Linear suturing. A rubber band is positioned around 2 anchoring points. The orientation may be parallel or perpendicular to the trainee. Needles can be passed forehand (shown), backhand, or alternating (shown). A full-length suture can be used to practice appropriate suture spacing. Alternatively, a needle with only a small suture tail can be used to focus on needle angles, needle handling and reloading, and forceps dexterity.