The term CSA shall apply to all eligible candidates who successfully pass the CSA examination offered by the National Commission for the Certification of Surgical Assistants (NCCSA). The CSA certification confirms that the Certified Surgical Assistant has met or exceeded the necessary requirements to carry-out the essential duties of a surgical assistant and that they continue to meet ongoing requirements through continuing education and advanced training.
Please be advised that, as of January 1st, 2019, there will be substantive changes to the alternate pathways for CSA eligibility. Beginning on this date, only physicians and appropriately educated military personnel will be qualified to sit for the CSA exam, without completion of a formal CAAHEP accredited program in surgical assisting.



Surgical Assistants assist physicians in surgery and may perform specific significant surgical tasks under "personal supervision". (Significant surgical tasks include, but are not limited to: opening and closing surgical sites, exposure of the surgical site, harvesting grafts, dissecting tissue, removing tissue, implanting devices, altering tissues).

Surgical Assistants may, under "personal supervision", perform specific significant tasks which include, but are not limited to, applying and removing splints/casts, placing Foley catheters, IV's , and arterial lines, administering local anesthesia, and other such procedures as requested and necessary.



There are several states with regulatory legislation regarding Surgical Assistant practice in the United States. The states are listed below along with references to the bills that created the regulations, and web links to the governmental body that regulates the profession in those states.