A bi-directional suture passing instrument is disclosed. The suture passing instrument may include a housing having a first cannulation and a second cannulation that is spaced from the first cannulation by a tissue receiving gap. The instrument may also include a shuttling element movable across the tissue receiving gap between the first and second cannulations. The shuttling element is configured to carry a strand of suture. A first pusher disposed in the first cannulation is configured to push the shuttling element from the first cannulation toward the second cannulation, and a second pusher disposed in the second cannulation is configured to push the shuttling element from the second cannulation toward the first cannulation.
