Army 68D (Operating Room Specialist) to Civilian: Your Complete Career Transition Roadmap (With Salary Data)

Bottom Line Up Front

Army 68D Operating Room Specialists transitioning out—you're entering a civilian healthcare market with excellent demand and strong growth. Your sterile technique expertise, surgical instrumentation knowledge, OR setup and breakdown experience, scrubbing proficiency, patient positioning skills, surgical assist capabilities, and high-pressure operating room experience make you precisely what hospitals and surgery centers need. Realistic first-year salaries range from $50,000-$62,000 in hospital OR positions, scaling to $60,000-$75,000 with CST (Certified Surgical Technologist) certification and 3-5 years experience, and $70,000-$90,000+ in specialized surgical settings, travel positions, or high-paying states like California and Nevada.

The job market is booming—5% growth projected through 2034 (faster than average), with 8,700 annual job openings nationwide and critical shortages of qualified surgical technologists. Hospitals, ambulatory surgery centers, specialty surgical practices, and outpatient facilities are actively recruiting experienced OR professionals. Your Army 68D training exceeds most civilian surgical tech programs—you've worked in operating rooms performing complex surgeries, managing instrumentation, maintaining sterile fields, and responding to emergencies that most civilian surgical techs will never encounter.

Your transition is straightforward: get your CST certification ($190-290 exam fee), translate your military experience to civilian language, and target hospitals and surgery centers hiring surgical technologists. Many facilities offer sign-on bonuses ($5,000-$10,000) for experienced OR staff. You're not starting at the bottom—you're entering as an experienced surgical professional with combat and military medical experience that civilian employers highly value.

What Does an Army 68D Operating Room Specialist Do?

As a 68D, you've been the critical link ensuring surgical procedures run smoothly and safely. You've prepared operating rooms, arranged surgical instruments and equipment, maintained sterile fields, passed instruments to surgeons, anticipated surgical needs, managed specimens, counted instruments and sponges, positioned patients, assisted with patient draping, operated surgical equipment, and ensured proper disposal of contaminated materials.

Your surgical experience spans multiple specialties—general surgery, orthopedics, neurosurgery, cardiovascular surgery, trauma surgery, obstetrics/gynecology, and potentially combat surgical procedures during deployments. You've worked with diverse surgical teams including surgeons, anesthesiologists, RNs, and other OR personnel in military treatment facilities, field hospitals, and possibly forward surgical teams.

You've mastered hundreds of surgical instruments, learned dozens of surgical procedures, maintained aseptic technique under demanding conditions, adapted to emergency surgeries with limited notice, troubleshot equipment issues, managed surgical supplies and inventory, and maintained composure during high-stress, life-or-death situations. Your experience includes both elective procedures and trauma surgeries, giving you breadth that most civilian surgical techs lack.

Unlike civilian surgical techs who often specialize in one surgical service, you've gained exposure across multiple specialties, making you exceptionally versatile and valuable to civilian employers seeking adaptable OR staff.

Skills You've Developed That Civilians Will Pay For

Technical Skills (Your Money Makers)

Sterile technique and aseptic practices = The foundation of surgical technology. You've maintained sterile fields, performed surgical scrubbing, gowned and gloved surgically, created and maintained sterile environments, and prevented contamination. This expertise is non-negotiable in civilian ORs.

Surgical instrumentation knowledge = You've identified, selected, prepared, and passed hundreds of surgical instruments including retractors, forceps, clamps, scissors, scalpels, suction devices, and specialty instruments for specific procedures. You know instrument names, functions, and proper handling.

OR setup and breakdown = Preparing operating rooms for procedures including equipment positioning, instrument table arrangement, supply stocking, equipment testing, and post-surgery cleanup, sterilization, and restocking.

Surgical case assistance = Anticipating surgeon needs during procedures, passing instruments efficiently, maintaining instrument counts (sponge, needle, instrument counts), managing specimens, suctioning surgical sites, and troubleshooting issues without breaking sterile field.

Patient positioning and draping = Safely positioning patients for surgical access, protecting pressure points, ensuring proper body alignment, and applying surgical drapes maintaining sterile fields around incision sites.

Equipment operation = Operating surgical lights, electrosurgical units, suction equipment, surgical tables, warming devices, video equipment for laparoscopic procedures, and specialty equipment for specific surgeries.

Specimen handling = Properly collecting, labeling, preserving, and documenting tissue specimens, biopsies, and cultures for pathology analysis.

Surgical supplies management = Tracking inventory, ordering supplies, maintaining par levels, managing costs, and ensuring critical supplies are always available.

Emergency response in OR = Responding to intraoperative emergencies including hemorrhage, equipment failures, allergic reactions, and cardiac events while maintaining sterile technique and supporting surgical team.

Multi-specialty surgical experience = You've worked across general surgery, orthopedics, neurosurgery, ENT, GYN, urology, and other specialties—versatility that many civilian surgical techs don't have.

Soft Skills (Your Career Accelerators)

Work under extreme pressure = You've participated in trauma surgeries, combat casualty care, and emergency procedures where seconds matter and lives hang in balance. Civilian ORs are demanding but rarely match military intensity.

Attention to microscopic detail = Surgical counts must be perfect—one missed sponge or instrument can kill a patient. Your military precision ensures patient safety and prevents never events (surgical objects left in patients).

Teamwork and communication = Operating effectively in surgical teams, anticipating needs without being told, communicating clearly in high-noise environments, following chain of command, and supporting team members during long, complex procedures.

Stamina and physical endurance = Standing for 4-12 hour surgeries, maintaining focus during long procedures, staying alert during overnight call shifts, and managing physical demands without breaks during critical cases.

Adaptability and problem-solving = Handling unexpected situations during surgery, adapting to different surgeons' preferences, working with unfamiliar instruments or procedures, and finding solutions when standard approaches don't work.

Professionalism and ethical standards = Maintaining patient privacy, following strict protocols, admitting and reporting errors immediately, and upholding highest ethical standards even when convenient shortcuts are available.

Continuous learning = Surgical techniques evolve constantly. You've demonstrated ability to learn new procedures, stay current with surgical advances, master new equipment, and maintain competency across expanding skill sets.

