FOLDED BUTTRESS FOR USE WITH A SURGICAL APPARATUS An end effector (16) for use with a surgical apparatus (10). The end effector (16) comprising a staple cartridge (32) having a tissue contacting surface defining a central longitudinal slot (238) and an anvil plate (302) having a tissue contacting surface defining a central longitudinal slot (338). A folded surgical buttress (500) configured to overlie each of the tissue contacting surfaces of the staple cartridge (32) and anvil plate (302) and configured to retain the surgical buttress (500) to the tissue contacting surfaces of each of the staple cartridge (32) and anvil plate (302). The surgical buttress (500) having a first longitudinal portion (510), a second longitudinal portion (512), and middle longitudinal portion (514) between the first and second longitudinal portions (510, 512), wherein the middle longitudinal portion (514) is folded and configured to fit within the central longitudinal slot (238, 338) of each of the staple cartridge (32) and anvil plate (302). -Fg 22 f-26 J36 34838 0 ,ig 3