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The “needle dance” is commonly used when a left instrument has inserted the needle by grasping the suture. In addition, the needle dance is needed every time the needle has to be repositioned intracorporeally. As the needle is visualized in the field, the convex part of the needle is allowed to lightly touch an organ surface, and the grasping instrument is “dancing the needle” by letting it pivot around the organ contact point until a position is reached where the needle driver can grasp the needle in a perpendicular position and be ready for a suture bite (Figure 2.17, Video 2.2). Doing the “dance” midair is seldom successful; the surface contact is usually needed to manipulate the needle. If no suitable surface is available in the clinical situation, the alternative needle positioning method is called for.