SummaryTrocar hole closure may be desirable in minimally invasive surgery (MIS). Methods: DeepSuture r` is a device designed to aid the MIS surgeon in the closure of trocar holes. Results: It introduces two needles into the abdominal cavity and when activated simultaneously points them in an outward direction. Long custom-designed doubled-armed needles, which have side-attached thread, further facilitate its use. Techniques for closing fascia in both superficial and deep trocar incisions are presented. Conclusions: MIS surgeons who wish to close their trocar incisions may consider evaluating DeepSuture r` as an addition to their armamentarium.