An apparatus useful for performing various surgical procedures, including but not limited to plastic surgery such as mid face lifts, neck lifts, brow lifts, under eye lifts, breast lifts, and organ repositioning, includes a body 2, 3, 31, 52 having at least one elongate member 6, 7, 36, 51 and a guide 13, 43, 54 which cooperate to position a suture 60, 65, 120, 130 inside a layer of subcutaneous tissue, from a remote access point. A suture 60, 65 having modified portions 63 is additionally provided for use with the apparatus to implement a desired surgical procedure.