circulating nurse and surgical techs count all of the instruments and sterile supplies at least twice throughout the procedure, to make sure everything is accounted for. Surgical technologists also train other operating room personnel as a vital part of the surgical team. Pakistan Surgical technology began in renowned medical institutes and universities of Karachi, Islamabad, Lahore, Peshawar, Quetta and Azad Kashmir. Surgical technologists can work in government and federal sectors as grade 16/17 professionals though they have limited number of seats in THQ and DHQ hospitals despite intensive workload. It is solely the government's responsibility to acknowledge the credibility of allied health professionals by increasing their seats in government hospitals and raising their salary packages so that they can acquire their basic rights. In Pakistan, depending on the role and employment setting, they may go by different titles including Scrub Surgical Technologist, Circulating Surgical Technologist or Second Assisting Technologist. Mozambique In Mozambique, they provide advanced surgical services, often working autonomously in the absence of a physician. In other countries, professions with similar titles include clinical officers, clinical associates, or assistant medical officers, which can mean different things subject to local circumstances. Employment Most surgical technologists, about 60 percent in the U.S., work in hospitals, primarily in operating rooms. Surgical technologists also deal with equipment, such as handling a C-arm fluoroscope in angioplasty and orthopedics. A surgical technologist with experience in multiple specialties is often preferred. Other scrub technologists may work in offices of physicians or dentists who perform outpatient surgery and in outpatient care centers, including ambulatory surgery centers. In the U.S., depending on the role and employment setting, surgical technologists may go by different titles including scrub surgical technologist or circulating surgical technologist. A few technologists in private practices (also called "private scrubs") are employed directly by surgeons who have special surgical teams, such as those for liver transplants. Career prospects for surgical technologists are expected to grow in the coming years. According to the U.S. Bureau of Labor Statistics, employment of surgical technologists is expected to grow by 19 percent by 2020, faster than the average for all occupations. This trend is related to the expected rise in the number of surgical procedures performed, as the population grows and ages. Older people, including the baby boomer generation, generally require more surgical procedures and will begin to account for a larger proportion of the general population. In addition, technological