The disclosure includes a surgical needle counting system comprising a stand, a camera, a touch screen device, a processor system, and a memory. The memory may include executable instructions that, when executed by the processor system, cause the processor system to effectuate operations. The operations may include receiving a first input comprising at least one of a style, dimension, and an initial quantity of at least one surgical needle prior to the at least one surgical needle entering a surgical field. The operations may comprise capturing an image of the at least one surgical needle after at least one of the at least one surgical needle has exited the surgical field. The operations may include analyzing the image to determine a final quantity of the at least one surgical needle after exiting the surgical field. The operations may incorporate determining whether the initial quantity equals the final quantity.