Methods and apparatus for securing a medical or surgical line with respect to a patient are described. In particular, a fastener is described comprising an elongate braided tubular sleeve for receiving the line therethrough, the sleeve having a first end for fixing adjacent to the patient, in use, and a second end for arranging, in use, proximal to medical equipment coupled to the line. The fastener also includes a first substantially rigid collar coupled to the sleeve at the first end of the sleeve and a second substantially rigid collar coupled to the sleeve at the second end of the sleeve. An enlarged flange is provided, secured to the first collar at the first end of the sleeve and an adhesive plaster for securing the fastener with respect to a patient is provided, the adhesive plaster being secured to the enlarged flange. In one embodiment, the adhesive plaster having an area of at least 5 cm2. In addition, or in an alternative embodiment, the longitudinal axis of the elongate braided tubular sleeve is arranged parallel to the plane of the adhesive plaster.