The type of suture can also influence knot security. Monofilament, which is more slippery than braided suture, generally requires more throws to achieve the same knot security. Also, more throws leads to better knot security. Without getting into the theoretical details of stretch and friction, what you need to know is that proper technique is the most important factor. It’s critically important that your knots to stay in place. It’s important to get proficient at instrument ties otherwise you may lose privilege closing incisions until you can do so appropriately.