A suturing device and method of use involve inserting the device into a hole, positioning material around the hole into a notch of the device, passing a needle through a cavity in the device and the material positioned in the notch, and lining up an eye of the needle with a portal for passage of a suture. A suture is then passed through the eye of the needle and the needle is removed from the material (such as skin and fascia) with the suture. The suture is then removed and the process is repeated with another end of the suture at another location through the material, around the hole. When the suture is passed through the second point of penetration, the suture now extends both into and out of the material at different points around the hole and can be tied.