A variable annuity (VA) is an equity-linked annuity that provides investment guarantees to its policyholder and its contributions are normally invested in multiple underlying assets (e.g., mutual funds), which exposes VA liability to significant market risks. Hedging the market risks is therefore crucial in risk managing a VA portfolio as the VA guarantees are long-dated liabilities that may span decades. In order to hedge the VA liability, the issuing insurance company would need to construct a hedging portfolio consisting of the underlying assets whose positions are often determined by the liability Greeks such as partial dollar Deltas. Usually, these quantities are calculated via nested simulation approach. For insurance companies that manage large VA portfolios (e.g., 100k+ policies), calculating those quantities is extremely time-consuming or even prohibitive due to the complexity of the guarantee payoffs and the stochastic-on-stochastic nature of the nested simulation algorithm. In this paper, we extend the surrogate model-assisted nest simulation approach in Lin and Yang [(2020) Insurance: Mathematics and Economics, 91, 85–103] to efficiently calculate the total VA liability and the partial dollar Deltas for large VA portfolios with multiple underlying assets. In our proposed algorithm, the nested simulation is run using small sets of selected representative policies and representative outer loops. As a result, the computing time is substantially reduced. The computational advantage of the proposed algorithm and the importance of dynamic hedging are further illustrated through a profit and loss (P&L) analysis for a large synthetic VA portfolio. Moreover, the robustness of the performance of the proposed algorithm is tested with multiple simulation runs. Numerical results show that the proposed algorithm is able to accurately approximate different quantities of interest and the performance is robust with respect to different sets of parameter inputs. Finally, we show how our approach could be extended to potentially incorporate stochastic interest rates and estimate other Greeks such as Rho.