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 Sutures longer than 30 cm (12 in.) are extremely challenging for intracorporeal suturing and knot tying and 6 in. is preferred.

 For intracorporeal continuous suturing, barbed sutures are outstanding.

 Automated suturing devices, including the Endo Stitch and the SILS (single incision laparoscopic surgery) Stitch device, are preferred by many surgeons.

In the early years of minimally invasive surgery (MIS), controversy existed regarding the need for suturing skills. Many practicing surgeons thought that laparoscopic suturing was too difficult to ever be considered a realistic requirement [1]. However, in the early 1990s, a consensus was built: laparoscopic surgeons had to learn and apply basic suturing skills unless the development of laparoscopic surgery was to be impeded. [2] As laparoscopic techniques advanced from ablative to reconstructive procedures, suturing skills became increasingly important [3]. Soon it was recognized that these complex skills had to be practiced with other methods than the classical “see one, do one, teach one” paradigm of conventional residency training. As a result, simulation training became a requirement. Despite an intense technological advancement, intracorporeal suturing remains of paramount importance to MIS surgeons to this day. Robotic technology has not circumvented the need for suturing. However, robotic wrist‐action and 3D vision have made suturing more intuitive to learn [4].