Military discipline and reliability = Showing up on time (surgeries can't start late), following protocols precisely, accepting feedback without defensiveness, and maintaining professional standards regardless of fatigue or stress.

Top Civilian Career Paths for 68D Veterans

Hospital Operating Room Surgical Technologist (most common path)

Civilian job titles:

• Surgical Technologist (Surgical Tech)
• Operating Room Technician (OR Tech)
• Certified Surgical Technologist (CST)
• Scrub Tech
• Surgical First Assistant

Salary ranges:

• Entry-level hospital surgical tech (0-2 years civilian): $50,000-$60,000
• Certified Surgical Tech (CST + 2-5 years): $60,000-$72,000
• Specialized surgical tech (cardiac, neuro, robotics): $68,000-$80,000
• Lead/Senior surgical tech: $72,000-$85,000
• Geographic variations: California $70,000-$85,000, Nevada $68,000-$80,000, Alaska $68,000-$82,000, Massachusetts $65,000-$78,000, New York $60,000-$75,000, Texas $54,000-$67,000, Florida $53,000-$65,000

What translates directly: Everything. Your 68D experience matches exactly what hospital ORs need—sterile technique, instrumentation knowledge, surgical assistance, equipment operation, and multi-specialty exposure.

Certifications needed:

• CST (Certified Surgical Technologist) from NBSTSA—industry standard, $190 for AST members or $290 for non-members
• BLS (Basic Life Support) ($50-100, often employer-provided)
• Surgical specialty certifications (optional, employer-provided for cardiac, neuro, robotics)

Major employers actively hiring:

• National hospital systems: HCA Healthcare (186 hospitals), Kaiser Permanente (39 hospitals), Ascension Health (140 hospitals), CommonSpirit Health (137 hospitals), Trinity Health (88 hospitals), Tenet Healthcare (65 hospitals), Adventist Health System (46 hospitals)
• Academic medical centers: Cleveland Clinic, Mayo Clinic, Johns Hopkins, Mass General Brigham, UCLA Medical Center, UCSF Medical Center, Duke Health, NYU Langone Health, Stanford Health Care
• Regional health systems: Northwell Health (NY), Banner Health (AZ), Intermountain Healthcare (UT), Baylor Scott & White (TX), Houston Methodist, Atrium Health (Southeast), Providence St. Joseph Health (West Coast)
• VA Medical Centers: 170+ VA hospitals with veteran preference hiring
• Specialty surgical hospitals: Texas Orthopedic Hospital, Surgical Hospital of Oklahoma, specialty spine and orthopedic centers nationwide

Reality check: Hospital OR work is demanding—early morning start times (first cases often begin 6:30-7:00 AM), long surgeries requiring extended standing, on-call rotations (nights/weekends), physical demands (moving equipment, positioning patients), and emotional intensity (patient complications, deaths). However, the work offers intellectual challenge, variety across surgical specialties, clear advancement paths, excellent benefits, and direct impact on patient outcomes.

OR positions typically offer better work-life balance than floor nursing—no overnight shifts unless on call, weekends limited to call rotation, and defined work hours (surgeries have endpoints). Many hospitals offer sign-on bonuses ($5,000-$10,000), tuition reimbursement, continuing education, and manufacturer training on new surgical technology.

Best for: 68D veterans who want acute care hospital environment, variety across surgical specialties, opportunities to use full skill set, and structured career advancement from surgical tech to lead tech to OR management.

Ambulatory Surgery Center Surgical Technologist (best work-life balance)

Civilian job titles:

• ASC Surgical Technologist
• Outpatient Surgery Tech
• Same-Day Surgery Technologist
• Ambulatory Care Surgical Tech

Salary ranges:

• ASC surgical tech: $52,000-$68,000
• Lead ASC surgical tech: $62,000-$75,000
• ASC with specialization (ortho, GI, ophthalmology): $58,000-$72,000

What translates directly: All your surgical skills, with emphasis on efficiency (ASCs focus on high-volume, scheduled procedures) and specialization (many ASCs focus on specific surgical types).

Certifications needed:

• CST certification (strongly preferred, often required)
• BLS certification
• Specialty training (varies by ASC focus—orthopedic, GI endoscopy, ophthalmology procedures)

Major ASC employers:

• National ASC chains: SCA Health (265+ centers), AmSurg (250+ centers), United Surgical Partners International (USPI—400+ centers, Tenet-owned), Surgery Partners (180+ centers)
• Hospital-affiliated ASCs: Most major hospital systems operate outpatient surgery centers
• Physician-owned ASCs: Thousands of independent centers nationwide specializing in orthopedics, GI, ophthalmology, pain management, podiatry

Reality check: ASCs offer the best work-life balance in surgical technology—no nights, no weekends, no on-call (most ASCs operate Monday-Friday, 6 AM-5 PM). Cases are scheduled, predictable, and typically shorter than complex hospital surgeries. However, salaries average 5-10% lower than hospitals, benefits may be less comprehensive, and work can feel repetitive (performing same procedures repeatedly).

ASCs are rapidly growing—advances in surgical techniques and anesthesia allow more procedures previously requiring hospitalization to be performed outpatient. This trend creates strong demand for experienced surgical techs who can work efficiently in high-volume settings.

Many 68D veterans choose ASCs for better schedules, less trauma/emergency stress, and family-friendly hours, accepting modest salary reduction for improved quality of life.

Best for: 68D veterans who prioritize work-life balance, want predictable schedules, prefer high-efficiency surgical environments, and don't need the variety and intensity of hospital ORs.

Travel Surgical Technologist (highest pay)

Civilian job titles:

• Travel Surgical Tech
• Contract Surgical Technologist
• Per Diem Surgical Tech

Salary ranges:

• Weekly travel assignments: $2,000-$3,200 weekly (national average $2,100-$2,400)
• Annual potential: $80,000-$140,000 (depends on weeks worked and assignment locations)
• High-demand locations: California, Alaska, Massachusetts, New York offer premium rates
• Hourly equivalent: $50-$75/hour (includes base pay + housing/meal stipends)

What translates directly: Your entire 68D skill set, plus military adaptability to new environments, working with unfamiliar teams, and performing under pressure without extensive orientation.

