Author: Keioffa CST/CSFA

Surgical Tech vs Surgical First Assistant — What’s the Difference?

If you’ve been in the OR for a minute, you’ve probably heard about surgical first assisting. Maybe you’ve seen a first assistant in the room and wondered what exactly they do differently. Or maybe you’re trying to figure out if getting your first assist certification is worth the time and money.

I’ve been both. I’ve been a surgical tech and I’m a certified surgical first assistant. So let me break this down for you in plain language — what the difference actually is, what it takes to get there, and whether it makes sense for you.

What Does a Surgical Tech Do?

As a surgical tech, your primary role is to be the scrub — you’re the one scrubbed in at the sterile field. You’re setting up the back table, passing instruments to the surgeon, anticipating what they need next, maintaining sterile technique, and keeping everything organized during the case.

It’s a highly skilled position. You have to know your anatomy, your instruments, your surgical procedures, and your sterile technique inside and out. A good surgical tech makes the surgeon’s job significantly easier and the case run smoother.

But your scope is focused on the sterile field. You’re not directly assisting with the surgery itself in terms of hands-on patient care during the procedure.

What Does a Surgical First Assistant Do?

A surgical first assistant is the surgeon’s right hand in the OR. You’re not just passing instruments — you’re actively participating in the surgery. That means:

  • Providing exposure — holding retractors, keeping the surgical site visible
  • Controlling bleeding — applying pressure, using cautery, ligating vessels
  • Suturing — closing layers of tissue at the end of a case
  • Handling tissue — cutting, dissecting, and manipulating tissue under the surgeon’s direction

You’re essentially doing everything the surgeon needs done so they can focus on the most critical parts of the procedure. It’s a much more hands-on, active role and it requires a deeper level of surgical knowledge and skill.

The Pay Difference

Yes, first assistants make more money. How much more depends on where you work and how you work.

If you’re working as a first assistant at a hospital you’ll typically make more per hour than a surgical tech. But the real money for first assistants is in private practice — working directly for a surgeon or a surgical group rather than a hospital.

A lot of first assistants in private practice work for one or two surgeons, assist on all their cases, and get paid a salary or a per-case rate. The hours are often better — no weekend call, more predictable schedule — and the pay reflects the specialized skill you’re bringing to the table.

Some first assistants also work as 1099 contractors, which gives them even more flexibility and tax advantages. You’re essentially running your own business, choosing which surgeons you work with and setting your own schedule.

What Does It Take to Become a First Assistant?

To become a certified surgical first assistant — the CSFA credential — you need to meet specific requirements. Here’s the general path:

Step 1: Become a certified surgical tech first. You need to have your CST credential before you can pursue the CSFA. So if you’re not certified yet, that’s your first step.

Step 2: Get your surgical tech experience. You need a certain number of cases and years of experience as a surgical tech before you’re eligible to sit for the first assist exam. The specific requirements can vary so check with the certifying body for the most current numbers.

Step 3: Get your first assist training. This is where it gets a little more involved. You need formal training in first assisting — either through a structured program or through documented on-the-job training under a qualified supervisor. Some surgical techs get this training through their military service, like I did. Others go through formal programs.

Step 4: Pass the CSFA exam. Once you meet the requirements you can apply to sit for the exam. It covers advanced surgical anatomy, surgical procedures, patient care, and first assisting techniques.

Is It Worth It?

For me — absolutely yes. Getting my first assist certification opened up doors that being a surgical tech alone couldn’t. More autonomy in the OR, better pay, and the ability to work in private practice settings that fit my lifestyle better.

But I want to be real with you — it’s not for everybody. If you love being the scrub and you’re happy in that role, there’s nothing wrong with that. Being an excellent surgical tech is a valuable and respected skill. You don’t have to become a first assistant just because it’s the next step on the ladder.

What I would say is this — if you’ve been a surgical tech for a few years and you’re feeling like you want more challenge, more responsibility, and more money, the CSFA is absolutely worth pursuing. It’s one of the best ways to advance your career without going back to school for nursing or another degree.

The Bottom Line

Surgical tech and surgical first assistant are both valuable roles in the OR. The tech is the master of the sterile field. The first assistant is the surgeon’s partner in the procedure. Both require skill, knowledge, and dedication.

If you’re just starting out, focus on becoming the best surgical tech you can be. Get your CST, get your experience, learn as many service lines as possible. And then when you’re ready to level up, the first assist path will be there waiting for you.

Want to learn more about advancing your surgical tech career? Head over to surgicaltechcareer.com/blog or watch the full playlist on YouTube: Keioffa’s Surgical Tech Playlist

Is Being a Surgical Tech Worth It in 2026?

Meta Description: Is being a surgical tech worth it in 2026? A 20-year veteran surgical tech and first assistant breaks down the real truth — the good, the bad, and how to make it work for you.

Target Keywords: is being a surgical tech worth it, surgical tech 2026, surgical tech career, surgical technologist worth it

Let me just be straight with you from the jump — yes, being a surgical tech is worth it in 2026. But only if you have a plan. And I mean a real plan, not just “I want to work in surgery because it sounds cool.” Because if you go into this career without a strategy, you will absolutely get caught up in everything that comes with it and wonder why you’re burned out three years in.

I’ve been a surgical tech and first assistant for 20 years. I’ve traveled, I’ve worked staff, I’ve done 1099 contracts, I’ve worked in hospitals, surgery centers, and private practices. I’ve done general surgery, ortho, labor and delivery, eye surgery, cosmetic — all of it. So when I tell you it’s worth it, I’m not just saying that. I’m saying it from experience.

But let me also tell you why it’s NOT worth it — because that part matters too.

It’s Not Worth It If You Don’t Have a Plan

Here’s what happens to a lot of surgical techs. You go to school, you get your certification, you start working, and the money feels good at first. Then life happens. You get a car note. You upgrade your apartment. You start picking up extra call shifts just to keep up with your bills. And before you know it you’re exhausted, you’re burned out, and you feel stuck because you NEED that paycheck.

That’s the trap. And it’s not unique to surgical tech — it happens in a lot of careers. But in the OR it hits different because this job is physically and mentally demanding. You’re on your feet for hours. You’re lifting heavy instrument trays. You’re dealing with high pressure situations and big personalities. If you’re doing all of that just to survive paycheck to paycheck, it’s going to wear you down fast.

