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As of August 01, 2026, the average salary for a Certified Surgical First Assistant in Texas is $62,300 per year, which breaks down to an hourly rate of $30.
However, a Certified Surgical First Assistant's salary can vary significantly. Here’s a look at the typical salary range:
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Certified Surgical First Assistant Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
| 75th Percentile | $70,100 | $5,842 | $1,348 | $34 |
| Average | $62,300 | $5,192 | $1,198 | $30 |
| 25th Percentile | $54,900 | $4,575 | $1,056 | $26 |
Ascension - Austin, TX
Tenet Healthcare - New Braunfels, TX
Addison Kenway & Associates LLC - Dallas, TX
Tenet Healthcare - El Paso, TX
A Certified Surgical First Assistant's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, and company size can directly affect your earning potential.
Experience is a primary driver of a Certified Surgical First Assistant's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Levels | Salary |
|---|---|
| Entry Level Certified Surgical First Assistant | $59,828 |
| Intermediate Level Certified Surgical First Assistant | $60,374 |
| Senior Level Certified Surgical First Assistant | $61,139 |
| Specialist Level Certified Surgical First Assistant | $62,466 |
| Expert Level Certified Surgical First Assistant | $64,825 |
What Am I Worth?
Your salary can change significantly depending on where you work. States with a higher cost of living and strong industrial sectors often pay more to attract Certified Surgical First Assistants. For example, consider the average annual salaries in these key locations:
Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:
Certified Surgical First Assistant salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $66,083. While startup companies pay approximate $56,312.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $56,312 |
| Growth Stage | 51~500 | $59,445 |
| Established | 501~5000 | $63,922 |
| Enterprise | 5000+ | $66,083 |
For Certified Surgical First Assistant roles, the industry you choose can impact your earning potential by as much as 20% (the gap between the highest and lowest paying industries). Data shows that the highest-paying industry, Healthcare, offers compensation 10% above the average. Conversely, Certified Surgical First Assistant positions in Edu., Gov't. & Nonprofit typically offer lower base pay, as this sector often view Certified Surgical First Assistant as a support function rather than a direct revenue driver.
| Industry Sector | Average Annual Salary | Average Hourly Rate | Pay vs.Avg |
|---|---|---|---|
| Healthcare | $68,530 | $33.0 | 10% |
Understanding how a Certified Surgical First Assistant's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $70,100 | $5,842 | $1,348 | $34 |
| Average | $62,300 | $5,192 | $1,198 | $30 |
| 25th Percentile | $54,900 | $4,575 | $1,056 | $26 |
Promotions are the fastest way to increase your earnings. As a Certified Surgical First Assistant, you have the following paths for advancement. The table below compares the salary raises for common next-step roles. By comparing these figures, you can choose the career path that best meets your financial goals.
| Next Step Role | Estimate Salary | Projected Raise |
|---|---|---|
| Surgical Technician | $53,200 | -15% |
| Anesthesia Equipment Technician | $47,300 | -24% |
| Perioperative Tech | $41,500 | -33% |
Ready to take the next step in your career? Browse thousands of current Certified Surgical First Assistant job openings on our job board. Use the search bar below to find your perfect match.
Baylor University Medical Center
College Station, TX
Baylor University Medical Center | College Station, TX
Surgical Tech First Assistant. Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott an... more
8 Days Ago
Avant First Assistants, LLC
Houston, TX
Avant First Assistants, LLC | Houston, TX
Orthopedic Surgical First Assistant. At Avant First Assistants, LLC, you will play a critical role as an Orthopedic Surgical First Assistant, providing adv... more
11 Days Ago
Tenet Healthcare
Brownsville, TX
Tenet Healthcare | Brownsville, TX
Job Description. This position may qualify for a sign-on bonus. Full Time, Days. The surgical technologist first assistant, under the direction and supervi... more
11 Days Ago
Tenet Healthcare
San Antonio, TX
Tenet Healthcare | San Antonio, TX
Job Description. Assist the operating surgeon in the care of patient in surgery by performing selected duties. Provides direct and indirect technical care ... more
11 Days Ago
ChristusHealth.
Beaumont, TX
ChristusHealth. | Beaumont, TX
Description Summary: As defined by the American College of Surgeons (ACS), surgical assistants provide aid in exposure, hemostasis, closure, and other intr... more
7 Days Ago
ChristusHealth.
San Antonio, TX
ChristusHealth. | San Antonio, TX
Description Summary: As defined by the American College of Surgeons (ACS), surgical assistants provide aid in exposure, hemostasis, closure, and other intr... more
7 Days Ago
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