Aim of the study is to compare the clinical outcome of staplers versus skin sutures in skin closure of midline incision in laparotomy patients in term of superficial surgical site of infection, pain, wound dehiscence, time of skin closure and cosmetic satisfaction and thus verify the authenticity of previous studies. Though many studies have shown the superiority of staples for speed of closure, it is unclear if staples give a superior cosmetic result or reduce pain. Several studies show that sutures are superior for cosmoses and that they decrease post-operative pain and are more cost effective. So cost of procedure should also be considered. Closure should serve both functions and aesthetic purposes. Aesthetically poor scar can have a negative impact on overall quality of life causing considerable distress and unhappiness. Precaution of would infection is also necessary as it may lead not only an ugly scar but also occurrence and recurrence of hernia. In our study we found.