Abstract: A suture tensioning device that deters over-tensioning or under-tensioning of suture thread(s) is presented. The suture tensioning device includes an engagement portion and a tensioning portion. Optionally, the suture tensioning device also includes a detent portion. The tensioning portion has a tension limiter, which can be a protrusion, a wheel with a clutching mechanism, a spring, etc. A suture can be immobilized in the engagement portion of the suture tensioning device, and the tension can be increased or decreased by moving the tensioning portion. The tension limiter limits the movements of the tensioning portion so that the tension of the suture(s) can be set to a desirable level.