The way you avoid that trap is by having a plan from day one.

What “Having a Plan” Actually Means

When I say have a plan I’m not talking about some fancy five year career roadmap. I’m talking about knowing what you’re going to DO with the money you make as a surgical tech.

Because here’s the thing — surgical tech pay is actually solid. Especially when you factor in travel contracts, shift differentials, call pay, and overtime. You can make really good money in this field. The question is what happens to that money after it hits your account.

A lot of people spend it. And I get it — when you’ve been broke and you finally start making decent money it feels good to enjoy it. But if every dollar you make goes right back out the door, you’re just running on a treadmill. You’re working hard but you’re not going anywhere.

The plan is to take some of that surgical tech income and put it to work. That could look like:

  • Investing in the stock market — even starting small with index funds or ETFs
  • Building a side business — YouTube, digital products, a service you offer online
  • Saving aggressively so you have options and don’t HAVE to take every call shift
  • Traveling as a surgical tech to dramatically increase your income for a season

When you start doing those things, the whole dynamic of your career changes. You’re not working because you have to. You’re working because it funds the life you’re building.

The Real Pros of Being a Surgical Tech in 2026

Let’s talk about what actually makes this career great right now.

Job security is real. Surgical techs are in high demand and that’s not changing anytime soon. People are always going to need surgery. You can find work in almost any city in the country. If you’re certified and you have experience, you have options.

The pay is above average. Even as a staff tech you’re making more than a lot of people with the same level of education. And if you go the travel route or pick up extra shifts, you can push well into six figures.

The work is meaningful. I know that sounds cliché but it’s true. You are literally in the room when somebody’s life is being saved or changed. That matters. Not everybody gets to say that about their job.

The schedule can work in your favor. A lot of surgical techs work three 12-hour shifts a week. That’s four days off. If you’re strategic about those four days — building a business, investing, learning new skills — you can create a whole second income stream while still working full time.

The Real Cons You Need to Know About

I’m not going to pretend this career is perfect because it’s not.

It’s physically demanding. You will be on your feet for long stretches. You will lift heavy things. Your body will feel it, especially as you get older. This is real and you need to prepare for it.

The OR culture can be rough. Some surgeons and staff communicate in ways that feel harsh or disrespectful. Not everywhere — but it happens. You have to know your worth and not let people run over you.

It’s an entry level position with a ceiling. If you want to advance in the OR without going back to school, your main option is becoming a surgical first assistant. Beyond that you’re looking at nursing or another degree program. That’s just the reality of how the career ladder is structured right now.

Burnout is real. If you’re not careful — if you’re taking every call shift, working at multiple facilities, and not taking care of yourself — this job will wear you out. The techs who last in this field are the ones who set boundaries and have something outside of work that keeps them grounded.

So Is It Worth It?

Yes. A thousand times yes — but with your eyes open.

Go in knowing what you’re signing up for. Go in with a financial plan. Go in understanding that this career is a tool, not a destination. Use the income it provides to build something bigger for yourself — investments, a business, real estate, whatever your version of freedom looks like.

The surgical techs who thrive in 2026 are the ones who treat their career like a launchpad. They show up, they do excellent work, they get paid, and then they take that money and make it work for them outside of the OR.

That’s how it becomes worth it. That’s how you go from just surviving to actually building a life.

Want more real talk about the surgical tech career? Check out more articles at surgicaltechcareer.com/blog or watch the full playlist on YouTube: Keioffa’s Surgical Tech Playlist

Is It Worth It to Be a Surgical Tech in 2026? Only If You Have a Plan

If you’re thinking about starting a surgical tech career in 2026, or you’re already in the field trying to figure out your next move, let’s talk about it for real.

Yes—it’s worth it.

However, it’s only worth it if you have a plan.

Otherwise, you can easily end up stuck in a cycle of long hours, burnout, and just getting by. And honestly, that’s not the life most people are aiming for.

Let’s Be Honest About the Surgical Tech Career in 2026

The surgical tech career in 2026 is still one of the fastest ways to get into the operating room and start making decent money without spending years in school.

That part hasn’t changed.

However, a few important things have:

  • The cost of living is higher
  • Burnout in healthcare is real
  • There are more ways than ever to make money outside of your job

Because of that, you can’t approach this career the same way people did 10–15 years ago.

Why Most Surgical Techs Feel Stuck

Over the years, I’ve noticed a pattern.

Most people enter this field without a long-term plan. As a result, they rely only on their hourly pay and hope it’s enough.

At first, it works.

But over time:

  • They start picking up extra shifts
  • They deal with workplace politics
  • They feel overworked and underpaid

Eventually, burnout kicks in.

That’s exactly what happens when you don’t treat your surgical tech career in 2026 like a strategy.

When a Surgical Tech Career Is Actually Worth It

Now let’s flip it.

A surgical tech career in 2026 becomes powerful when you use it as a tool—not your final destination.

In other words, the job should support your life, not control it.

When you think this way, you can:

  • Build income faster
  • Fund your investments
  • Create options for yourself
  • Work toward financial freedom

That’s a completely different experience.

Step 1: Shift Your Mindset About Money

Most people focus only on hourly pay.

However, the real question is:
What are you doing with the money you earn?

Because even a good paycheck won’t change your life if you’re not managing it well.

Instead, start thinking of your income as something that needs to grow—not just be spent.

Step 2: Learn to Make Your Money Work

When I first started, I didn’t have a lot of extra money.

Still, I made it a priority to learn:

  • How to invest
  • How the stock market works
  • How to grow money over time

At first, I started small. Then, over time, I became more confident.

As a result, my money started working for me instead of just sitting in a bank account.

That’s when your surgical tech career in 2026 starts to feel different.

Step 3: Increase Your Income Strategically

Next, let’s talk about income.

If you really want to maximize this career, you have to be intentional about how you earn.

Traveling Is the Fastest Way to Level Up

Travel contracts can significantly increase your income.

For example:

  • You can earn $2,000+ per week
  • That adds up to $8,000+ per month
  • Over time, that’s close to $100K per year

In addition, part of that income is tax-free through stipends.

