This chapter discusses soft tissue instruments and sutures, where many soft tissue procedures can be performed with four basic instruments, such as scalpel, scissors, forceps, and a needle holder. The alternative to the Bard-Parker system is the Beaver style handle, which has a different attachment system and blades that are manufactured specifically for its use. Scissors are preferable to a scalpel on flaccid tissue because they stabilize the tissue between the closing blades. Skin hooks used for soft tissue surgery are often the sharp-tipped variety, and caution must be taken to avoid puncture wounds and resultant exposure to transmissible disease to the surgeon and staff. Hemostats are available in curved or straight configurations and have a ratchet lock situated near the finger rings. Attributes of an ideal suture include easy handling, the ability to form secure knots, and high tensile strength. An absorbable suture is generally defined as one losing most of its tensile strength within 60 days. Staples are an alternative to sutures.