Abstract: A surgical instrument and its method of use facilitate tying of a knot in a length of suture material at a remote surgical location. The instrument is comprised of a rod having a slot at one end and a length of suture wrapped over the rod and slot in a particular pattern. A needle is secured to a free end of the suture and the pattern of wrapping the suture on the rod enables loops of suture to move off the rod end and over the needle to form a throw of a knot in the suture.