Because of that, you’re not just making more—you’re keeping more.

Step 4: Build Something Outside the Operating Room

At the same time, don’t rely on one income stream.

This is where many people miss the opportunity.

Instead, start building something outside of work.

For example, you can:

  • Start a YouTube channel
  • Write blog posts
  • Share your experience
  • Create digital products

That’s exactly why this site exists:
👉 https://surgicaltechcareer.com/blog

Not just to work—but to build.

Start Simple (You Don’t Need Much)

The good news is you don’t need a lot to get started.

In fact, you can begin with:

  • Your phone
  • Your experience
  • A simple idea

From there, you can grow into:

  • Content creation
  • Affiliate marketing
  • Online income streams

Over time, these can turn into something real.

Helpful Tools You Can Use

If you’re looking for tools, gear, or products that can support you along the way, you can check out my recommendations here:

👉 https://www.amazion.com/shop/Keioffa

You don’t have to buy everything at once. Instead, focus on what helps you get started.

Step 5: Understand How Taxes Work

Now let’s talk about something most people overlook—taxes.

As a W-2 employee, taxes are taken out automatically. Because of that, you don’t have much control.

However, when you add a business—even a small one—you gain advantages.

For example:

  • You can write off expenses
  • You can reduce taxable income
  • You can keep more of your earnings

Because of this, your surgical tech career in 2026 becomes more efficient financially.

Step 6: Create Options to Avoid Burnout

Burnout isn’t just about working hard.

Instead, it usually comes from feeling stuck.

For example:

  • Feeling like you have no control
  • Feeling like you can’t leave
  • Feeling like this is your only option

However, when you:

  • Increase your income
  • Build something outside of work
  • Learn how money works

You create options.

And options give you freedom.

Watch the Full Breakdown

If you want a deeper explanation of everything I talked about here, go watch the full video:

In that video, I break down:

  • My personal journey
  • The mistakes I made
  • What I would do differently

The Truth About a Surgical Tech Career in 2026

At the end of the day, the surgical tech career in 2026 is still a solid path.

However, it’s not enough on its own.

If you only rely on your job, you may struggle.

On the other hand, if you:

  • Invest your income
  • Increase your earning potential
  • Build something outside of work

Then this career can actually help you build freedom.

Final Thoughts

You don’t have to quit your job.

You don’t have to figure everything out today.

But you do need to start thinking differently.

Because once you understand how to use your surgical tech career in 2026 as a foundation…

Everything changes.

Surgical Tech Wealth Beyond the OR: From Scrubs to Success

Surgical tech wealth beyond the OR is possible, but most people never talk about it. When people think about becoming a surgical tech, they imagine a stable paycheck, solid benefits, and a career that’s always in demand. The truth? If you only rely on your OR paycheck, you’ll always be limited.

The operating room can open doors, but wealth? That comes when you learn how to leverage your career to create opportunities beyond the OR.

Here’s how surgical techs can build income, freedom, and wealth while still working in scrubs.

Why Surgical Tech Wealth Beyond the OR Matters

Let’s be honest. Surgical tech salaries vary depending on the state, specialty, and whether you travel or stay local. While the money can be decent, it’s often just enough to cover bills.

  • Average CST salary (national): $48,000–$65,000 per year
  • Travel surgical techs: $80,000–$100,000+ with stipends
  • Reality: Without strategy, most of that income disappears into survival mode

What they don’t tell you: Your career can pay well, but unless you create streams of income beyond the OR, you’ll be trading time for money forever.

Step 1: Maximize Your Surgical Tech Career for Wealth

Before you can grow wealth outside the OR, make sure you’re maximizing inside of it.

  • Travel Contracts: This is one of the fastest ways to increase your income as a CST. I doubled my income the first time I took a 13-week assignment.
  • Specialize: Ortho, cardiovascular, neuro—specialties often come with higher pay and higher demand.
  • Negotiate: Don’t be afraid to ask for sign-on bonuses or reimbursement for continuing education.

Personal Note: I took advantage of travel contracts when my son was younger. The non-taxable stipends and higher base pay gave me breathing room to start exploring online business opportunities.

(Image idea: Surgical tech with travel suitcase – Alt text: “travel contracts help surgical techs build wealth beyond the OR”)

Step 2: Use Extra Income to Build Surgical Tech Financial Freedom

When your pay increases, it’s tempting to spend more. But wealth-building starts with discipline.

  • Pay off high-interest debt
  • Build a 3–6 month emergency fund
  • Open a Roth IRA or brokerage account for long-term investing

What they don’t tell you: Wealth isn’t about how much you make—it’s about how much you keep and invest.

(Image idea: Surgical instruments laid out neatly – Alt text: “surgical tech wealth beyond the OR starts with discipline and smart financial planning”)

Step 3: Build Side Hustles Beyond the OR

Not all side hustles are created equal. For surgical techs, the best ones fit around our schedules and leverage our skills.

  • Tutoring / Mentorship: New CSTs need guidance. You can offer tutoring, CEU prep, or 1:1 coaching.
  • Digital Products: Create eBooks, guides, or mini-courses based on your expertise (like traveling surgical tech hacks).
  • Content Creation: Blogging or YouTube around surgical tech life, healthcare careers, or personal finance.
  • Other Passions: Don’t limit yourself—hair, fitness, homesteading, crafts—all can become income streams if you systemize them.

Personal Note: I started with simple eBooks and YouTube videos. That grew into digital products and affiliate marketing—ways to earn even when I wasn’t in the OR.

(Image idea: Laptop with money graphic – Alt text: “building wealth as a surgical tech beyond the OR with side hustles and investing”)

Step 4: Turn OR Paychecks Into Assets

The biggest mistake I see surgical techs make? Spending everything they earn. Instead, use the OR to fund your future.

  • Real Estate: Use VA loans, FHA loans, or house hacking to build property equity.
  • Investing: Even $100 a month in index funds compounds over time.
  • Business: Use your OR paycheck to buy tools, courses, or mentorship that builds your online brand.

What they don’t tell you: The OR can be your investor—if you treat it that way.

Step 5: Create a Vision for Life Beyond the OR

At some point, you have to ask: What do I really want my life to look like?

For me, it was more time with my son, financial freedom, and the ability to build businesses I loved. I still respect the OR—it taught me discipline and precision—but my vision was bigger.

