For doctors and medical students who want to practice with the best tools available, we offer the highest-quality, hyper-realistic suture pad. This suture pad is made with a gel layer to represent a hyper-realistic layer of fat. This is our most realistic pad, but extra care must be taken to ensure that it does not warp or separate. Because of the highly-realistic nature of this pad, it must stay in a dark, cool environment, and may only be used a dozen times. There are three layers, representing skin, fat, and muscle. Incisions may be made with a scalpel (not included). All products are guaranteed to be the highest quality for the best price.