Certifications needed:

• CST certification (required by most travel agencies)
• BLS, ACLS (depending on assignment)
• 1 year recent OR experience (most agencies require minimum experience)
• Flexibility and professional references

Major travel agencies:

• AMN Healthcare (largest, most assignments)
• Aya Healthcare
• Medical Solutions
• FlexCare Medical Staffing
• Nomad Health
• Fusion Medical Staffing
• Advantis Medical
• Planet Healthcare
• PRIDE Health

Reality check: Travel surgical tech assignments typically last 13 weeks (extendable to 26 weeks). You'll relocate frequently, adapt to different OR cultures and surgeon preferences, work without extensive orientation, and deal with inconsistent benefits. Housing is provided or reimbursed tax-free (if you maintain permanent residence elsewhere), and agencies handle travel reimbursement.

Military experience translates perfectly to travel work—you're accustomed to moving, adapting to new teams, working in unfamiliar environments, and performing without hand-holding. Agencies actively recruit military-trained surgical techs because you adapt faster and perform more reliably than typical civilian techs.

The money is real—earning $100,000-$130,000+ annually in your 20s-30s is achievable. Many 68D veterans travel 2-4 years, bank $150,000-$250,000, then transition to permanent positions with financial security.

Best for: 68D veterans who want maximum earnings, enjoy travel and new experiences, have geographic flexibility, thrive on variety, and can handle temporary nature of assignments.

VA Healthcare Surgical Technologist (best for veterans)

Civilian job titles:

• Surgical Technologist (VA classification)
• Operating Room Technician
• OR Surgical Tech

Salary ranges:

• GS-6 (entry VA surgical tech): $44,000-$57,000
• GS-7 (experienced VA surgical tech): $49,000-$64,000
• GS-8 (senior/specialty): $54,000-$70,000
• Locality pay adjustments: Add 15-35% in high-cost areas (SF, NYC, DC, Boston, Seattle)
• Night/weekend differentials: Additional 10-25%

What translates directly: Your entire 68D skill set plus veteran preference hiring (10-point preference for disabled veterans, 5-point preference for all veterans).

Certifications needed:

• CST certification (preferred, strengthens application)
• BLS certification
• Federal resume (different format—detailed, longer than civilian resumes)

Major VA facilities hiring:

• 170+ VA medical centers nationwide: Major facilities in Los Angeles, Palo Alto, San Diego, Phoenix, Houston, San Antonio, Dallas, Atlanta, Miami, Tampa, Cleveland, Pittsburgh, Boston, Bronx, Manhattan, Philadelphia
• Specialty VA surgical programs: Cardiovascular surgery, neurosurgery, orthopedics, transplant surgery at larger VAMCs

Reality check: VA salaries start lower than private sector hospitals, but total compensation becomes competitive when including federal benefits: pension after 20 years (combines with military service), TSP retirement matching, federal health insurance, 26 days annual leave starting year 1 for veterans, job security unmatched in private sector, and student loan forgiveness programs.

Hiring process is slow (3-6 months typical) and bureaucratic. Apply through USAJobs.gov, emphasize veteran status and 68D training prominently, highlight any active security clearance. Once hired, advancement through GS grades is structured, and you'll work alongside fellow veterans who understand military culture.

VA work offers the mission of serving fellow veterans, often caring for combat veterans with injuries similar to those you treated on active duty. Many 68D veterans find deep meaning in continuing to serve veteran population.

Best for: 68D veterans prioritizing long-term stability, federal retirement benefits, serving fellow veterans, and structured career progression with excellent job security.

Specialty Surgical Settings (highest specialization)

Civilian job titles:

• Cardiovascular Surgical Technologist
• Neurosurgery Surgical Tech
• Robotic Surgery Technologist
• Transplant Surgery Tech
• Orthopedic Surgical Tech

Salary ranges:

• Cardiac surgical tech: $70,000-$90,000
• Neurosurgery surgical tech: $68,000-$88,000
• Robotic surgery technologist (Da Vinci): $72,000-$95,000
• Transplant surgery tech: $75,000-$95,000

What translates directly: Your broad 68D experience provides foundation, but specialty positions require additional training and experience in specific surgical services.

Certifications needed:

• CST certification (required)
• Specialty certifications: Cardiac surgery tech, robotic surgery credentials (employer-provided training)
• ACLS (required for cardiac surgery positions)

Major employers:

• Cardiac surgery programs: Cleveland Clinic, Mayo Clinic, Texas Heart Institute, Emory, Duke, Stanford
• Neurosurgery centers: Johns Hopkins, UCSF, Mass General, Barrow Neurological Institute
• Robotic surgery programs: Hospitals with Da Vinci robots (4,000+ U.S. hospitals)
• Transplant centers: Major academic medical centers with transplant programs

Reality check: Specialty surgical positions require additional training beyond 68D experience—typically 6-12 months working in specialty service, completing manufacturer training (robotic systems), and demonstrating proficiency with specialty instruments and procedures. These roles demand higher skill levels, longer surgeries (cardiac and neuro cases can exceed 8-12 hours), on-call requirements, and emotional intensity (life-or-death surgeries).

However, compensation is significantly higher, intellectual challenge is greater, and career satisfaction often exceeds general surgical tech positions. Surgeons in specialty services develop long-term relationships with their surgical teams, creating tight-knit OR cultures.

Best for: 68D veterans interested in advanced surgical specialization, willing to pursue additional training, seeking maximum technical challenge, and comfortable with longer, more complex procedures.

Surgical Tech Educator / OR Manager (long-term high earner)

Civilian job titles:

• Surgical Technology Instructor
• Clinical Coordinator—Surgical Tech Program
• OR Manager / Director
• Surgical Services Supervisor

Salary ranges:

• Surgical tech program instructor: $60,000-$80,000
• Clinical coordinator: $70,000-$90,000
• OR supervisor: $75,000-$100,000
• OR manager/director: $95,000-$130,000+

What translates directly: Technical expertise, teaching ability, leadership experience, and military supervisory experience.