Your vision might be:

  • Working less and traveling more
  • Building generational wealth
  • Starting a business that helps others

Whatever it is, surgical tech wealth beyond the OR is possible—but it requires you to see your scrubs as a launchpad, not a ceiling.

Final Thoughts: Scrubs Are Just the Beginning

Being a surgical tech is powerful. It gives you skills, discipline, and a solid income. But if you stop there, you’re selling yourself short.

The real success comes when you take your scrubs and build something beyond them—wealth, freedom, and a life you love.

✨ Call to Action

Ready to Build Wealth Beyond the OR?

Your scrubs are just the starting point.

👉 Read more articles on SurgicalTechCareer.com for strategies on travel contracts, financial growth, and life after the OR.

👉 Subscribe to my Surgical Tech Career YouTube Channel for real talk about money, mindset, and turning your career into a wealth-building journey.

You’re more than a surgical tech—you’re building a legacy. 🚀

Top 5 Skills Every Surgical Tech Needs to Stand Out

When most people picture the operating room, they think about the surgeon making the incision. But behind every smooth surgery is a surgical technologist—quietly keeping things sterile, organized, and efficient.

The truth? Not all surgical techs are created equal. What separates the ones surgeons fight to have on their team from those who barely get noticed? Skills. And not just technical ones.

Here are the top 5 skills every surgical tech needs to stand out in the OR—and the ones nobody tells you about in school.

1. Mastering Sterile Technique

At the core of our job is one responsibility: protecting the patient from infection. That means strict adherence to sterile technique every single day.

  • Setting up the sterile field.
  • Recognizing contamination immediately.
  • Correcting mistakes without hesitation.

This isn’t just textbook knowledge—it’s muscle memory. And it’s the first thing your team will judge you on.

What they don’t tell you: The surgeon might not notice when you do everything right, but they’ll always notice the one time you break sterility.

2. Anticipation and Quick Thinking

Passing instruments is more than just waiting to be asked. Great surgical techs anticipate needs before the words are even spoken.

  • Knowing the steps of each procedure.
  • Understanding each surgeon’s quirks and preferences.
  • Thinking one step ahead—always.

Example: During a gallbladder removal, you don’t wait for the surgeon to ask for a clip applier. You’re already handing it before they look up.

What they don’t tell you: Anticipation builds trust. When surgeons know you “get” their rhythm, they’ll request you on their cases.

3. Staying Calm Under Pressure

The OR can feel like controlled chaos. Alarms beeping, multiple people talking, an unexpected complication—your job is to keep composure while keeping the sterile field steady.

  • Focus on your role.
  • Block out the noise.
  • Keep your hands ready and steady no matter what.

What they don’t tell you: Sometimes the loudest person in the room is the most nervous. Your calm energy can anchor the entire team.

4. Teamwork and Communication

The best surgical techs aren’t just skilled with instruments—they’re skilled with people. You’ll work alongside surgeons, anesthesiologists, nurses, and fellow techs.

  • Speak clearly and respectfully.
  • Ask questions when needed.
  • Support your team without ego.

What they don’t tell you: The OR can be political. Your ability to get along with people often matters just as much as your technical ability.

5. Physical and Mental Endurance

Long cases. Heavy trays. Standing for hours without a break. This career is physically demanding, and your mindset plays a huge role in your endurance.

  • Invest in quality shoes.
  • Stay hydrated.
  • Build habits that support both body and mind.

What they don’t tell you: Burnout is real. Self-care outside the OR isn’t optional—it’s how you keep showing up as your best self.

Final Thoughts: Skills That Take You from Good to Great

Anyone can graduate from surgical tech school. But the ones who stand out are the ones who master these five skills and bring consistency, anticipation, and confidence into the OR.

If you’re just starting out, focus on one skill at a time and commit to growth. Over time, you’ll not only stand out—you’ll become the tech everyone wants on their team.

✨ Call to Action

Ready to Learn More About Surgical Tech Life?

If you’re serious about standing out in the OR, don’t stop here.

👉 Read more articles on SurgicalTechCareer.com for insider guides, career advice, and real-life stories from the OR.

👉 Subscribe to my Surgical Tech Career YouTube Channel for videos that show you exactly what this career is like—and how to thrive in it.

Your future in the OR starts with the skills you sharpen today. 🚀

Day in the Life of a Surgical Tech: What They Don’t Tell You

When people think of the operating room, the spotlight usually shines on the surgeon. Maybe the anesthesiologist or the circulating nurse. Rarely does anyone mention the surgical technologist—the one who sets the tone before the first incision is ever made. As a certified surgical tech (CST), I can tell you: our days are long, fast-paced, and full of responsibilities that most outsiders never see.

If you’re considering this career, or just wondering what really happens behind those double OR doors, let me take you through a real day in the life of a surgical tech—and share the parts nobody talks about.

Early Mornings and Pre-Op Prep

Our day usually starts before the sun comes up. If your shift is scheduled for 7 a.m., that doesn’t mean strolling into work at 6:55. Most surgical techs arrive at least 30–45 minutes early. Why? Because the first case of the day sets the tone, and it’s our job to make sure the room is ready.

That means:

  • Checking the surgeon’s preference card.
  • Pulling every instrument, suture, and piece of equipment needed.
  • Making sure implants or special tools are available (and troubleshooting if they’re not).

This is where surgical techs become detectives. If an item is missing, you don’t have the luxury of waiting until the patient is wheeled in. You have to find it, borrow it from another department, or improvise a solution. It’s high responsibility from the moment you clock in.

What they don’t tell you: You’ll often know more about where supplies are than anyone else in the room. When the surgeon barks, “I need this NOW,” you better already have it—or know exactly how to get it.

Setting the Sterile Field

One of our most sacred duties is maintaining sterility. Once we’ve gathered supplies, we begin the process of opening sterile packs and creating what’s called the sterile field—the sacred zone where instruments and supplies remain uncontaminated.

This step is repetitive but requires sharp focus. One slip (like brushing against a non-sterile surface) can contaminate an entire table of instruments, costing thousands of dollars and delaying surgery.

What they don’t tell you: Even seasoned techs occasionally break sterility. The key is owning it immediately, correcting the mistake, and protecting the patient above your pride.

