A cutting needle assembly for making a percutaneous incision in a living body such as that required for supra-pubic catheterization. The cutting needle of the assembly consists of a hollow beveled tip needle shaft with a surgical blade suitably attached thereto at a distance proximal from the beveled tip, the blade extending radially outward from the needle shaft and extending along a length thereof, for use in creating cuts in tissue adjacent the needle to provide an opening of larger size than the needle puncture for the insertion of other medical instruments including dilators and catheters.