a suturing device suitable for anastomosis procedures . the suturing device includes a suture guid and a needle holder . the suture guide includes a foot portion having an axis defined along a length of the foot portion . the foot portion includes a plurality of apertures , each aperture holding a suture . the needle holder movably holds at least one needle relative to a first side of the foot portion and movably holds at least one needle relative to a second side of the foot portion . the needles are movable into respective apertures , and the at least one needle on the first side of the foot portion is at an angle relative to the at least one needle on the second side of the foot portion .