The Adrenaline of the First Cut

Once the patient is prepped, draped, and the surgeon is scrubbed in, the energy in the OR shifts. It’s game time. As the tech, you are the surgeon’s right hand—literally. You pass instruments, anticipate needs, and keep the surgical field organized while everything around you may feel chaotic.

A good surgical tech doesn’t wait to be asked. If you know the surgeon likes a certain clamp for a gallbladder case, you have it in hand before they finish the request. That level of anticipation builds trust and respect.

What they don’t tell you: The OR is not a quiet, calm environment like on TV. It’s a mix of beeping machines, music, conversations, and sometimes tense personalities. You have to stay calm and focused no matter what’s happening around you.

Pressure, Personalities, and Professionalism

The hardest part of this job isn’t always the technical skill—it’s the personalities. Surgeons can be demanding, nurses can be territorial, and tension rises fast when a patient’s life is on the line.

As a tech, you’re in the middle. You’re expected to perform flawlessly under pressure, while also staying professional if someone snaps at you.

What they don’t tell you: Sometimes the OR feels like high school with scalpel blades. There’s gossip, favoritism, and politics. But there’s also teamwork, mentorship, and incredible respect once you prove yourself.

Lunch? What Lunch?

Depending on the day, you may get a proper break… or you may be eating crackers in a storage room between cases. Surgical schedules are unpredictable. A routine appendectomy can turn into a long, complicated case.

What they don’t tell you: Your bladder and stomach will be tested in this career. Learning to hydrate, snack smart, and manage your energy is just as important as knowing how to pass a scalpel.

The Emotional Side of the OR

Not every case is routine. Sometimes you’re part of life-saving trauma surgery where adrenaline pushes you through. Other days, you’re present in heartbreaking losses—when the patient doesn’t make it.

You don’t have the luxury of breaking down in the moment. You stay focused, finish the case, and hold it together. Later, in the locker room or in your car, you process the emotions.

What they don’t tell you: Being a surgical tech takes a toll mentally and emotionally. Self-care is not optional; it’s necessary to sustain this career.

Clocking Out—but Still on Your Feet

At the end of the day, after the last case, we break down the sterile field, clean instruments, and reset the room for tomorrow. Only then do we head home—often exhausted but proud.

What they don’t tell you: This career is physically demanding. You’ll be on your feet for 8–12 hours, sometimes longer. Good shoes aren’t just helpful; they’re survival gear.

Why I Love It Anyway

With all the pressure, politics, and exhaustion, you might wonder: why do it? For me, it’s simple—this job matters. Every case I scrub in on, I’m part of a team that changes or saves a life.

You’ll never get applause or headlines, but you’ll know. You’ll remember the moments where your quick hands stopped bleeding, or your prep ensured a smooth case. That’s the kind of impact that sticks with you.

What they don’t tell you: Being a surgical tech teaches you resilience, teamwork, and confidence that spills over into every area of life.

Final Thoughts: Is This Career for You?

If you’re thinking about becoming a surgical tech, know this: it’s not glamorous, it’s not easy, and it’s not for everyone. But if you thrive under pressure, value precision, and want to play a vital role in healthcare without years of medical school, it can be one of the most rewarding careers you’ll ever choose.

And if you’re already in the field? Take a moment to appreciate yourself. You may not always hear it, but your work is essential, respected, and life-changing.

Ready to Learn More About Surgical Tech Life?

If this peek behind the OR doors inspired you, there’s so much more waiting for you.

👉 Read more articles on SurgicalTechCareer.com for in-depth guides, tips, and career advice to help you thrive in the OR.

👉 Subscribe to my Surgical Tech Career YouTube Channel for behind-the-scenes videos, tutorials, and real talk about what it’s really like to be a surgical tech.

Don’t just dream about a career in the OR—step into it with confidence, knowledge, and support.

How Surgical Tech Skills Prepare You for Entrepreneurial Success

When people think about entrepreneurship, they rarely picture someone in scrubs. But the truth is, surgical tech skills for entrepreneurship are some of the strongest transferable skills you can bring into business ownership. From attention to detail in the OR to adaptability under pressure, surgical technologists are more prepared for entrepreneurship than they might realize.

I know this firsthand. My years as a surgical tech and surgical first assistant taught me lessons that now help me as an entrepreneur. The habits, mindset, and resilience I developed in the operating room continue to shape the way I run my business today.

Why Surgical Tech Skills Matter in Entrepreneurship

The operating room is one of the most intense environments anyone can work in. Every move matters, every second counts, and teamwork is the difference between success and disaster. It’s no wonder that the people who thrive there—surgical technologists—develop a set of skills that go far beyond medicine.

In fact, many people underestimate how powerful surgical tech skills for entrepreneurship really are. The same qualities that help you stay composed while passing instruments in a life-or-death procedure also help you navigate the ups and downs of building a business.

Top Surgical Tech Skills for Entrepreneurship

1. Attention to Detail

In the OR, attention to detail can literally save lives. Surgical techs learn to notice even the smallest missteps, from a glove brushing against a non-sterile surface to an instrument being placed incorrectly.

As an entrepreneur, that same eye for detail protects you from costly mistakes. You’ll review contracts more carefully, catch errors in your financials, and ensure your products or services meet the highest standard. Customers notice when things are polished—and when they’re sloppy. The discipline of detail is one of the greatest gifts surgical techs bring to business.

2. Time Management and Efficiency

Surgical techs don’t just respond—they anticipate. You’re always one step ahead of the surgeon, preparing the next tool or adjusting the setup to save precious time.

Entrepreneurs also need this level of foresight. Managing a business means juggling deadlines, clients, marketing, and finances all at once. Efficiency keeps you moving forward without burning out. Many new entrepreneurs struggle with time management, but surgical techs already come equipped with a mindset of preparation, organization, and precision.

3. Adaptability Under Pressure

Surgeries rarely go exactly as planned. Complications arise, equipment malfunctions, and sometimes the unexpected becomes the reality. A surgical tech has to adapt in the moment without hesitation.

