Working under the direction of the surgeon, the CSFA assists in achieving optimal surgical outcomes through skilled intraoperative support including retraction, hemostasis, suturing, port/trocar placement and exposure, maintaining a sterile environment, and ensuring patient safety by anticipating needs, preventing delays, and minimizing workflow disruption. Responsibilities: The Certified Surgical First Assistant (CSFA) functions as an integral member of the surgical team, providing direct patient care before, during, and after surgical procedures.