NEEDLE holders which are currently used require numerous movements for the insertion and removal of a needle through the tissues. In the method commonly used, the jaws initially are opened by inserting the fingers in the holders, unlocking the ratchet, and spreading the jaws. The needle is then placed in the jaws. The jaws are closed by downward pressure and locking of the ratchet. The fingers are then removed from the holders and are repositioned on the handle. The needle is then passed through the tissues. The hands are repositioned on the handle and the fingers are placed in the finger openings. The ratchet is opened by lateral motion and the handle is then spread. The tip of the needle is grasped and is then pulled through the tissues. The handle and jaws are then locked about the needle. In addition to the many motions, multiple pressure points are produced,