The tissue fusion instrument comprises an electrode carrier (27) adapted to be connected to an electrical supply line, and an electrode (18) arranged on one side of the electrode carrier and being electrically connected to electrode carrier by a punctiform electrical connection (31). Each of the connections is formed by an adhesion point, solder point or weld point, or weld seam. A spacer made of metallic material, non-metallic material, combination of metallic and non-metallic materials, plastic or ceramic, is arranged in a gap (32) formed between electrode and electrode carrier.