This course was developed with the American Board of Surgical Assistants (ABSA) study material which provides the necessary tools for passing the ABSA certification exam.



The American Board of Surgical Assistants defines First and Second Assistants as follows:

First Assistant

The first assistant on a surgical procedure is defined as the individual providing primary assistance to the primary (main) surgeon, during a surgical procedure. This individual CANNOT be involved in any other role or function, during the surgical procedure (i.e. first or second scrub and/or passing instruments). This individual must also be listed on the operative record as the first assistant, not as a first or second scrub!Although descriptions may vary from institution to institution, the role of the first assistant requires active participation, during the surgical procedure. This involves providing exposure, hemostasis, tying or sewing plus other functions (excluding acting as the scrub nurse or technician) as determined by the primary surgeon, responsible for the patient and procedure.An individual may not act as a first assistant, for example, on a simple hernia repair or similar case with only themselves and the surgeon. This is a surgeon/scrub role and not a surgeon/assistant role.

Second Assistant

This individual is not the primary assistant to the primary surgeon and is hereby defined and designated as a retractor holder. An assistant as defined under this section does not qualify as a first assistant. Important acknowledge that the role and function of a surgical assistant is to assist the surgeon, in the performance of a surgical procedure. It is understood and acknowledged that certification as a surgical assistant through the ABSA (SA-C) does not allow for any independent performance of any medical or surgical procedures, within the United States of America or its territories.

The Assistant

Advance Your Career. Surgical Assistants have exceptional opportunities for career advancement. The role of the surgical assistant is a vital part of the healthcare system. We believes that surgical assistants can help hospitals overcome challenges, facing the industry. The surgical assistants can to be leaders in the operating room and help the hospitals improve their productivity and achieve better patient outcomes.

The Surgical Assistant-Certified (SA-C) is meeting the criteria and becoming enable to practice in the field and fulfill professional, legislative, facility, and/or employer.

Our surgical assistants comes from a variety of backgrounds, in the medical field, with decades of experience. We provide the surgeons with specialized surgical assistants. In the Operating Room, the results are exceptional.

The Surgeon

Surgeons need the assistance of qualified and well highly trained professionals to ensure every moment is dedicated to the patient’s well-being.There are many areas of surgery that rely on quality assisting. Surgical First Assistants have experienced a variety skills for a variety of surgery specialties:

  • Robotic Surgery
  • General Surgery
  • Orthopedic Surgery
  • Neurosurgery
  • Obstetrical Surgery
  • Gynecological Surgery
  • Cardiac Surgery
  • Thoracic Surgery
  • Vascular Surgery
  • Plastic Surgery

Advanced Surgical First Assistants gain respect of their peers, become members of various professional organizations, and create opportunities, within the workforce.

The Hospital

Advanced Surgical First Assistants gain respect of their peers, become members of various professional organizations, and create opportunities, within the workforce.Attracting the best surgeons to your facility is vital to the quality of the institution. The top surgeons need the support of the best surgical assistants in the country. What do they Do?

  • Improve Patient Safety and Outcomes
  • Maximize Quality of Service
  • Ensure Availability and Reliability
  • Reduce Unit Costs
  • Increase Surgery Volumes
  • Shorten Room Turnover Times
  • Enhance Surgical Assistant Credentialing

Request Information