A combination needle holder, scissors, and smooth clamp instrument is disclosed. The instrument includes a first handle pivotally joined to a second handle defining opposite jaws at the distal end to form a gripping section and surface and at the rear of each jaw surfaces is a semicircular groove forming a circular groove when the handles are pivotally closed. The medical instrument has blades protruding out from each handle, situated at rear of the semi circular groove, and protruding from each handle in opposite direction. Adjacent to each protruding blade, situated in each handle, is a recessed groove which extends into the handle of the medical instrument and comprises the area to house and protect the opposite blade. Each handle of the present invention has a smooth surface rear of the blade and adjacent recessed groove, located on each handle, to form a smooth clamp when the handles are pivotally closed. The first and second handle comprises of finger loops at the proximal end of each handle of the instrument. The instrument also incorporates a locking mechanism situated in front of the finger loop of each handle to hold the needle in place, while gripping it in the jaws located distally of the instrument, when the handles are pivotally closed.
