This book is aimed at providing clarity to the surgical residents and students on the tissue approximation and knotting, an integral part of surgery, a science and art involving application of appropriate knowledge and skill to achieve healing of the wounds. The book has seven chapters, divided into different levels and aspects of tissue approximation, starting from the historic evolution of the scientific art, knowledge-based conceptualization leading to the actual performance of the art in its various forms, conventional and modern, apt to the contemporary practice of surgery, including the suturing and knotting techniques in minimally invasive surgery. The chapters are rich with illustrations, diagrams and photographs to enrich one?s experience of ?virtually being there There are seven chapters in the book. Initial chapters highlight the history, instruments, and basics; eventual chapters discuss the proper method of suturing and knotting techniques with principles.A brief but adequate highlight on laparoscopic suturing is also dealt with.Excellent illustrations will help student/learner to understand the complex suturing in easier wayThis book is handy but adequately informative and could become an essential commodity to all surgical trainees as well as practicing surgeons including specialties as this basis is essential pillar of surgical skill in operative surgery.This atlas is supported by videos of basic suturing technique