The laparoscopic literature addressing operative techniques and use of suturing and knot tying is reviewed. Many operations that have traditionally been performed by laparotomy, may now be primarily accomplished by laparoscopy. Increasing improvements in laparoscopic instruments and techniques permit more surgical procedures to be performed on an ambulatory basis, therefore setting a new trend in gynecologic surgery. The evolution of endoscopic procedures will require laparoscopic surgeons to master suturing techniques which will improve their level of comfort and performance. This review of suturing and knot tying procedures may be helpful to both the established surgeons and the beginners as it gives a comprehensive review of laparoscopic suturing and knot tying techniques.