How To Become Surgical Tech

Becoming a surgical tech is an exciting and challenging career path. If you are interested in pursuing this career, then you should know that it is not as simple as just going to school and walking out with a diploma. You will have to work hard, study hard, and be prepared for the challenges that come with this job.

The first step to becoming a surgical tech is finding out what kind of schooling you need to become one. There are two main types of surgical technology schools: hospital-based and community college-based. These two types offer different levels of education, so make sure that you choose the right one for your needs.

In addition to choosing the right type of school, you also need to decide if you want to get certified or not. If so, then you will need to take an exam after completing your training at school or apprenticeship program (if applicable). The certification process varies from state to state but usually involves passing two tests: one on medical terminology and another on human anatomy.

Once you have completed all necessary steps in order for your chosen career path, review job descriptions online before sending applications out for positions that interest you most!

How to Become a Surgical Technologist

How To Become Surgical Tech

Surgical technologists, commonly referred to as operating room technicians, surgical techs, or scrub techs, assist surgeons and the remainder of the healthcare team before, during, and after a surgical procedure. 

According to U.S. News and World Report, surgical techs are ranked the 19th highest paying job without a degree and the 24th best health care support job. Surgical tech programs take just 12-24 months to complete and can also be an excellent entry point into another healthcare career such as a registered nurse or physician assistant.

If you’re considering becoming a surgical technologist, read on to find out what a surgical tech does, how to become one, how much they make, and more.

PART ONEWhat Is a Surgical Technologist?

A surgical technologist’s primary duty is to assist physicians with operations. They prepare operating rooms, arrange equipment, and help doctors during surgeries. 

Skills Required for Surgical Technologists

In order to be a good surgical tech, you must be highly organized, proactive, conscientious, and stable enough to handle the fast-paced environment of the operating room.

Surgical techs must be able to anticipate the next move of the surgeon to ensure the operation goes as smoothly and efficiently as possible.

This demands extensive knowledge of hundreds of different surgical procedures and the steps and equipment needed to complete them. This can be a very stressful position. 

Surgical Technologist Specialties

Although many surgical technologists are generalists, you can choose to specialize in specific types of surgeries, including:

  1. Obstetrics and gynecology (OB/GYN)
  2. Cardiovascular
  3. Orthopedic
  4. Neurology
  5. Reconstructive
  6. Urology
  7. Ear/nose/throat (ENT) 

Specializing typically requires additional training, but allows the technologist to broaden skills in techniques such as microsurgery, organ transplantation, and surgical robotics. 

How do you get specialized? Oftentimes there are in-hospital courses, on-the-job training, or national training programs for learning advanced skills. 


PART TWOWhat Does a Surgical Technologist Do?

Surgical technologists have a variety of duties before, during, and after surgical procedures. The primary responsibility of a surgical tech is to ensure the operating room and surgical instruments are sterile, and ensuring the surgeons have all the instruments and materials they will need for the procedure.  

Other main responsibilities include:

  1. Applying dressings to surgical sites
  2. Assisting in retracting tissues from the surgical patient
  3. Assisting other members of the team with terminal cleaning of the operating room
  4. Coordinating the camera or changes out robotic arms/instruments during endoscopic surgery as directed by the surgeon
  5. Helping surgeons during surgery by passing them instruments and other sterile supplies
  6. Helping to prepare the patient for surgery
  7. Participating in debriefing and quality improvement practices to ensure quality patient care
  8. Performing urinary catheterization
  9. Preparing operating rooms for surgery
  10. Sterilizing equipment 
  11. Transporting the patient to and from the operating room

PART THREEWhere Do Surgical Technologists Work?

Surgical Technologists generally work in locations that have operating rooms or perform surgical procedures. Most commonly this is hospitals but surgical techs also work in the following locations: 

  1. Ambulatory care centers
  2. Clinics
  3. Dental offices
  4. Outpatient care centers
  5. Private physician offices
  6. Surgical centers

PART FOURSurgical Technologist Salary

According to the U.S. Bureau of Labor Statistics, the median pay for surgical techs in 2020 was $48,300 per year or $23.22 per hour with salary ranges from $33,420 to $71,400, but conditions in your area may vary. 

Highest Paying States for Surgical Technologists

The BLS reports that in May 2019 the highest paying states for surgical techs were:

  1. Alaska – $67,660
  2. Nevada – $64,050
  3. California – $62,510
  4. District of Columbia – $60,740
  5. Minnesota – $60,090 

Highest Paying Cities for Surgical Technologists

The BLS also reported that the top five metropolitan cities for surgical tech pay were:

  1. Salinas, California – $74,280
  2. San Francisco – Oakland – Hayward, California – $72,790
  3. San Jose – Sunnyvale – Santa Clara, California – $69,750
  4. Anchorage, Alaska – $69,690
  5. Vallejo – Fairfield, California – $69,160

Surgical Technologist Salary by Years of Experience

According to, the average salary for a surgical tech as of March 2021 is $22.02 per hour or $44,909 per year.

Specifically, surgical techs can earn a higher annual salary with increased years of experience.

  1. Less than 1 year of experience earn an average hourly wage of $18.64
  2. 1-4 years of experience earn an average hourly wage of $19.79
  3. 5-9 years of experience earns an average hourly wage of $21.76
  4. 10-19 years of experience earns an average hourly wage of $24.37
  5. 20 years and higher years of experience earns an average hourly wage of $26.00

PART FIVEHow Do You Become a Surgical Technologist?

