An apparatus houses a plurality of surgical elements, such as needles and sutures, both before and after use. The largest cross-sectional dimension of the housing is preferably less than about 12 mm. In some embodiments, the apparatus includes a substantially rigid housing having a first section that holds a plurality of unused needles and a second section that receives the plurality of needles after use. In other embodiments, the apparatus includes a flexible panel having a plurality of pockets therein, wherein each pocket is configured to house a single needle.