Surgical PA/NP First Assist Job in Wyoming | General Surgery | Robotics | New Grads Welcome

Launch or grow your surgical career in a hands-on First Assist role where you’ll work side-by-side with an established general surgeon in a busy, hospital-supported practice. This opportunity offers immediate operative experience as a surgeon transitions a successful private practice into the hospital, creating strong case volume from day one. Enjoy a diverse practice that blends first assisting, clinic, inpatient care, rounding, endoscopy, and robotic surgery in a collaborative environment where you’ll be valued as an essential member of the team. Whether you’re an experienced surgical APP or a motivated new graduate eager to build your skills, you’ll receive the mentorship and procedural exposure needed to thrive. If you’re looking for autonomy, variety, and the opportunity to make a meaningful impact in a community with significant surgical need, this is an exceptional opportunity. 

Practice, Compensation & Organization Highlights 

• Full-scope General Surgery APP role with extensive operative experience 
• New graduates encouraged to apply 
• Nurse Practitioner First Assist or Physician Assistant opportunity 
• Work alongside an established surgeon bringing an existing private practice into the hospital 
• First assist in the OR 1-2 days per week 
• Broad surgical exposure including minimally invasive and laparoscopic procedures 
• Perform cases involving gallbladder, appendix, hernia, endocrine, foregut, anti-reflux, and oncologic surgery 
• Gain experience with endoscopy and Da Vinci robotic surgery 
• Balanced responsibilities including clinic, inpatient care, rounding, and operative first assist 
• Monday-Friday schedule with half-days on Fridays 
• Typical schedule includes 1-2 OR days and approximately 2.5 clinic days each week 
• 8-10 call shifts per month focused primarily on surgical coverage 
• Physicians manage primary phone call responsibilities 
• Competitive $140,000-$160,000 base salary with productivity incentives 
• Quality bonus, sign-on bonus, relocation assistance, and comprehensive benefits package 

Life in Northwest Wyoming 

Northwest Wyoming offers an incredible opportunity to combine a rewarding surgical career with one of the country’s most breathtaking outdoor lifestyles. Serving a regional population of more than 50,000 residents, you’ll play an essential role in delivering surgical care where your skills make a visible difference every day. Outside of work, you’ll enjoy easy access to Yellowstone National Park, abundant wildlife, and endless opportunities for hiking, fishing, skiing, horseback riding, and other outdoor adventures. The region’s short commutes, welcoming community, and relaxed pace of life provide the perfect environment to achieve true work-life balance. Whether you’re beginning your career or looking for a lifestyle change, Northwest Wyoming offers professional growth in a setting unlike anywhere else. 

Community Highlights 

• Spectacular mountain scenery and abundant wildlife 
• Minutes from world-class outdoor recreation 
• Close proximity to Yellowstone National Park 
• Approximately two hours from Billings, Montana 
• Hiking, fishing, skiing, horseback riding, and year-round adventure 
• Regional service area of more than 50,000 residents with strong surgical demand 
• Broad surgical experience rarely found in larger markets 
• Friendly, close-knit community with an exceptional quality of life 
• Short commutes and outstanding work-life balance 
• An ideal setting for surgical APPs seeking mentorship, autonomy, and career growth