Learning surgical knot tying and suturing techniques is challenging and much practice is required to develop proficiency. This handbook is a guide explaining and demonstrating the principle maneuvers of surgical knot tying along with a step-by-step description of each maneuver. The illustrations make each step of knot tying understandable and easier to learn. Professional medical and paramedical curricula include extensive training in aseptic and sterile techniques as well as educating students in wound management. Animal science curricula educates the potential livestock producer in management procedures but leaves the problems involving the health of the animals to the veterinary profession. However, there are occasions when livestock producers, backcountry travelers, and ocean going mates and captains are confronted with problems needing immediate attention. The procedures included in this handbook can be helpful in preparing those individuals for such crises.