The NBSTSA exam is the pivotal step for anyone who dreams of advancing their career as a surgical technologist or surgical first assistant. This nationally recognized certification not only validates your skills but also opens doors to better job opportunities, professional respect, and higher earnings. If you’re preparing for this important exam, you’re already investing in your future.
To make the journey smoother, a guide on how to become a surgical technologist provides invaluable guidance and tools that can help you move forward with confidence. Let’s dive into everything you need to know about the NBSTSA exam and how to prepare effectively.
Understanding the NBSTSA Exam
What Is the NBSTSA?
The National Board of Surgical Technology and Surgical Assisting (NBSTSA) is the governing body that develops and administers certification exams for surgical technologists and surgical assistants. These certifications include:
• Certified Surgical Technologist (CST) exam
• Certified Surgical First Assistant (CSFA) exam
Both certifications ensure that professionals meet industry standards in safety, knowledge, and competency within surgical environments.
Why Is the National Board of Surgical Technology and Surgical Assisting Exam Important?
Certification is more than just a title. Passing the NBSTSA exam demonstrates that you have met rigorous standards set by the healthcare industry. It benefits you by:
• Enhancing credibility with employers and colleagues
• Increasing chances of higher pay and promotions
• Providing mobility across state lines where certification is required
• Boosting patient trust and safety
Exam Structure and Format
Certified Surgical Technologist (CST) Exam
The CST exam focuses on core areas of surgical technology. It typically includes questions in:
• Preoperative care
• Intraoperative procedures
• Postoperative responsibilities
• Ancillary duties and safety measures
The exam is multiple-choice, designed to assess not just recall but also critical thinking in real-world scenarios.
Certified Surgical First Assistant (CSFA) Exam
The CSFA exam goes a step further, emphasizing the advanced responsibilities of first assistants. These include:
• Tissue handling and suturing
• Hemostasis techniques
• Exposure management
• Patient assessment and positioning
Both exams are computer-based and conducted at authorized testing centers.
Eligibility Criteria
For the CST Exam
Candidates must have completed an accredited surgical technology program or hold military training equivalent to surgical technology. Documentation from your school or training program is usually required.
For the CSFA Exam
Candidates need to meet more advanced requirements. These typically include:
• Graduation from an accredited surgical assisting program
• Current certification as a surgical technologist (CST)
• Documented experience in surgical assisting
Registration and Fees
How to Register
The registration process for the National Board of Surgical Technology and Surgical Assisting exam involves creating an online account with NBSTSA, filling out the application form, and submitting the required documents. Once approved, you’ll receive an authorization letter with instructions for scheduling your test.
Fees
The cost of the exam varies:
• CST Exam: Around $290 (with membership discounts available)
• CSFA Exam: Around $390
Retake fees apply if you don’t pass the first time, so thorough preparation is key.
Preparing for the NBSTSA Exam
Study Resources
Proper preparation can make all the difference. Reliable study resources include:
• Official National Board of Surgical Technology and Surgical Assisting exam content outlines
• Surgical technology and assisting textbooks
• Practice exams and flashcards
• Online prep platforms like Medical Prep
Effective Study Tips
To maximize success:
• Create a structured study plan and stick to it
• Focus on weaker subject areas identified through practice tests
• Study in groups to discuss tricky concepts
• Use mnemonic devices for memorizing terminology
Common Challenges and How to Overcome Them
Time Management
Many test-takers struggle with time constraints during the exam. Practice pacing yourself with timed mock exams to avoid running out of time.
Test Anxiety
Feeling nervous is normal, but anxiety can sabotage performance. Techniques such as deep breathing, meditation, and proper sleep the night before can help calm nerves.
Balancing Study With Work
If you’re already working in healthcare, finding study time can be tough. Create a realistic schedule and break study sessions into manageable chunks of 30–45 minutes each.
Career Benefits After Passing
Job Opportunities
Passing the National Board of Surgical Technology and Surgical Assisting exam positions you as a certified professional, making you more competitive in the job market. Hospitals, surgical centers, and specialty clinics actively seek certified surgical technologists and assistants.
Professional Growth
Certification allows you to explore leadership roles, teaching positions, and specialized surgical fields. It also provides the confidence to pursue further credentials if you choose.
Higher Earning Potential
Studies show that certified surgical technologists and assistants often earn significantly more than their non-certified counterparts. Employers see certification as a guarantee of skill and commitment.
Expert Strategies for Exam Day
Before the Exam
• Double-check your testing location and time
• Bring valid identification and confirmation documents
• Eat a balanced meal and stay hydrated
During the Exam
• Read questions carefully before answering
• Eliminate obviously incorrect choices
• Manage time by pacing yourself—don’t get stuck on one question
After the Exam
You’ll receive preliminary results right after completion, with official results mailed later. Passing brings an immense sense of accomplishment and confidence in your career journey.
Linking Your Future With the NBSTSA Exam
The NBSTSA exam is not just a hurdle—it’s a launchpad for a thriving surgical career. By preparing effectively and leveraging trusted resources, you’re not only boosting your professional credibility but also improving patient care.
If you’re serious about excelling in this field, consider using Medical Prep as your go-to guide. Their expertise and study resources can help you navigate the path smoothly and give you the confidence to succeed.
Conclusion: Your Next Step Toward Certification
The NBSTSA exam is the ultimate test of your knowledge, skill, and determination. Whether you aim to become a surgical technologist or a surgical first assistant, success lies in disciplined preparation, strategic study habits, and access to reliable resources. With the right support and preparation, your dream career in the operating room is well within reach.

