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For novice laparoscopic surgeons, we recommend a needle driver that is sturdy, with straight handle, a ribbed grip, and a conveniently located needle release button on the grip (ssss1). Hand size differs among surgeons; therefore, the preferred position of the release button may differ. When the release button is placed in the axis of the instrument, it can be used with either hand.

Needle driver jaws may be straight, curved left, or curved right (ssss1). They can also be self-righting. Straight jaws are this author's (BAF) preference because they can be used in both left and right positions. The jaws are designed for a particular range of needle sizes, which is important to note before purchase. Self-righting needle drivers force the needle into a fixed position, usually at 90° angle to the instrument shaft. The limitations of self-righting needle drivers is that they should not be used to grasp the suture because they may damage or weaken the material. In addition, they reduce the surgeon's freedom to position the needle in different angles.