Entrepreneurship mirrors this perfectly. The business landscape changes constantly—new competitors enter, algorithms shift, customers change their preferences. The entrepreneurs who survive aren’t necessarily the smartest; they’re the most adaptable. If you’ve been trained to keep your cool in the OR, you already have the resilience it takes to pivot in business.

4. Teamwork and Communication

Surgery is impossible without collaboration. A surgical technologist must work seamlessly with surgeons, nurses, anesthesiologists, and other staff. Clear, concise communication is what keeps everything running smoothly.

Entrepreneurs also rely on teams. Whether you’re leading employees, hiring contractors, or partnering with other businesses, success depends on your ability to work with people. The same communication skills that help you anticipate a surgeon’s needs now help you anticipate client expectations or guide your team through challenges.

5. Problem-Solving in Real Time

What do you do if an instrument breaks during a procedure? As a surgical tech, you don’t freeze—you problem-solve instantly. This ability to think on your feet is one of the most valuable business skills you can have.

In entrepreneurship, problems are constant. A supplier might delay shipping, your website could go down, or a customer might leave a negative review. The quicker you adapt and solve the issue, the more successful your business becomes. Surgical techs are already trained to stay calm and find solutions when stakes are high.

6. Discipline and Consistency

The OR runs on strict protocols. Sterile fields must be maintained, counts must be accurate, and procedures must be followed every single time. Cutting corners simply isn’t an option.

Business works the same way. Success doesn’t come from one viral post or a single lucky break—it comes from consistency. Showing up daily, marketing consistently, managing finances responsibly, and sticking to systems are what build long-term success. Surgical techs bring this discipline naturally because it’s part of their DNA.

7. Emotional Intelligence and Stress Management

Working in surgery requires more than technical ability—it requires emotional control. You learn to read the energy in the room, support stressed colleagues, and maintain composure even during tense situations.

In business, emotional intelligence is just as critical. You’ll need it to negotiate contracts, handle customer complaints, and lead with empathy. Many entrepreneurs fail because they let emotions drive decisions. Surgical techs have already learned how to regulate emotions and remain calm under pressure—an invaluable advantage in entrepreneurship.

8. Commitment to Continuous Learning

Medicine is always evolving. Surgical technologists are required to stay up to date with new tools, techniques, and procedures through continuing education.

Entrepreneurship demands the same hunger for learning. Business owners must adapt to new marketing trends, technologies, and strategies. If you’ve been successful as a surgical tech, you already know that learning never ends—and that mindset will carry you far in business.

Why Surgical Techs Make Strong Entrepreneurs

The parallels between surgery and entrepreneurship are striking. Both demand precision, resilience, leadership, and the ability to thrive under pressure. If you’ve been wondering whether surgical tech skills translate into entrepreneurship, the answer is a resounding yes.

The operating room teaches you how to stay calm in chaos, communicate under stress, and solve problems without delay. Those same qualities are exactly what it takes to build, scale, and sustain a business.

Final Thoughts + Call to Action

Transitioning from scrubs to self-employment isn’t about leaving your skills behind—it’s about carrying them into a new chapter of freedom and purpose. Your OR training has already prepared you to succeed as an entrepreneur.

✨ Want to keep learning?
👉 Check out my other blog posts for more insights on career transitions, mindset shifts, and building multiple income streams.
👉 Subscribe to my YouTube channel where I share personal stories, strategies, and step-by-step guidance for creating freedom beyond the 9–5.

Your skills have already set you up for success. Now it’s time to put them to work—for you.

50 Surgical Tech Practice Questions 2024

Click here to download 50 surgical tech exam practice questions.

50 Surgical Technologist Practice Questions

Intraoperative Procedures (Questions 1–14)

photo of medical professionals wearing personal protective equipment
  1. Fill in the Blank: Irrigate, __, and sponge the operative site as directed.
  2. Short Answer: What is the role of a surgical technologist in monitoring medication and solution use during a procedure?
  3. True or False: Surgical technologists verify the correct type and size of implantable items with the surgeon.
  4. Multiple Choice: What type of graft preparation might a surgical technologist perform?
    a. Allograft
    b. Autograft
    c. Synthetic
    d. All of the above
  5. Fill in the Blank: Surgical technologists must verify, prepare, and __ specimens.
  6. Short Answer: Name two items surgical technologists prepare for insertion during surgery.
  7. Matching: Match the intraoperative observation with the correct focus:
  • Monitoring blood loss
  • Monitoring patient positioning
  1. Fill in the Blank: During an emergency, a surgical technologist must perform appropriate __.
  2. True or False: Preventative actions in potentially harmful situations are initiated by surgical technologists.
  3. Multiple Choice: What device is connected and activated to suction apparatus by a surgical technologist?
    a. Catheters
    b. Drains
    c. Both a and b
  4. Short Answer: What is prepared and applied to the wound site at the end of a surgical procedure?
  5. Fill in the Blank: Assist in the application of casts, __, and braces.
  6. True or False: Surgical technologists prepare dressings for wound care.
  7. Short Answer: What role do surgical technologists play during the application of a splint?

Postoperative Procedures (Questions 15–26)

crop doctor writing prescription on paper
  1. Multiple Choice: What is the first step in postoperative procedures?
    a. Remove drapes and equipment
    b. Report blood loss
    c. Dispose of contaminated sharps
  2. True or False: Surgical technologists assist in cleaning the patient before transfer to the recovery bed.
  3. Short Answer: Name two abnormal postoperative findings a surgical technologist should report.
  4. Fill in the Blank: Surgical technologists must report quantitative __ loss.
  5. Short Answer: What action is taken with contaminated sharps after surgery?
  6. Matching: Match the task to the procedure:
    • Dispose of waste: __
    • Dock suction apparatus: __
  7. Multiple Choice: What must be done after environmental disinfection in the OR?
    a. Reset OR bed
    b. Restock supplies
    c. Both a and b
  8. True or False: Surgical technologists assist with inventory of sterile supplies and verify expiration dates.
  9. Fill in the Blank: Organize each OR at the end of the day and ensure that all __ items are in the room.
  10. Short Answer: Name two tasks surgical technologists perform to prepare the OR for the next case.
  11. True or False: Docking suction apparatus for cleaning is part of postoperative duties.
  12. Short Answer: Why is it important to participate in a case debrief?

