Surgical assistants: Salary, Job Outlook, Education and Career Path

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.

Short answer: Surgical assistants earn a national median annual wage of $66,800 (BLS, May 2025). Employment is projected to change +6.1% from 2025 to 2035 (all occupations: +3.5%), with about 1,400 openings per year. The typical entry credential is postsecondary nondegree award.

Median annual wage
$66,800
May 2025 Verified data
Projected change
+6.1%
2025 to 2035 Official projection
Openings per year
1,400
Average, 2025 to 2035 Official projection
Employment
22,270
OEWS, May 2025 Verified data

Surgical assistants salary

$0$50K$100KUnited States$66,800
National annual wages for surgical assistants, May 2025: 10th percentile $39,690, 25th $50,170, median $66,800, 75th $88,010, 90th $107,610. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$39,690$19.08
Median (50th percentile)$66,800$32.11
Mean (average)$72,710$34.96
90th percentile$107,610$51.74

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Surgical assistants pay by state and metro area

$30.2K$123K
Median annual wage for surgical assistants by state, May 2025. Highest: District of Columbia at $123,390. States in gray have no published estimate.
Table: median wage and employment for all 45 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$41,710$31,280$47,4604701.55
Alaska$61,210$43,140$78,000601.19
Arizona$111,170$48,100$164,090
Arkansas$49,600$35,310$110,160800.43
California$62,540$56,100$72,0301,2100.47
Colorado$107,440$76,330$125,260
Connecticut$67,580$40,810$107,6903201.32
District of Columbia$123,390$59,030$145,780900.89
Florida$62,550$41,100$130,0301,2600.89
Georgia$49,520$37,820$109,5308401.21
Hawaii$54,190$52,160$122,300700.83
Idaho$56,460$43,000$63,990
Illinois$80,210$64,220$83,7402,3002.63
Indiana$56,620$39,320$97,3806901.51
Iowa$66,030$49,330$102,420300.15
Kansas$57,810$35,930$78,7601800.88
Kentucky$84,600$47,470$154,1004801.69
Maryland$58,130$49,310$112,5406701.69
Massachusetts$56,430$36,340$62,060
Michigan$56,430$37,460$89,1305600.89
Minnesota$75,950$62,110$110,3003600.86
Mississippi$50,810$39,910$69,1601200.7
Missouri$49,400$37,540$93,0605101.22
Montana$67,370$54,800$99,0601001.31
Nebraska$53,190$40,460$82,780800.56
Nevada$100,820$48,980$114,3802301.03
New Hampshire$77,670$50,170$165,1101301.37
New Jersey$90,710$44,770$146,780
New Mexico$62,010$45,380$82,7301301.06
New York$60,070$47,900$94,2304700.34
North Carolina$59,920$39,700$74,9006700.95
Ohio$77,450$39,380$106,1509701.21
Oklahoma$40,160$37,250$84,2002200.9
Oregon$80,450$61,960$127,0102200.77
Pennsylvania$60,550$43,080$107,7502400.28
Puerto Rico$30,160$21,840$31,630900.69
Rhode Island$61,900$61,900$97,180
South Carolina$85,580$40,510$133,3804801.45
Tennessee$81,640$59,370$102,3507501.6
Texas$64,930$36,750$102,8902,8401.41
Utah$44,990$36,320$62,5702901.16
Virginia$78,910$47,760$127,1401,0001.69
Washington$65,440$41,740$102,6001000.2
West Virginia$50,870$38,750$101,8602802.74
Wisconsin$78,030$47,460$99,9508101.93

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

Chicago-Naperville-Elgin, IL-IN2,090
Washington-Arlington-Alexandria, DC-VA-MD-WV680
Dallas-Fort Worth-Arlington, TX490
Boston-Cambridge-Newton, MA-NH430
Milwaukee-Waukesha, WI420
Atlanta-Sandy Springs-Roswell, GA370
Detroit-Warren-Dearborn, MI350
Nashville-Davidson--Murfreesboro--Franklin, TN340
Richmond, VA340
Miami-Fort Lauderdale-West Palm Beach, FL290

