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Surgical Assistant vs. Surgical Tech

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Although the titles of surgical technologist and surgical assistant are sometimes used interchangeably in the medical field, there are significant differences between them, as well as several alternative names for each.

Occasionally, the term surgical technician is used to denote someone who has primarily on-the-job training with little to no supplemental education, whereas a surgical technologist has earned his or her surgical technology degree from an accredited program, such as the schools featured on All Allied Health Schools.

Surgical Assistants

Surgical assistants are also members of the operating room team. These professionals can do all the work that surgical technologists do, but they often have a more hands-on role during the procedure. Surgical assistants help the surgeon with tasks such as these:

  • sponging
  • suturing
  • suctioning
  • holding retractors
  • hemostasis (staunching bleeding)
  • treating wounds

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Surgical assistants are also referred to as first assistants or non-physician surgical assistants. Some surgical assistants step into the job after earning a surgical assistant degree from a certified program, while others begin as surgical technologists and receive additional training on the job to work their way up to a first assistant position.

Once certified, a surgical assistant can become a Certified First Assistant (CFA) or Certified Surgical Assistant (CSA). Like CST and TS-C certification, the certification process for CFAs and CSAs can improve a candidate's resume and open doors for higher paying jobs.

Surgical Technologists

Surgical technologists are members of the medical teams that work in operating rooms. Their duties often include preparing the operating room for surgery, setting up the surgical instruments and equipment, maintaining sterile conditions and monitoring the patient and equipment during surgery. On occasion, they also prepare patients and transport them to and from surgery.

Surgical technologist is the proper term for these specialists, but people working in this position are also sometimes called surgical technicians, operating room technicians, surgical techs or, simply, scrubs.

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After receiving a certificate or diploma from an accredited institution, a surgical tech can take an exam to qualify as a Certified Surgical Technologist (CST) or a Tech in Surgery-Certified (TS-C), which can significantly improve earnings potential.

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According to the US Bureau of Labor Statistics, the annual salary range for a CST or TS-C in 2004—the last year this statistic was compiled—was from about $24,000 to $46,000. In 2007, the median annual salary of $37,939 was an increase of almost $4,000 from the 2004 figure.

The earnings for CSTs or TS-Cs can be as much as five dollars more per hour than for their non-certified peers. The wide salary variation within the field is based in large part on the education and experience of the worker, as well as geographical factors.

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Spotlight Schools

University of Phoenix

University of Phoenix makes quality higher education highly accessible for working students. Whether you're seeking an associate's, bachelor's, master's or doctoral degree, we can help you reach your goal--and sooner than you may think.


Colorado Technical University Online

At Colorado Technical University, we understand the importance of your goals to pursue an industry-current, college degree. We offer access to skilled professors, small class size and flexible learning programs online and on campus.


American InterContinental University Online

AIU Online offers convenient, flexible alternatives that enable you to fit a career-focused education into your current lifestyle. This is the perfect format for students looking to pursue opportunities in a competitive job market.