Certifications and education needed:

• CST certification (required)
• Associate's or bachelor's degree (required for most teaching positions—use GI Bill)
• 5+ years OR experience (for management positions)
• CST-CFA (Certified First Assistant) (valuable for advanced positions)
• Management certifications (CNOR for OR managers)

Career path: Work 5-10 years as surgical tech → pursue associate's/bachelor's degree using GI Bill → transition to lead tech/supervisor → OR manager or surgical tech educator. Military supervisory experience accelerates advancement to leadership roles.

Reality check: Education and management positions offer better work-life balance than OR clinical work—regular hours, no on-call, weekends off (educators), and less physical demands. However, compensation starts lower than specialty OR positions, and you'll leave hands-on surgical work behind.

Many 68D veterans pursue education as second careers after 10-15 years in clinical OR work, using GI Bill for bachelor's/master's degrees and transitioning to teaching at surgical tech programs nationwide.

Best for: 68D veterans with leadership aspirations, interest in teaching, willingness to complete bachelor's degree, and desire for better work-life balance after years of clinical OR work.

Required Certifications and Training

High Priority (Get These)

CST (Certified Surgical Technologist) Certification - Industry standard credential from NBSTSA (National Board of Surgical Technology and Surgical Assisting).

Cost: $190 (AST members) or $290 (non-members). AST membership $125/year—worth it for exam savings and continuing education resources.

Eligibility with 68D training: Your Army 68D military surgical tech training program qualifies you to sit for CST exam (NBSTSA accepts military training).

Exam format: 175 multiple-choice questions (150 scored, 25 unscored pretest), 4 hours, computer-based. Need 70% (98/150 correct) to pass.

Preparation: Study guides $50-150, practice exams available online. Exam covers anatomy/physiology, microbiology, surgical procedures, instrumentation, sterile technique, and patient care.

Timeline: 2-3 months study while working or during terminal leave, schedule exam when ready.

ROI: Increases salary $8,000-$15,000 annually, required/preferred by most hospitals, makes you competitive for best positions. Without CST, you're limited to entry-level positions at lower pay.

Renewal: Every 4 years, requires 60 hours continuing education credits.

BLS (Basic Life Support) Certification - Required by virtually all OR employers.

Cost: $50-$100 (often employer-provided after hiring)

Timeline: 1-day course or 2-3 hours online + skills check-off

Value: Non-negotiable requirement for OR positions.

Medium Priority (If They Fit Your Path)

ACLS (Advanced Cardiac Life Support) - Required for cardiac surgery positions, valuable for critical care ORs.

Cost: $200-$350

Timeline: 2-day course

Value: Required for specialty cardiac/critical care positions, increases marketability.

CST-CFA (Certified First Assistant) - Advanced credential for surgical techs who assist surgeons with more complex tasks (retracting, suturing, hemostasis).

Cost: $375-$450 exam

Eligibility: Requires CST certification + 2 years experience + formal first assistant training program

Value: Increases salary $10,000-$20,000, opens first assistant positions earning $75,000-$95,000+.

Associate's or Bachelor's Degree in Surgical Technology - Strengthens credentials for management and teaching positions.

Cost: $0 using GI Bill (covers tuition + housing allowance)

Programs: Community colleges (associate's), universities (bachelor's), many online/hybrid options for working surgical techs

Timeline: Associate's 2 years, bachelor's 4 years (many complete part-time while working)

Value: Required for OR management and surgical tech educator positions, increases long-term earning potential $15,000-$30,000.

Robotic Surgery Credentials - Da Vinci robot training and certification.

Cost: $0 (employer-provided)

Value: Opens robotic surgery positions at premium pay, highly marketable skill as hospitals adopt robotic systems.

Low Priority (Nice to Have, Not Critical)

Specialty surgical certifications - Various organizations offer specialty credentials in cardiac, neuro, orthopedic surgery.

Cost: $200-$500 each

Value: Demonstrates specialization, valuable for niche positions but not required.

Companies and Healthcare Systems Actively Hiring 68D Veterans

Hospital Systems (100+ Major Employers)

National Hospital Chains:

• HCA Healthcare (186 hospitals nationwide, consistently hiring surgical techs, often offers sign-on bonuses)
• Kaiser Permanente (39 hospitals, 700+ medical offices, strong benefits)
• Ascension Health (140 hospitals, 2,600+ sites)
• CommonSpirit Health (137 hospitals, 1,000+ sites)
• Trinity Health (88 hospitals, 22 states)
• Tenet Healthcare (65 hospitals, 110+ outpatient centers)
• Adventist Health System (46 hospitals, multistate)
• Baylor Scott & White (52 hospitals, Texas—offering $10K sign-on bonus)
• Atrium Health (40+ hospitals, Southeast)
• Providence St. Joseph Health (51 hospitals, West Coast)

Academic Medical Centers:

• Cleveland Clinic (exceptional OR training, competitive pay)
• Mayo Clinic (Arizona, Florida, Minnesota)
• Johns Hopkins Health System
• Mass General Brigham
• UCLA Health System
• UCSF Medical Center
• Stanford Health Care
• Duke University Health System
• NYU Langone Health
• University of Michigan Health
• Northwestern Medicine
• Vanderbilt University Medical Center
• University of Pennsylvania Health System
• OHSU (Oregon—hiring surgical techs actively)

Regional Health Systems:

• Northwell Health (New York—hiring for new surgical pavilion)
• Banner Health (Arizona, Colorado, Wyoming)
• Intermountain Healthcare (Utah, Idaho, Nevada)
• Advocate Aurora Health (Illinois, Wisconsin)
• Beaumont Health (Michigan)
• Spectrum Health (Michigan)
• OhioHealth
• WellStar Health System (Georgia)
• Ochsner Health (Louisiana)
• Houston Methodist (multiple hospitals, strong OR programs)
• Memorial Hermann Health System (Texas)
• Dignity Health (West Coast)
• Froedtert Health (Wisconsin—offering $10K sign-on bonus)

Ambulatory Surgery Centers (1000+ Employers)

National ASC Operators:

