Extra Corporeal Knot is one of the very important skill required to tie free and continuos tubular structure like artery or duct in laparoscopic surgery. This video demonstrate laparoscopic Mishra's knot invented by Dr. R.K. Mishra, Chief surgeon, World Laparoscopy Hospital, Gurgaon. This knot is very useful knot for the surgery of laparoscopic appendicectomy, Hysterectomy or Cholecystectomy. This knot is specially very secure with monofilament structures like, PDS, or MONOCRYL poliglecaprone Suture material.