An apparatus useful for performing various surgical procedures, includingbut not limited to plastic surgery such as mid face lifts, neck lifts, brow lifts,under eye lifts, breast lifts, and organ repositioning, includes a body 2, 3,31, 52 having at least one elongate member 6, 7, 36, 51 and a guide 13, 43, 54 whichcooperate to position a suture 60, 65, 120, 130 inside a layer of subcutaneoustissue, from a remote access point. A suture 60, 65 having modified portions 63is additionally provided for use with the apparatus to implement a desired surgicalprocedure.