Sliding overhead clips and associated methods are disclosed that generally involve surgical clips with improved installation efficiency and higher forces for suture retention. The surgical clips include a first side and a second side, each of said sides having an upper body and a lower body. The surgical clips also generally include a flexible hinge integrally disposed between and joining the first side and second side. Further, the surgical clips include a first pair and second pair of female locking member and male locking member. The first pair of female and male locking members includes a first female locking member positioned on the first side and the corresponding first male locking member positioned on the second side. Additionally, the second pair of female and male locking members includes a second female locking member positioned on the second side and the corresponding second male locking member positioned on the first side.
