Sound surgical technique is necessary to achieve excellent surgical outcomes. Despite the fact that dermatologists perform more office-based cutaneous surgery than any other specialty, few dermatologists have opportunities for practical instruction to improve surgical technique after residency and fellowship. This 2-part continuing medical education article will address key principles of surgical technique at each step of cutaneous reconstruction. Part II reviews the placement of deep and superficial sutures. Objective quality control questions are proposed to provide a framework for self-assessment and continuous quality improvement.