Background: Midline line incisions are known for its versality of rapid and wide access to the peritoneal cavity with least damage to abdominal wall musculature, vessels and nerves. The closure technique varies from operating surgeon to institutions. The aim of this study was to see the postoperative results in reference to small tissue bites in the closure of abdominal wall. Materials and methods: The study was conducted in the department of general Surgery SKIMS, MCH Bemina Srinagar. A total of 50 cases were managed with small bites technique that underwent midline laparotomy in both elective and emergencies from 2016 to 2018. Patients were operated with small tissue bite sutures placed 5 - 7 mm from the wound edge and 5 - 7 mm apart and included only the aponeurosis in the stitches without peritoneum. Results: Maximum number of patients were males, maximum number of patients were in age group of 20-30 years (56%), serum albumin was ≥3 in36 (72%) of patients. Surgical site infection was seen in 12 (24%) of patients. Conclusion: Our study showed that small stitch length between 5 to 7 mm with SL: WL ratio: greater than or equivalent to 6:1 to achieve safe closure of midline laparotomy incision