Most top docs use staples (trichopytic closure) today as they leave a much better looking scar. I just had my second op with Dr Feller last Monday and have still got the staples in now. I have never had the sutures so I don't know the difference but I do know that the staples are not as bad as they look. . I had my 1st op last January and just got my old man to remove them with the staple remover that you get given to you, it's not that bad.......