• SCA Health (265+ surgery centers nationwide)
• AmSurg (250+ centers, ophthalmology, GI, orthopedic focus)
• United Surgical Partners International / USPI (400+ centers, Tenet-owned)
• Surgery Partners (180+ centers, multispecialty)
• Surgical Care Affiliates (acquired by USPI, operates many centers)
• National Spine & Pain Centers
• Regent Surgical Health

Specialty ASC Chains:

• EyeSouth Partners (ophthalmology ASCs across Southeast)
• United Digestive (GI-focused ASCs)
• OrthoNOW (orthopedic urgent care and surgery)
• Ambulatory Surgery Center Association (ASCA) Career Center—job board with 1000+ ASC positions

VA Healthcare System

• 170+ VA medical centers with surgical services
• Major VA surgical programs: West LA VA, Palo Alto VA, Houston VA (Michael E. DeBakey VAMC—one of largest), San Antonio VA, Phoenix VA, Atlanta VA, Boston VA, Bronx VA
• Apply through: USAJobs.gov with veteran preference
• Current openings: 15+ surgical tech positions listed on federal job sites

Travel Surgical Tech Agencies

• AMN Healthcare
• Aya Healthcare
• Medical Solutions
• FlexCare Medical Staffing
• Nomad Health (average $2,191/week)
• Fusion Medical Staffing
• Advantis Medical
• Planet Healthcare
• PRIDE Health
• GLC On-The-Go
• CareerStaff Unlimited
• Cross Country Allied

Salary Expectations and Geographic Considerations

National Salary Averages

Entry-Level (0-2 years civilian): $50,000-$60,000

Mid-Level (3-5 years + CST): $60,000-$72,000

Senior/Specialized (5+ years + specialty): $68,000-$85,000

Lead/Supervisor: $75,000-$95,000

Top 10 States for Surgical Tech Salaries (2024-2025)

1. California

• Average salary: $70,000-$85,000 ($30-$38/hour)
• Range: $62,000-$95,000
• Best cities: San Francisco, Los Angeles, San Diego, Sacramento, San Jose
• Job availability: Excellent—large hospital market

2. Nevada

• Average salary: $68,000-$80,000
• Range: $60,000-$88,000
• No state income tax
• Best cities: Las Vegas, Reno
• Strong ASC presence

3. Alaska

• Average salary: $68,000-$82,000
• Range: $62,000-$90,000
• No state income tax
• Cost of living adjustments for remote areas
• Travel surgical tech premiums

4. Connecticut

• Average salary: $65,000-$78,000
• Range: $58,000-$85,000
• Best cities: Hartford, New Haven, Bridgeport
• Strong academic medical centers

5. Massachusetts

• Average salary: $65,000-$78,000
• Range: $58,000-$85,000
• Best cities: Boston, Worcester, Springfield
• Excellent hospitals and surgical programs

6. Washington

• Average salary: $63,000-$76,000
• Range: $56,000-$82,000
• No state income tax
• Best cities: Seattle, Tacoma, Spokane, Vancouver
• Growing healthcare market

7. New York

• Average salary: $60,000-$75,000
• Range: $54,000-$82,000
• Best cities: New York City metro, Buffalo, Rochester, Albany
• Highest volume of surgical cases nationwide

8. Oregon

• Average salary: $60,000-$72,000
• Range: $54,000-$78,000
• Best cities: Portland, Eugene, Salem
• OHSU (major employer) actively hiring

9. Minnesota

• Average salary: $58,000-$70,000
• Range: $52,000-$76,000
• Best cities: Minneapolis, St. Paul, Rochester (Mayo Clinic)
• Excellent benefits and work-life balance

10. New Jersey

• Average salary: $58,000-$70,000
• Range: $52,000-$76,000
• Best cities: Newark, Jersey City, Trenton
• Proximity to NYC healthcare market

Good Value States (Lower Cost of Living)

Texas: $54,000-$67,000 (no state income tax, low cost of living, huge healthcare market)

Florida: $53,000-$65,000 (no state income tax, moderate cost of living, retiree population = high surgical volume)

Arizona: $56,000-$68,000 (low cost of living outside Phoenix/Scottsdale)

Georgia: $54,000-$65,000 (moderate cost of living, growing healthcare sector)

North Carolina: $52,000-$63,000 (low to moderate cost of living, strong hospital systems)

Shift Differentials and Bonuses

Night shift differential: Additional $3-6/hour ($6,000-$12,000 annually)

Weekend differential: Additional $2-5/hour

On-call pay: $3-8/hour on-call rate + callback at time-and-a-half

Sign-on bonuses: $5,000-$10,000 (common for experienced OR staff)

Retention bonuses: $2,000-$5,000 annually

Tuition reimbursement: $3,000-$5,250/year (many hospitals offer)

Resume Translation: Stop Writing Military Jargon

Translate your 68D experience to civilian surgical tech language:

1. Instead of: "Served as 68D Operating Room Specialist" Write: "Surgical Technologist with 4+ years operating room experience across general surgery, orthopedics, neurosurgery, trauma surgery, and emergency procedures in 300-bed military treatment facility performing 3,000+ surgical cases annually"

2. Instead of: "Maintained sterile field" Write: "Established and maintained sterile surgical fields for 500+ procedures annually, performed surgical scrubbing and gowning, created sterile instrument tables, and prevented contamination through strict aseptic technique achieving zero surgical site infections attributed to sterile breaks"

3. Instead of: "Passed instruments during surgery" Write: "Anticipated surgeon needs during complex surgical procedures, passed instruments efficiently, maintained accurate instrument/sponge/needle counts achieving 100% count accuracy over 3 years, and supported surgical teams during 200+ trauma cases including penetrating injuries and mass casualty events"

4. Instead of: "Set up operating rooms" Write: "Prepared operating rooms for diverse surgical procedures including equipment positioning, instrument table arrangement, sterile supply stocking, surgical equipment testing, and post-operative room turnover averaging 20 minutes between cases—15% faster than department standard"

