A surgical suturing and knotting integrated device includes a knotting assembly and an operation/control apparatus. The knotting assembly has a suture pre-tied with a slipknot and a loop. In use, the knotting assembly is mounted on a front end of the operation/control apparatus and the front end of the operation/control apparatus is extended into a patients abdominal cavity to perform laparoscopic surgery. In suturing process, the operation/control apparatus is used to enlarge the loop of the suture, whereby the suture and one end of the suturing needle can be easily passed through the loop. Then, the operation/control apparatus is used to minify the loop and detach the slipknot of the suture from the knotting assembly and change the slipknot into a fixed knot.