Free CSFA Exam Prep
Certified Surgical First Assistant Examination
Prepare for the CSFA exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.
Quick Facts
Explore More NBSTSA Surgical Technologist Certifications
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CSFA NBSTSA Surgical Technologist Certifications License: Complete Roadmap
Follow this path to organize your licensing and exam preparation
Phase 1You are here
Prioritize pre-op, intra-op, and post-op work in the largest domain.
Phase 2
Strengthen anatomy, microbiology, and anesthesia interpretation.
Phase 3
Cover equipment operations and administrative responsibilities.
Phase 4
Complete timed 4-hour sets and close final gaps.
Can You Take the CSFA Exam?
Check if you meet the basic eligibility requirements
- •NBSTSA approval and ATT required before scheduling with PSI
- •Candidates may test up to three times in a calendar year
- •Each retake requires a new application and payment
CSFA Quick Facts
Time to Get Licensed
10-16 weeks for most candidates
From start to license in hand
Retake Policy
Unsuccessful candidates may reapply immediately, but are limited to three CSFA exam attempts in one calendar year.
Total Cost Breakdown
Free CSFA Prep Tools
Reported exam pass rate: 62% first-time pass rate in 2025 (NBSTSA certification data report).. Check the exam sponsor for the latest official figure.
260 Practice Questions
Domain-aligned CSFA practice sets with perioperative case-style prompts.
AI-Powered Learning
Focused explanations for procedural sequence, anatomy, and OR decisions.
2026 Updated
Aligned to current NBSTSA exam structure, scoring benchmark, and policy language.
Free Access
Launch CSFA prep free before scheduling your PSI appointment.
What You'll Study
8 chapters covering the exam topics in this guide
Chapter 1: Preoperative Preparation
6 sections
Chapter 2: Intraoperative Procedures
9 sections
Chapter 3: Postoperative Procedures
4 sections
Chapter 4: Advanced Anatomy and Physiology
9 sections
Chapter 5: Advanced Principles of Microbiology
2 sections
Chapter 6: Surgical Pharmacology and Anesthesia
3 sections
Chapter 7: Administrative and Personnel
3 sections
Chapter 8: Equipment, Sterilization, and Maintenance
3 sections
CSFA Exam Details
Certified Surgical First Assistant Examination
Administered by National Board of Surgical Technology and Surgical Assisting (NBSTSA)
Exam Content Breakdown
Based on the official National Board of Surgical Technology and Surgical Assisting (NBSTSA) content outline
Pre-op preparation, intra-op procedures, and post-op responsibilities.
Administrative/personnel duties and equipment operation.
Advanced anatomy/physiology, microbiology, pharmacology, and anesthesia.
What's Included
8 Chapters
Complete exam coverage
Practice Quizzes
With detailed explanations
Free to Start
No credit card required

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What's Next After the CSFA?
After passing the CSFA, you can pursue these career paths
CST
Pair first-assist expertise with broad surgical technologist credentialing.
CNOR
Expand into perioperative RN specialization.
FA Program Leadership
Advance into educator, preceptor, or surgical team leadership roles.
CSFA Exam FAQ
Official National Board of Surgical Technology and Surgical Assisting (NBSTSA) Resources
Verify information with these official sources
More Free Resources
Ready to Start Your Free CSFA Prep?
Review the study guide, practice key concepts, and use the free tools at your own pace.