5. Instead of: "Worked with surgical team" Write: "Collaborated with multidisciplinary surgical teams including surgeons, anesthesiologists, circulating nurses, and surgical assistants across general surgery, orthopedics, neurosurgery, ENT, GYN, and urology services, adapting to individual surgeon preferences and maintaining efficiency during 4-12 hour procedures"

6. Instead of: "Handled surgical instruments" Write: "Demonstrated proficiency with 500+ surgical instruments including specialty instrumentation for laparoscopic procedures, orthopedic hardware implantation, neurosurgical procedures, and cardiovascular surgery; maintained, cleaned, and sterilized instruments per manufacturer specifications and infection control protocols"

7. Instead of: "Positioned patients" Write: "Safely positioned patients for surgical access including supine, prone, lateral, lithotomy, and Trendelenburg positions; protected pressure points, ensured proper body alignment, applied surgical drapes maintaining sterile fields, and prevented patient injury during positioning and repositioning"

8. Instead of: "Operated surgical equipment" Write: "Operated surgical equipment including electrosurgical units (Bovie), surgical suction devices, surgical lights, powered surgical instruments, video equipment for laparoscopic procedures, and specialty equipment specific to surgical services; troubleshot equipment failures and maintained operational readiness"

9. Instead of: "Managed surgical supplies" Write: "Managed surgical supply inventory including tracking par levels, ordering specialty instruments and implants, coordinating with vendors, ensuring availability of critical supplies, and reducing supply waste 20% through efficient inventory management and preference card accuracy"

10. Instead of: "Responded to emergencies" Write: "Responded to 150+ surgical emergencies including hemorrhage, equipment failures, and urgent trauma cases; maintained composure and sterile technique during high-stress situations, adapted to rapidly changing surgical plans, and supported surgical teams during life-saving procedures earning Army Commendation Medal for exceptional performance under combat deployment conditions"

Key resume strategies:

• Quantify everything: Number of cases, specialties, procedures, efficiency improvements
• Use civilian job title: "Surgical Technologist" or "Operating Room Technician" not "68D"
• List surgical specialties: General, orthopedic, neuro, trauma, cardiac—show versatility
• Highlight CST certification prominently if obtained
• Include any deployment experience: Combat surgical experience is unique and valued
• Emphasize instrument counts: Perfect count record demonstrates attention to detail critical for OR safety

Transition Timeline: Your 6-12 Month Roadmap

6-12 Months Before Separation

Month 1-2: Assessment and CST prep start

• Register for TAP (Transition Assistance Program)
• Request 10 certified copies of DD-214
• Request Army training transcripts and 68D certificates
• Research CST certification requirements at NBSTSA.org
• Purchase CST study materials ($50-150)
• Join Association of Surgical Technologists (AST) for exam discount ($125/year)
• Begin studying 1-2 hours daily
• Research hospitals and surgery centers in target locations
• Connect with 20+ civilian surgical techs on LinkedIn

Month 3-4: Intensive CST study and applications

• Study intensively for CST exam 2-3 hours daily
• Schedule CST exam 2 months out
• Consider SkillBridge internship (work at civilian hospital OR last 180 days while on active duty)
• Draft civilian resume using translation examples
• Create LinkedIn profile highlighting surgical experience
• Attend veteran healthcare job fairs

Month 5-6: CST exam and job search launch

• Take and pass CST exam (4-hour exam, schedule strategically)
• Receive CST results (immediate unofficial results, official certificate mailed within weeks)
• Update resume immediately: "Certified Surgical Technologist (CST)"
• Apply to 20-30 surgical tech positions (hospitals, ASCs, travel agencies, VA)
• Obtain current BLS certification if needed
• Practice interview questions
• Research employers—read Glassdoor reviews, check facility reputations

3-6 Months Before Separation

Month 7-8: Interviewing and offers

• Attend 5-10 job interviews
• Ask to tour OR departments before accepting offers
• Negotiate salary, shift preferences, sign-on bonuses, benefits
• Complete pre-employment requirements (physical, drug screen, vaccinations, background checks)
• Accept position with start date coordinated to post-separation
• Research housing in new location if relocating
• File VA disability claim 90-180 days before separation (critical timing)

Month 9-10: Final preparations

• Complete new employer orientation paperwork
• Purchase professional surgical scrubs (facility may provide)
• Finalize housing, moving logistics
• Ensure all Army medical records transferred to VA
• Complete SFL-TAP requirements
• Set up VA healthcare enrollment
• Plan final goodbyes and transition celebration

Final 3 Months (Terminal Leave and Post-Separation)

Month 11-12: Transition execution

• Begin terminal leave
• Relocate if needed
• Separate from Army—officially a veteran
• Start civilian surgical tech position
• Hospital orientation (typically 1-2 weeks)
• OR department orientation and preceptorship (4-8 weeks with experienced surgical tech mentor)
• Shadow different surgical specialties
• Gradually assume independent cases
• Set up benefits (health insurance, 401k, HSA)
• Join professional surgical tech organizations
• Document first 90 days for future resume updates

If no job offer by separation:

• File for unemployment (veterans qualify)
• Use VA healthcare
• Apply to surgical tech staffing agencies for temporary/per diem work
• Apply to 10+ positions weekly
• Expand geographic search
• Consider travel surgical tech agencies (often hire faster)
• Reach out to every 68D veteran you know for referrals

Job Search Strategy and Interview Preparation

Where to Find Surgical Tech Jobs

General job boards:

• Indeed.com (12,000+ surgical technologist jobs)
• LinkedIn Jobs
• Glassdoor
• ZipRecruiter

Healthcare-specific sites:

• HealthJobsNationwide.com
• HealtheCareers.com
• SurgicalTechSuccess.com

ASC-specific:

• ASCA Career Center (ambulatory surgery center jobs)

Veterans-specific:

• USAJobs.gov (VA positions)
• HireVeterans.com
• RecruitMilitary.com

Direct employer websites: Hospital career pages—search "surgical technologist" or "surgical tech"

Travel agencies: Contact travel companies directly—they actively recruit experienced OR professionals

Common Interview Questions and Answers

Q: Tell me about your surgical tech background. A: "I served 4 years as an Army 68D Operating Room Specialist at [base], working in a busy OR performing 60-80 cases monthly across general surgery, orthopedics, neurosurgery, trauma, and emergency procedures. I'm proficient in sterile technique, surgical instrumentation, OR setup, patient positioning, and supporting surgical teams during complex cases. I'm CST certified, BLS current, and ready to bring my military training and adaptability to your surgical team."