Step 1: Graduate high school or earn a GED

High school students who want to become surgical techs should take courses in biology, anatomy, and hard sciences in order to prepare for advanced science courses. 

Gaining an internship at a local healthcare system is helpful to gain general experience in a healthcare environment.

Step 2: Enroll in an accredited surgical tech program

Surgical technologist programs are typically 12-24 months and often offered at community or technical colleges.

When choosing programs, students are advised to verify that their program is accredited by either the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Graduates from schools without proper accreditation may not be eligible for certification exams.

Step 3: Gain hands-on training experience

This can be achieved through job shadowing and internships. 

Step 4: Earn your certification and apply for individual state licensure

Each state has its own licensure requirements for surgical technologists. It is important to check the state licensing website prior to applying. 

Graduates will have to take one of the national certification exams through the National Board of Surgical Technology and Surgical Assisting. There are two main certification exam options for surgical techs. 


The National Board of Surgical Technology and Surgical Assisting (NBSTSA) provides those who pass an examination with the credential of Certified Surgical Technologist (CST).

Exam Eligibility Requirements

  • Program must have been CAAHEP or ABHES accredited during your enrollment.
  • Provide ONE of the following documents:
    • A notarized letter (on institutional letterhead) from the Program Director stating your name, date of graduation, and type of degree awarded.
    • A copy of your graduation certificate
    • Transcript 


The National Center for Competency Testing offers eligible individuals the Tech in Surgery – Certified TS-C (NCCT) certification. There are three paths for eligibility: current student/graduate, experience, and military. The most common routes to certification are as a current student or graduate and through experience. 

Exam Eligibility Requirements

  • Current Student/Graduate
    • United States high school student, graduate or GED
    • You must submit a copy of your diploma from your surgical technologist program, certificate of completion, or transcript with graduation date
    • You must complete and submit a Tech in Surgery – Certified (NCCT) Critical Skills Competency form
    • Candidates are allowed a maximum of two years from the test date for completion of case documentation including the U.S. Department of Labor Registered Apprenticeship programs
  • Experience
    • Three years of verifiable full-time experience as a Surgical Technology practitioner within the past five years
    • United States high school student, graduate or GED
    • You must submit a copy of your high school diploma (or equivalent) and the Tech in Surgery – Certified (NCCT) Qualification by Experience form completed by your employer
    • Three years of full-time employment or equivalent (6240 hours) in the past five years working as a surgical technologist under the direct supervision of a Certified/Licensed Physician, Primary Care Provider, and/or RN

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PART SIXWhat is the Career Outlook for Surgical Technologists?

According to the BLS, in 2020, there were 111,300 surgical techs in the United States. By 2029, there will be a need for additional 7,600 techs, which is an expected growth of 7%.

With the aging baby boomer population and the increase in advanced technology, knowledgeable surgical technologists are highly desirable. While most patients would prefer to avoid surgery, ultimately surgery can improve quality of life and surgical technologists are needed. Each operating room requires a minimum of one surgical tech per surgical procedure. 

Interestingly, many surgical techs go on to become registered nurses, physician assistants, anesthesia assistants, and/or surgical first assistants. 

PART SEVENWhat are the Continuing Education Requirements for Surgical Technologists?

As with most healthcare careers, surgical techs are required to maintain their certification through a fee and continuing education hours.

Certified Surgical Technologists are required to meet a minimum of 30 CE credits in two years. Specific requirements include the following: 

  • 30 CE credits, including 4 advanced credits, prior to the two-year cycle expires
  • 60 CE credits before the four-year cycle expire 

CE credits can be earned in a variety of ways, including: 

  • AST Distance CE (journal tests or CE packages)
  • Hospital In-services
  • Live lectures at AST state assemblies, national conference, and ACS Congress
  • College Courses  
  • Healthcare Manufacturer’s Live Events. 

Each state also has specific CE credit requirements. Check your state licensing board for specifics. Hours earned can be applied for both state licensure and national certification.

PART EIGHTResources for Surgical Technologist

PART NINESurgical Technologist FAQs

  • How long does it take to become a surgical technologist?
    • Most surgical tech programs take 12 to 24 months to complete. These programs are generally through a community college and should be accredited by a proper agency, such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES).
  • How much does a certified surgical technologist make an hour?
  • What does a surgical technologist do?
    • Surgical technologists ensure the operating room and surgical instruments are sterile, and that the surgeons have all the instruments and materials they will need for the procedure.  
  • Is a surgical tech a good job?
    • Becoming a surgical tech is a stable and exciting career and is considered a good job. There is ample opportunity for career growth. One of the best benefits of getting into a healthcare career is that there will always be growth and room for advancement. 
  • Do surgical techs make more than nurses?
    • No surgical techs do not make more than a registered nurse. According to the U.S. Bureau of Labor Statistics, the median pay for surgical techs in 2020 was $48,300 per year or $23.22 per hour while the U.S. Bureau of Labor Statistics (BLS) reports, the median salary for a registered nurse in 2019 is $73,300 per year or $35.24 per hour.
  • Can you be a surgical tech without certification?
    • Yes; however, most employers are seeking surgical techs that have completed a national certification program. This certification exam is important, and it is open to anyone who has already earned an ABHES or CCHEP accredited degree.

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