How to Become a Surgical Technologist (Surgical Tech)

Interested in the fast-paced world of surgery? Surgical Technologists—also known as Surgical Techs—are essential members of the operating room team. This guide covers everything you need to know to become a certified Surgical Technologist in 2025.


What Does a Surgical Technologist Do?

Surgical Technologists assist surgeons, nurses, and anesthesiologists during surgical procedures. They prepare operating rooms, sterilize equipment, and ensure every instrument is ready and accounted for.

Key duties include:

  • Setting up surgical instruments and sterile fields
  • Preparing patients for surgery
  • Passing instruments to surgeons during procedures
  • Maintaining a sterile environment
  • Counting tools and sponges before and after surgery

Surgical Techs are the right hand of the surgeon—critical to patient safety and surgical efficiency.


How to Become a Surgical Technologist (5 Steps)

Follow these steps to launch your surgical career:

  1. Earn your high school diploma or GED
    A high school education or equivalent is required for program admission.

  2. Complete an accredited Surgical Technology program
    Programs typically take 12–24 months and are offered at community colleges or vocational schools.
    Courses cover anatomy, sterile techniques, and surgical procedures.

  3. Gain hands-on clinical experience
    Training includes clinical rotations in hospitals or surgical centers for real-world experience.

  4. Earn certification
    The main certifications include:

    • Certified Surgical Technologist (CST) – via the NBSTSA (National Board of Surgical Technology and Surgical Assisting)
    • Tech in Surgery – Certified (TS-C) – via NCCT
  5. Apply for state licensure (if required)
    Some states require additional licensing or registration. Always check your state’s requirements.


Surgical Technology Training Options

Training options include:

  • Community Colleges – Associate Degree in Surgical Technology
  • Vocational & Technical Schools – Certificate or diploma programs
  • University Programs – Bachelor’s options for surgical assisting or healthcare management

Certification & Licensing

Certifying Bodies:

  • NBSTSA – Certified Surgical Technologist (CST)
  • NCCT – Tech in Surgery Certified (TS-C)

State Licensing:

  • Some states, including Texas and Colorado, require Surgical Techs to be registered or certified.
  • Employers may also require national certification regardless of state law.

Certification shows mastery of sterile technique and professionalism in the operating room.

Check State Licensing Pages →


Skills That Make a Great Surgical Technologist

  • Manual dexterity and attention to detail
  • Teamwork under pressure
  • Knowledge of anatomy and sterile procedure
  • Ability to anticipate surgeon needs
  • Calm focus during critical operations

The best Surgical Techs are organized, quick-thinking, and thrive in high-stakes environments.


Median Pay $62,830 $30.21/hr Top 10%: $90,700
Job Outlook (2024–2034) 4.5% 7,000 openings/yr
Employment (2024) 113,890
🏁Wage Percentiles
25th $51,740 75th $77,140
🎓Typical Education
Postsecondary certificate or associate degree
🛠️On‑the‑Job Training
On‑the‑job training
🌎Highest Paying States
California Connecticut Oregon
🏢Top Industries
Cross-industry
Certification
State requirements vary; NBSTSA/NCCT often required

Pros & Cons of Being a Surgical Tech

Pros:

  • Exciting, fast-paced career
  • Strong salary and job growth
  • Meaningful role in saving lives
  • Quick training path (2 years or less)

Cons:

  • Physically and mentally demanding
  • Long shifts, including nights or weekends
  • High responsibility in surgical settings

Career Advancement Opportunities

Surgical Technologists can advance into:

  • First Assistant or Surgical Assistant
  • Operating Room Supervisor
  • Sterile Processing Manager
  • Educator or Trainer in Surgical Technology

Start Your Surgical Technology Career

Surgical Technology offers a rewarding and fast entry into the healthcare field. With less than two years of training, you can earn certification and begin assisting in surgeries that change lives.

Find accredited surgical tech programs near you today.


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Surgical Tech Salary by State

BLS OEWS, May 2024

State Median annual Top 10% annual
California $81,120 $114,390
Illinois $62,510 $106,300
Massachusetts $78,300 $105,800
Connecticut $80,590 $102,350
New York $75,250 $101,920
District of Columbia $65,450 $101,910
Washington $73,460 $101,130
Nevada $76,740 $99,600
Alaska $79,040 $99,270
Oregon $79,410 $98,520
Virginia $63,460 $98,450
New Jersey $71,370 $95,860
Minnesota $77,950 $94,520
Hawaii $76,200 $93,770
Arizona $67,530 $86,790
Texas $62,640 $85,660
Maryland $66,550 $85,000
Utah $63,380 $84,780
Colorado $65,690 $84,130
Rhode Island $68,280 $83,890
New Hampshire $67,490 $82,930
Georgia $60,880 $82,210
Wisconsin $65,870 $81,730
Missouri $60,420 $81,540
Vermont $62,800 $81,100
Wyoming $54,610 $79,700
Nebraska $62,670 $79,090
Maine $63,000 $79,070
Pennsylvania $61,770 $78,920
Delaware $62,230 $78,820
Ohio $60,360 $78,250
Michigan $62,320 $78,030
Florida $61,030 $77,800
Idaho $62,930 $77,650
Indiana $61,610 $77,390
Montana $60,610 $75,570
New Mexico $52,780 $74,150
North Carolina $58,710 $74,060
Kansas $57,580 $73,140
Tennessee $56,370 $73,110
South Carolina $60,780 $72,640
Arkansas $53,400 $71,850
Oklahoma $57,310 $70,450
Kentucky $52,240 $70,140
South Dakota $52,400 $67,680
West Virginia $47,700 $66,510
North Dakota $59,990 $66,220
Louisiana $51,930 $65,570
Alabama $48,920 $65,400
Iowa $53,920 $65,240
Mississippi $48,020 $63,980

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2024.


Brad Fishbein Licensed Mold Assessor

Meet the author: Brad Fishbein is a Florida Licensed Mold Assessor and council-certified Microbial Investigator. He’s the founder of TradeCareerPath.com and has completed over 5,000 mold inspections since 2009. Brad now helps homeowners and tradespeople make smart decisions about mold, licensing, and skilled career paths.

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