Q: Describe your experience maintaining sterile technique. A: "Sterile technique is fundamental to everything I do. I've scrubbed for 500+ surgical cases maintaining sterile fields, performing surgical hand scrubbing, gowning and gloving, creating sterile instrument tables, and preventing contamination. I understand the consequences of breaks in sterile technique—surgical site infections that harm patients and cost hospitals significantly. In 4 years, I never had a case attributed to sterile break, and I'm vigilant about holding myself and team members accountable to aseptic standards."

Q: How do you handle long, complex surgeries? A: "Mental and physical stamina are critical for OR work. I've scrubbed cases lasting 8-12 hours including complex orthopedic reconstructions and neurosurgical procedures. I prepare mentally before long cases, stay focused on surgeon needs, maintain situational awareness throughout, and manage physical demands through proper body mechanics and focus techniques. Military training taught me to perform under fatigue and pressure without compromising patient safety."

Q: Tell me about a time you caught a potential error. A: "[Have specific example ready] During a laparoscopic cholecystectomy, I noticed our sponge count was off by one before closing. I immediately notified the surgeon and circulating nurse, we recounted, and discovered a sponge had fallen behind the instrument table, not in the patient. We documented the incident properly. This reinforced why counts are non-negotiable—one missed sponge can be catastrophic. I'd rather delay closing 5 minutes than risk a retained surgical item."

Q: How do you adapt to different surgeons' preferences? A: "Every surgeon has unique preferences for instruments, setup, and flow. I learn preferences quickly by paying attention, asking questions, reviewing preference cards, and adapting my technique to support their style. In the military, I worked with multiple surgeons across specialties and learned flexibility is essential. I anticipate needs, stay one step ahead, and build rapport with surgeons through reliability and professionalism."

Q: Why are you leaving the Army? A: "I valued my Army service and the exceptional surgical tech training I received as a 68D, but I'm ready to establish a civilian career with geographic stability, family considerations, and continued growth in surgical technology. I want to work in a high-volume OR where I can continue developing surgical skills and potentially specialize in [cardiac/neuro/robotics—whatever fits the position]."

Q: Why should we hire you over other surgical tech candidates? A: "Three reasons: First, my Army 68D training and experience exceed most civilian surgical tech programs—I've worked trauma surgeries, combat casualties during deployment, and high-stress OR environments that prepared me for any situation. Second, military discipline ensures I show up on time, follow protocols precisely, maintain professional standards, and take accountability seriously. Third, I adapt quickly to new environments and teams—a skill critical for integrating into your OR culture and performing effectively from day one."

Q: Where do you see yourself in 5 years? A: "I plan to work 2-3 years developing expertise in [facility's specialty services], pursue advanced training in [cardiac/neuro/robotics—whatever fits], and position myself for lead surgical tech or specialty roles. Long-term, I'm interested in OR management or surgical tech education, but first I want to build strong clinical foundation here and prove my value to your team."

Questions YOU Should Ask

About the OR:

• "What surgical specialties does this OR handle?"
• "What's the typical case volume and mix?"
• "How large is the surgical tech team?"
• "What's your on-call rotation schedule?"

About training and growth:

• "What orientation and preceptorship do you provide new surgical techs?"
• "Do you offer specialty training (cardiac, neuro, robotics)?"
• "Are there opportunities for continuing education and certifications?"
• "What's the career path from surgical tech to lead tech or supervisor?"

About the organization:

• "What makes your OR culture unique?"
• "How do you support military veteran employees?"
• "What are the biggest challenges the OR department faces?"
• "Why do you enjoy working here?" (ask interviewer directly)

Common Mistakes to Avoid

Mistake #1: Not getting CST certification

Some 68D veterans assume military training alone is enough. Many employers require or strongly prefer CST, and certified surgical techs earn $8,000-$15,000 more annually.

Solution: Make CST your top priority. Study seriously, pass first attempt, include prominently on resume and LinkedIn.

Mistake #2: Targeting only large hospitals

68D veterans often focus exclusively on prestigious academic medical centers or large hospitals, ignoring ASCs, smaller facilities, and specialty centers with excellent opportunities.

Solution: Apply broadly—large hospitals, community hospitals, ASCs, specialty surgical centers, VA facilities, travel agencies. Cast wide net, generate multiple offers, then choose best fit.

Mistake #3: Accepting first offer without negotiation

Employers expect negotiation. First offers typically have room to increase $3,000-$5,000. Veterans often accept immediately out of unfamiliarity with civilian negotiation.

Solution: When offered position, respond: "Thank you, I'm very interested. Based on my military OR experience, CST certification, and market research, I was hoping for $[X—add $3-5K]. Is there flexibility?" Often they increase offer.

Mistake #4: Poor interview preparation on instrumentation

Surgical tech interviews often include instrumentation questions testing your knowledge. Vague answers expose knowledge gaps.

Solution: Review surgical instruments by specialty before interviews. Be prepared to discuss specific instruments, their uses, and setup for common procedures. Use proper instrument names, not informal OR slang.

Mistake #5: Ignoring ASCs for work-life balance

68D veterans sometimes overlook ASC positions thinking hospitals offer better careers. ASCs provide excellent work-life balance, no nights/weekends, and competitive pay.

Solution: Seriously consider ASC positions especially if you value predictable schedules and family time over variety and intensity of hospital ORs.

Mistake #6: Not leveraging veteran networks

Most surgical tech jobs are filled through referrals before public posting. Not networking means missing hidden opportunities.

Solution: Connect with every 68D veteran you know. Ask where they landed, who's hiring, request introductions to hiring managers. Join surgical tech groups on LinkedIn and Facebook.

Mistake #7: Neglecting VA disability claim

Many 68D veterans wait until after separation to file VA claims, losing documentation and evidence. Filing after separation often results in lower ratings.

