A port fixation device is disclosed and includes a body portion and a plug. The body portion includes a circular portion, a first tab, and a second tab. The circular portion defines an aperture which is configured to allow a surgical access port to extend therethrough. The first tab and the second tab are disposed in mechanical cooperation with the circular portion. Movement of the first tab with respect to the second tab from a first position to a second position causes a diameter of the aperture to change from a first size to a second size. The first size is smaller than the second size, and the first position of the first tab is its rest position. The plug is disposed in mechanical engagement with the body portion, and has sufficient elasticity to remain engaged with the body portion when the first tab is in the first position and in the second position.