Ancillary Duties (Questions 27–34)

  1. Multiple Choice: What is a surgical technologist’s responsibility regarding surgeon preference cards?
    a. Revise them as necessary
    b. Create new ones
    c. Both a and b
  2. True or False: Surgical technologists are involved in cost containment processes.
  3. Short Answer: What protocol must a surgical technologist follow during a hospital disaster?
  4. Fill in the Blank: Recognize safety and environmental hazards, including fire and __.
  5. Matching: Match the skill with its application:
    • Interpersonal skills: __
    • Conflict resolution: __
  6. Short Answer: Why is the application of ethical and legal practices important in surgical patient care?
  7. True or False: Surgical technologists should mentor new or traveling perioperative personnel.
  8. Multiple Choice: What is one ancillary duty related to OR inventory?
    a. Restocking leftover instruments
    b. Labeling sharps
    c. Preparing sutures
surgical tools over blue surface

Equipment Sterilization and Maintenance (Questions 35–40)

  1. Fill in the Blank: Troubleshoot equipment __ to ensure smooth operation during surgery.
  2. True or False: Decontaminating and cleaning instruments is part of a surgical technologist’s role.
  3. Short Answer: What is the purpose of pre-cleaning instruments with enzymatic cleaner?
  4. Multiple Choice: What happens to dirty instruments after surgery?
    a. Disposed of immediately
    b. Taken to Central Supply
    c. Washed in the OR
  5. Matching: Match the action to the task:
    • Inspect instruments: __
    • Assemble equipment: __
  6. Short Answer: Why is it essential to interpret chemical and biological indicators?

Basic Science (Questions 41–50)

  1. True or False: Surgical technologists must demonstrate knowledge of anatomical systems related to surgical procedures.
  2. Multiple Choice: Which system is NOT typically included in surgical procedures?
    a. Cardiovascular
    b. Integumentary
    c. Endocrine
  3. Fill in the Blank: Knowledge of __ is crucial when performing surgical tasks in the gastrointestinal system.
  4. Matching: Match the system with its focus:
    • Neurological: __
    • Pulmonary: __
  5. Short Answer: Name three anatomical systems frequently involved in surgical procedures.
  6. True or False: The lymphatic system is related to the body’s immune function.
  7. Fill in the Blank: The __ system involves bones, joints, and cartilage.
  8. Multiple Choice: Which system involves the heart and blood vessels?
    a. Genitourinary
    b. Cardiovascular
    c. Muscular
  9. Short Answer: Why is it important for surgical technologists to use appropriate medical terminology?
  10. Matching: Match the medical abbreviation with its meaning:
    • A&P: __
    • GU: __

Answers to the 50 surgical tech exam practice questions:

Intraoperative Procedures (Questions 1–14)

  1. Irrigate, suction, and sponge the operative site as directed.
  2. Surgical technologists monitor the correct type and amount of medication and solutions used during the procedure.
  3. True
  4. d. All of the above
  5. Surgical technologists must verify, prepare, and label specimens.
  6. Drains and catheters.
  7. – Monitoring blood loss: Blood color and volume
  • Monitoring patient positioning: Ensuring proper alignment and safety
  1. Actions
  2. True
  3. c. Both a and b
  4. Surgical technologists prepare and apply dressings to the wound site.
  5. Splints
  6. True
  7. Surgical technologists assist by holding or securing the splint in place while the surgeon applies it.

Postoperative Procedures (Questions 15–26)

  1. a. Remove drapes and equipment
  2. True
  3. Bleeding at the surgical site, hematoma, rash.
  4. Blood
  5. Dispose of them in a sharps container in compliance with Standard Precautions.
  6. – Dispose of waste: Compliant with Standard Precautions
    • Dock suction apparatus: Prepare for cleaning
  7. c. Both a and b
  8. True
  9. Minimum
  10. Reset the OR and restock supplies.
  11. True
  12. Participating in a case debrief allows the team to review performance, identify issues, and improve future procedures.

Ancillary Duties (Questions 27–34)

  1. c. Both a and b
  2. True
  3. Follow the hospital’s and national disaster plan protocol.
  4. Chemical spill
  5. – Interpersonal skills: Listening and diplomacy
    • Conflict resolution: Addressing and resolving disagreements
  6. Ethical and legal practices ensure patient safety, compliance with regulations, and professional integrity.
  7. True
  8. a. Restocking leftover instruments

Equipment Sterilization and Maintenance (Questions 35–40)

  1. Malfunctions
  2. True
  3. To break down organic material and ensure instruments are ready for sterilization.
  4. b. Taken to Central Supply
  5. – Inspect instruments: Check for damage
    • Assemble equipment: Ensure proper functionality
  6. Interpreting chemical and biological indicators ensures the effectiveness of the sterilization process and patient safety.

Basic Science (Questions 41–50)

  1. True
  2. c. Endocrine
  3. Anatomy and physiology
  4. – Neurological: Brain and nerves
    • Pulmonary: Lungs and respiratory system
  5. Cardiovascular, gastrointestinal, musculoskeletal.
  6. True
  7. Skeletal
  8. b. Cardiovascular
  9. Using appropriate medical terminology ensures clear communication among the surgical team.
  10. – A&P: Anatomy and Physiology
    • GU: Genitourinary

Click here to download 50 surgical tech exam practice questions.

Watch the video of me creating these surgical tech practice questions.

Succeed as a surgical technologist with self-care

Being a surgical technologist can be overwhelming, but there is one thing you can do to give yourself an advantage… self-care! In this post, I’ll explain how to Succeed as a surgical technologist with self-care.

Succeed as a surgical technologist with self-care
Photo by cottonbro studio on Pexels.com

Hey, Ya’ll, My name is Keioffa, and I’m here to talk to you about the importance of self-care in surgical technology. We all know that being a surgical technologist requires focus, dedication, and hard work, but have you ever considered how self-care plays a role in your success too? Buckle up because we’re about to go on a journey to learn how to Succeed as a surgical technologist with self-care.

As a medical professional, getting enough sleep each night is absolutely essential to ensure top-notch performance.

