The Certified Surgical Assistant (CSA) first assists the surgeon/physician in the performance of surgical procedures. The CSA has an understanding of human surgical anatomy; has developed surgical skills such as suturing, the proper use of surgical instrumentation, and proper positioning of surgical patients. The CSA possesses a working knowledge of the principles of aseptic technique, and perioperative policies and procedural guidelines. The CSA must have knowledge of surgical procedures and the ability to anticipate the needs of the surgeon. The CSA will work in a multi-specialty perioperative setting that includes general surgery, orthopedic surgery, neurological surgery, spinal surgery, ENT/radical neck surgery, gynecological surgery, urology surgery, cardiovascular surgery, thoracic surgery, vascular surgery, trauma surgery, plastic surgery, transplant surgery, colon-rectal surgery, and pediatric surgery.