A combination suction retraction instrument for surgery is disclosed. The suction retraction instrument includes a retractor including a body, a suction nozzle secured to a distal end of the body, and means for retaining a suction tube adjacent the retractor. The suction tube is connected to a vacuum source for removing fluids and debris from a surgical site. The means for retaining the suction tube is secured to the body. The means for retaining the suction tube is structured to allow the suction tube to slide within the means for retaining the suction tube upon manual pulling of the suction tube by a surgeon. A proximal end of the suction nozzle is dimensioned to engage a distal end of the suction tube in a sealing relationship thereby providing a suction flow path from an opening of the suction nozzle into the suction tube.