Sleep-deprived can lead to many cognitive and physical impairments, including decreased reaction time, impaired decision-making skills, and decreased attention span. However, getting enough sleep can be challenging for healthcare providers who work long, irregular hours and often experience high-stress levels. To ensure you get the rest you need, try establishing a consistent sleep schedule, creating a relaxing bedtime routine, and avoiding caffeine and stimulants before bed. Remember, wit and humor can go a long way in making bedtime routines enjoyable and effective! So go ahead, indulge in a good book, and catch some quality Zzzs– your sanity will thank you for it.

Eating healthy foods isn’t just a trend or something you do to impress your friends. It’s crucial to care for your body and maintain a healthy lifestyle.

The key is to pick foods that provide ample energy to tackle the day feeling your best. Of course, planning meals when you’re crunched for time or have a limited budget can be tricky. Fear not, though. Plenty of ways to plan nutritious meals without breaking the bank or sacrificing hours of your precious time. For starters, aim to meal prep when you do have free time.

You can prepare batches of foods like roasted vegetables, grilled chicken, and quinoa salads in advance and then mix and match those foods throughout the week. Not only will you have a variety of meals to keep things interesting, but you’ll also ensure that you have nutrient-dense foods on hand whenever hunger strikes. So go ahead, and dive into the world of healthy food choices. Your body (and your taste buds) will thank you!

Surgical techs are the unsung heroes of the operating room. They are essential in helping surgeons perform delicate procedures with precision and ease. However, with long hours spent standing on their feet and performing repetitive tasks, surgical techs can easily succumb to physical strain and fatigue.

That’s why exercise is especially beneficial for these healthcare professionals.

Not only does it help improve cardiovascular health and lower stress levels, but it also helps prevent injuries from creeping up in the future. Some fun and effective exercises include yoga, Pilates, and dance classes. The key is finding something that sparks joy and feels enjoyable. And if finding time is an issue, try fitting in short bursts of activity throughout the day, whether taking the stairs instead of the elevator or doing a quick stretching routine during a break. Remember, a little physical activity goes a long way in improving overall well-being.

A positive mindset can benefit greatly, from increased motivation and productivity to better physical and mental health.

However, we must also recognize that mental health issues are a reality for many individuals, and it is important to seek help from a qualified professional when experiencing problems. Even the most positive-minded individuals can struggle with mental health, and there is no shame in seeking help. By acknowledging the importance of seeking professional help when needed, we can reduce the stigma surrounding mental health issues and empower those in need to prioritize their well-being. So, let’s stay witty and informative in our conversations about mental health and remind ourselves and others that seeking help is a sign of strength, not weakness.

As surgical technology continues to evolve, it’s essential for surgical techs to stay up-to-date with advances in their field to further their career goals and provide the highest quality patient care.

Fortunately, numerous resources are available for continuing education and certification maintenance requirements. One witty and informative option is attending conferences or workshops where surgical techs can learn about the latest surgical techniques, technologies, and trends from industry experts.

Additionally, subscribing to professional journals or online forums can keep surgical techs informed about their field’s latest research, news, and tips. Maintaining certification through organizations such as the National Board of Surgical Technology and Surgical Assisting (NBSTSA) further demonstrates a commitment to professional development and can increase opportunities for career advancement. So why not use these resources for career growth and stay on top in your field?

In summary, finding a job as a surgical technologist can seem overwhelming. Still, you can increase your chances of success by utilizing networking resources, staying active on online job boards, and following up on applications regularly. However, it’s important to remember that sustaining a successful career as a surgical tech requires more than just securing a job.

Taking care of yourself should be your highest priority as a surgical technologist, and self-care should be a top priority for successful practitioners.

This includes physical, emotional, and mental self-care practices to prevent burnout and ensure you deliver the highest quality patient care. By prioritizing your own well-being, you can show up every day as your best self, making a difference in the lives of your patients and colleagues.

Thank you for reading this post on How To Succeed as a surgical technologist with self-care. Check out my YouTube channel for more tips, resources, and advice on the surgical tech career.

How To Find The Best Job As A Surgical Tech

Welcome to this blog post on How To Find The Best Job As A Surgical Tech. Finding a job as a new surgical technologist or returning to the career after a break can be daunting. However, with the right approach and mindset, securing a job in this exciting field is possible. In this article, we’ll explore some tips on how to find a job as a surgical technologist.

How To Find The Best Job As A Surgical Tech

photo of medical professionals wearing personal protective equipment
Photo by Anna Shvets on Pexels.com

Network

Networking is essential when searching for any job, and it’s no different for surgical technologists. Start by contacting your former classmates and instructors from your surgical tech program. Attend conferences and workshops related to the field, where you can meet other professionals in the industry. Join professional organizations such as the Association of Surgical Technologists (AST) and connect with other members online.

How To Find The Best Job As A Surgical Tech

Check Online Job Boards

Online job boards are another great resource for finding job opportunities in surgical technology. Websites like Indeed.com, SimplyHired.com, and Monster.com post jobs daily from various healthcare facilities nationwide. Create an account on these websites and set up alerts for new job postings that fit your qualifications.

How To Find The Best Job As A Surgical Tech

Reach Out To Staffing Agencies

Staffing agencies are a great way to get your foot in the door when looking for work as a surgical technologist. These agencies work with hospitals, clinics, and surgery centers to quickly fill temporary or permanent positions. Submit your resume to staffing agencies specializing in healthcare placements so they can match you with relevant opportunities.

How To Find The Best Job As A Surgical Tech

Utilize Social Media

Social media platforms like LinkedIn have become valuable tools for professionals seeking employment. Ensure that your LinkedIn profile is updated with all relevant information about your education, certifications, work experience, and skills as a surgical technologist. Use keywords related to surgical technology in your profile summary so potential employers can find you easily.

How To Find The Best Job As A Surgical Tech

Volunteer Opportunities

Volunteering at local hospitals or clinics can provide valuable experience while networking with professionals in the industry who may know of available positions within their organization.

How To Find The Best Job As A Surgical Tech

Follow Up On Applications

After submitting applications or resumes for open positions, follow up with hiring managers or recruiters via phone or email within 1-2 weeks to inquire about the status of your application.

In conclusion, finding a job as a new surgical technologist or returning to the career requires dedication and persistence but is achievable by utilizing networking resources such as social media platforms and professional organizations along with checking online job boards regularly while also considering volunteering opportunities that will help grow one’s skills further over time!