Which of the following is a correct description of how to remove stitches?

• A. Cut under the knot as close to the skin as possible and pull the stitch out drawing wound edges together
• B. Cut over the knot as far away from the skin as possible and pull the stitch out drawing wound edges together
• C. Cut over the knot and pull the stitch out drawing wound edges apart
• D. Cut under the knot and pull the stitch out drawing wound edges apart

Answer: (A)

When removing sutures, the goal is to minimize tissue trauma and keep the wound edges approximated. The knot holds the thread in place, so you release it by cutting the suture close to the knot on the side toward the skin (under the knot). This method lets you pull the suture out with minimal pulling on the wound edges, helping them stay aligned as the knot is withdrawn. Cutting over the knot or pulling in a way that draws the edges apart can damage tissue or reopen the wound, which is why cutting under the knot near the skin and then pulling the stitch out is the best description of safe, effective suture removal.