass the sterile instruments and supplies to surgeons and first assistants. They might hold retractors, hold internal organs in place during the procedure, or set up robotic surgical equipment. Technologists also may handle specimens taken for laboratory analysis.

After the operation is complete, surgical technologists may apply bandages and other dressings to the incision site. They may also transfer patients to recovery rooms and restock operating rooms after a procedure.

Surgical assistants have a hands-on role, directly assisting surgeons during a procedure. For example, they may help to suction the incision site or suture a wound.

Surgical assistants and technologists work as members of a healthcare team alongside physicians and surgeons, registered nurses, and other healthcare workers.

Surgical assistants held about 25,300 jobs in 2024. The largest employers of surgical assistants were as follows:

Surgical technologists held about 115,600 jobs in 2024. The largest employers of surgical technologists were as follows:

Ambulatory surgical centers are included in outpatient care centers.

Surgical assistants and technologists wear scrubs and sterile gowns, gloves, caps, and masks while they are in the operating room. Their work may be physically demanding, requiring them to be on their feet for long periods. Surgical technologists also may need to help move patients or lift heavy trays of medical supplies. At times, they may be exposed to communicable diseases and unpleasant sights, odors, and materials.

Injuries and Illnesses

Surgical technologists have one of the highest rates of injuries and illnesses of all occupations. Injuries may occur due to incidents such as slips, falls, and overexertion. Workers reduce the risk of injury by following safety procedures and practices, such as using proper lifting technique and wearing shoes with slip-resistant soles.

Work Schedules

Most surgical assistants and technologists work full time. Surgical assistants and technologists employed in hospitals may work or be on call during nights, weekends, and holidays. They may also be required to work shifts lasting longer than 8 hours.

Surgical assistants and technologists typically need a certificate or an associate’s degree. Employers may require or prefer that workers have certification. Some states regulate these workers. 

The median annual wage for surgical assistants was $60,290 in May 2024.

The median annual wage for surgical technologists was $62,830 in May 2024.

Overall employment of surgical assistants and technologists is projected to grow 5 percent from 2024 to 2034, faster than the average for all occupations.

About 8,700 openings for surgical assistants and technologists are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.