Hi, I am a surgical nurse and there is no other nurse I would rather be (I was a surgical tech first before becoming an RN). It does appear as if the surgical tech plays a bigger role in the surgery because they are at the surgical field but everyone's role is important. You are the RN, you are in charge of the room, not the surgeon, you! if anything goes wrong - your license are in danger. First, go to nursing school, get your degree then do a perioperative course - they will teach you how to scrub, prep the patient, instruments, etc - course last about 6 weeks..I think. (I did not have to do it because I was a surg tech first). You have OR Tech and Surg Tech, OR Tech cleans the room and Surg Tech handles the instrument - some hospital calls Surg Tech OR Techs). For the record Surg Techs does not get more than nurses. Now it also sounds like you are interested in a RNFA role (Registered Nurse First Assist). So this is how it goes - RN to Perioperative Nurse(surgical nurse) - to First Assist. You have to learn how to scrub and get a certain number of scrubbing hours on various specialty, then find a school and get a surgeon to sign off on your competency then go and do a few months of schooling (nothing like nursing school) and wallah you are a RNFA and your pay significantly rises.. There are alot more explanation I could give but I think this is enough. Also, the OR is one of the hardest place to get into..