Highest paying metro areas

Florence, SC$133,380
Cincinnati, OH-KY-IN$102,730
Lexington-Fayette, KY$102,330
Las Vegas-Henderson-North Las Vegas, NV$100,820
Virginia Beach-Chesapeake-Norfolk, VA-NC$99,530
Austin-Round Rock-San Marcos, TX$93,380
Dallas-Fort Worth-Arlington, TX$87,080
Nashville-Davidson--Murfreesboro--Franklin, TN$87,080
Portland-Vancouver-Hillsboro, OR-WA$86,890
Milwaukee-Waukesha, WI$81,690
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for surgical assistants

2025 (actual)24,4002035 (projected)25,900
BLS projects employment of surgical assistants to go from 24,400 in 2025 to 25,900 in 2035, a change of +6.1% (+1,500 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 1,400. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Share of workers who are self-employed (2025): 8.1%.
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for surgical assistants

Typical entry education
Postsecondary nondegree award
Related work experience
None
On-the-job training
None
O*NET Job Zone
Job Zone Three: Medium Preparation Needed

Highest education of people working in this occupation

Less than high school1.1%
High school diploma6.5%
Some college, no degree10.5%
Associate's degree8.7%
Bachelor's degree32%
Master's degree34.2%
Doctoral or professional7.2%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is a master's degree (34.2%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

Active Listening4.0
Speaking3.8
Reading Comprehension3.6
Critical Thinking3.6
Monitoring3.6
Writing3.1
Learning Strategies3.1
Active Learning3.0
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Medicine and Dentistry4.2
Education and Training3.9
Public Safety and Security3.3
English Language3.2
Biology3.1
Customer and Personal Service3.0
Computers and Electronics2.9
Engineering and Technology2.9
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Monitor and maintain aseptic technique throughout procedures.
  • Maintain an unobstructed operative field, using surgical retractors, sponges, or suctioning and irrigating equipment.
  • Pass instruments or supplies to surgeon during procedure.
  • Assist with patient resuscitation during cardiac arrest or other life-threatening events.
  • Verify the identity of patient or operative site.
  • Obtain or inspect sterile or non-sterile surgical equipment, instruments, or supplies.
  • Assist members of surgical team with gowning or gloving.
  • Cover patients with surgical drapes to create and maintain a sterile operative field.

Technology skills

  • MEDITECH software (hot technology)
  • Microsoft Excel (hot technology)
  • Microsoft Office software (hot technology)
  • Microsoft PowerPoint (hot technology)
  • Electronic medical record EMR software
  • Nursing documentation software
  • Patient scheduling software
  • Patient tracking software
  • Supply documentation software
  • Surgery workflow communication software

Transferable skills for career changers: Coordination, Service Orientation, Complex Problem Solving, Operations Monitoring, Social Perceptiveness, Judgment and Decision Making.

Common job titles: Certified Surgical Technician (Certified Surgical Tech), CRNFA (Certified Registered Nurse First Assistant), CSA (Certified Surgical Assistant), CSFA (Certified Surgical First Assistant), GI Technician (Gastrointestinal Technician), RNFA (Registered Nurse First Assistant), Scrub Technician (Scrub Tech), Surgical First Assistant, Surgical Scrub Technician (Surgical Scrub Tech), Surgical Technician (Surgical Tech).

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do surgical assistants make?

The national median annual wage for surgical assistants was $66,800 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $39,690 and the highest paid 10 percent earned more than $107,610. These figures cover all workers in the occupation, not only new entrants.

What education do surgical assistants need?

BLS lists postsecondary nondegree award as the typical education needed to enter this occupation, with none of related work experience and none on-the-job training typically needed to become competent.

Is surgical assistants a growing career?

BLS projects employment of surgical assistants to change +6.1% from 2025 to 2035, compared with +3.5% for all occupations. About 1,400 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay surgical assistants the most?

By median annual wage in May 2025, the highest paying states were District of Columbia ($123,390), Arizona ($111,170), Colorado ($107,440). Pay differences partly reflect differences in living costs.

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