An apparatus for delivering bioabsorbable fasteners of the type having two cannulated legs to secure the two sides of an incision in tissue comprises a housing containing a magazine with one or more fasteners positioned on a reciprocally movable fastener support. Needle guide tubes and the legs of the front-most fastener are in slidable contact with at least one alignment surface configured to axially align them. An actuator is operated by a user to move two needles within the needle guide tubes to insert each needle into a cannulated leg. A timing lever acts on the fastener support in concert with the actuator movement to remove support of the front-most fastener after the needles are inserted. The needle guide tubes transfer force to the fastener, to push it out of the magazine and along a path through the center of a bifurcated foot, to insert it into the tissue.
