A suture placement device provides a lateral extension element, such as a slotted t-bar or wings, which is inserted into a trocar and deployed to position receptor ports about 1 cm from the trocar. The trocar is removed, and stylet guides are deployed to create a path from the housing to the receptor ports, thereby creating a suture path with segments from the outside of the device to each port, and between ports. A stylet is inserted through the suture path, and used to pull a suture of choice through the path. A stylet guide has a partially extended position to permit precise intra-muscular location of an anesthetic injection before being fully deployed. The t-bar is rotated back to a vertical position to permit removal to of the suture placement device so that the suture can be tied.