An apparatus and a method for surgical suturing with thread management is provided. An apparatus for tissue suturing includes a cartridge with a suturing needle that includes a pointed end and a blunt end, the suturing needle capable of rotating about an axis; a pusher assembly including a cartridge holder with a needle rotation drive capable of releasably engaging the cartridge and rotating the suturing needle about the axis; and an actuator capable of releasably engaging the needle rotation drive to rotate the needle rotation drive. A method for suturing tissue with the apparatus is also provided.