When holding instruments:

• Use three point control: have 3 points of contact between hand, instrument to increase precision
• Extend index finger along instrument to provide extra control, stability
• Place only fingertips through handle loops,
  • rotation comes from wrist
  • greater control
  • quicker to pick up, put down

• use smaller knife
• hold instrument like a pen: thumb and third finger holding            knife, with index finger controlling dissection

• #10 blade for large incisions
• #11 for stab incision
• #15 for fine precision work