Two deep 00 sutures, a and b, are placed about 2 cm apart at the liver border (Figure 1) using atraumatic type of needle. The suture is passed through the edge of the liver and back through again to include about one-half the original distance (Figure 1A). This prevents the suture from slipping off the biopsy margin with resultant bleeding. These sutures are tied with a surgeon's knot, which will not slip between the tying of the first and second parts (Figure 1A). The suture should be tied as snugly as possible without cutting into the liver, for the tension under which these knots are tied is the important factor in the procedure. Such sutures control the blood supply to the intervening liver substance. The two sutures are placed not more than 2 cm apart, deep in the liver substance; yet as they are tied, at least 2 cm of liver are included at the free margin to increase the size of the biopsy by making it triangular in shape. An additional mattress suture, c, may be taken at the tip of the triangular wound (Figure 2). After the biopsy is removed with a scalpel (Figure 3), the wound is closed by tying together the sutures, a and b, or by placing an additional mattress suture, d, beyond the limits of the original sutures (Figures 4 and 5). The area of biopsy is covered with some type of anticoagulant matrix and omentum.