I work now as a Surgical Assistant in the OR and yes it is possible for you to work for a surgeon or surgical group as a NP. Yes, this area is mostly dominated by PA's, but there are quite a few doctors who have NP's assisting them. The rest of the doctors use either surgical assistants or PA's. The only downside is that most NP programs don't have a surgical rotation, so you have to find someone willing to teach you how to suture, assist, place trocars, etc. But yes, you can work in the OR as a Surgical NP. I am applying to an direct entry MSN/NP 3 year program and I have doctors already willing to hire me. Of course my circumstance is unique because I already assist in surgery exactly like PA's and NP's, but rounding and following patients afterwards is only reserved for NP's, PA's and of course MD's. I know a lot of Cardio-Thoracic surgeons who have NP's assisting them in the OR and Cath lab as well as Orthopedics.