Solution: File VA disability claim 90-180 days before separation. Document any service-connected conditions (back/knee/shoulder pain from prolonged standing, hearing loss from OR equipment, anything). Get rated while records are accessible.

Success Stories: 68D Veterans Who've Successfully Transitioned

Michael, 27, E-5, 5 years as 68D → Hospital Surgical Tech at $64,000

Michael passed CST exam during terminal leave, applied to 25 hospitals in Texas, received 4 offers. He negotiated salary from $60,000 to $64,000 plus $5,000 sign-on bonus by emphasizing combat deployment OR experience.

"The transition was seamless. My 68D training exceeded civilian surgical tech programs—I'd done trauma surgeries, worked with minimal resources deployed, and handled emergencies most civilian surgical techs never see. I started in general surgery OR, rotated through specialties, and now work primarily orthopedics which I love. The work is demanding but rewarding, pay is solid, and I have clear path to lead tech position within 2 years."

Jessica, 25, E-4, 4 years as 68D → ASC Surgical Tech at $58,000

Jessica wanted work-life balance with young children. She accepted ASC position at slightly lower salary than hospital offers for Monday-Friday schedule with no nights, weekends, or on-call.

"The ASC lifestyle is perfect for my situation. I work 7 AM-4 PM, home every evening and weekend, never on-call. We do primarily orthopedic and GI endoscopy procedures—high volume, efficient, predictable. The work is less varied than hospitals but I don't miss the chaos, overnight calls, and unpredictable schedules. My kids see me every night and I'm not exhausted all the time. For me, the quality of life improvement was worth modest salary difference."

Brandon, 29, E-6, 8 years as 68D → Travel Surgical Tech earning $115,000

Brandon wanted maximum income to pay off debt and save money. He obtained CST, worked one year at hospital building civilian experience, then started travel assignments. He earns $2,200-$2,600 weekly on 13-week contracts.

"I'm making nearly double what permanent surgical techs earn, seeing different parts of the country, gaining experience in different OR cultures and procedures, and banking serious money. My military experience prepared me perfectly—I'm used to moving, adapting quickly, working with new teams, and performing without hand-holding. Agencies love hiring military-trained surgical techs because we adapt faster and complain less than typical travelers. I plan to travel 3 years, save $200,000+, then settle in California or Colorado with strong financial foundation."

Sarah, 32, E-7, 11 years as 68D → VA Surgical Tech (GS-7) at $58,000 with locality

Sarah applied to VA positions 6 months before separation, emphasizing veteran status and 68D experience. VA hired her as GS-7 with locality adjustments bringing total compensation to $65,000 with benefits.

"VA hiring took 5 months—patience required—but worth it. I supervise surgical techs at large VA medical center, manage OR supplies and equipment, ensure compliance, and train new staff. The mission of serving fellow veterans is deeply meaningful. I work with Vietnam, Gulf War, and recent combat veterans—many with injuries I understand from my own deployments. The pay is competitive when factoring federal benefits, job security is unmatched, and I'm building toward federal pension. Best decision for long-term career."

David, 26, E-5, 4 years as 68D → Robotic Surgery Surgical Tech at $72,000

David specialized in robotic surgery (Da Vinci system) after 18 months in general surgery OR. He completed manufacturer training, earned robotic surgery credentials, and now works exclusively robotic cases at academic medical center.

"Robotic surgery is the future of surgery—minimally invasive, faster recovery, better outcomes. I wanted to specialize in cutting-edge surgical technology. After proving myself in general surgery, I applied for robotic OR opening, completed intensive Da Vinci training, and now scrub 4-6 robotic cases daily including urology, gynecology, and general surgery. The pay is significantly higher than general surgical tech roles, the work is intellectually stimulating, and I'm building expertise that will keep me marketable for decades."

Next Steps: Your Action Plan Starting Today

If you're 12+ months from separation:

1. Order CST study materials this week (AST study guide, online practice tests)
2. Join Association of Surgical Technologists ($125/year for exam discount)
3. Request Army transcripts and 68D certificates
4. Create LinkedIn profile highlighting surgical experience
5. Connect with 20 civilian surgical techs and 68D veterans
6. Start studying 1 hour daily (build habit early)
7. Research target locations—cost of living, hospital markets, salaries
8. Consider SkillBridge opportunity to work at civilian OR last 6 months

If you're 6-12 months from separation:

1. Study intensively for CST 2-3 hours daily
2. Schedule CST exam 2-3 months out
3. Draft civilian resume using translation examples
4. Register for TAP/SFL-TAP
5. File VA disability claim 90-180 days before separation
6. Attend veteran job fairs focusing on healthcare
7. Research hospitals and ASCs in target locations
8. Connect with hiring managers on LinkedIn

If you're 3-6 months from separation:

1. Take and pass CST exam (priority #1)
2. Apply to 20-30 surgical tech positions
3. Get current BLS certification
4. Practice interview questions
5. Attend job interviews—tour OR departments
6. Negotiate offers as they arrive
7. Coordinate start date with terminal leave
8. Finalize housing in new location

If you're separated or separating within 3 months:

1. Pass CST immediately if not done
2. Apply to 10+ positions weekly
3. Contact travel surgical tech agencies for faster hiring
4. Expand geographic search if limited opportunities
5. Reach out to every 68D veteran for referrals
6. File for unemployment if needed
7. Use VA healthcare
8. Consider temporary/per diem work through staffing agencies

Most important actions (do these first):

1. Pass CST exam and get certified—increases salary $8K-$15K
2. Translate resume to civilian language—drop military jargon
3. Apply broadly—hospitals, ASCs, VA, travel agencies
4. Network aggressively—LinkedIn, surgical tech associations, 68D veterans
5. Negotiate offers—ask for $3-5K more than initial offer

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You've got this. Your 68D training and OR experience make you a highly qualified surgical technologist. The healthcare industry desperately needs experienced OR professionals like you. Thousands of 68D veterans have successfully transitioned before you—now it's your turn to build your civilian surgical career.

Ready to start your transition? Use the career planning tools at Military Transition Toolkit to track your certification progress, map your job search, and connect with employers hiring 68D veterans.