It was shown that modified surgical sutures with a coreshell structure with assigned thickness and porosity of the polyhydroxybutyrate shell or mixtures with other polymers and SF additives can be fabricated. It was found that a change in the content of the modifier polymer in the fibres within the limits of up to 15% had almost no effect on their metric size and strength. The dependence of the rigidity of the sutures on the modifier polymer content is described.Surgeons now have a wide assortment of surgical sutures that differ both in the composition of the raw material (polyamide, polypropylene, poly(ethylene terephthalate), natural silk, polyglycolide, polylactide, etc.) and in the structure (monofilaments; multifilament twisted, braided surgical sutures), but only two indexes have been standardized the thickness and strength of the sutures [1,2]. According to the European Pharmacopedia, the strength is determined by the breaking load of the suture tied in a simple (single) knot and is expressed in newtons. The thickness of surgical sutures is characterized by the metric size (MS) and is determined by the range of parameters in which a suture of a given standard size falls [1].* However, such properties of sutures as pliability, elasticity, atraumaticity, low capillarity, bactericidal action, biocompatibility, and in many cases biodegradability are no less important. They ensure convenience in application of the suture and its reliability; lack of a sawing action on the tissue, sorption of wound content, and infection; correspondence of the deformation properties of the sutures to the topography of the tissues with an increase in the volume of the suture in the stage of edema and a decrease in the subsequent stages of healing. In tying knots, the surgeon must take into consideration the structure and surface properties of the suture. For example, we know that twisted and braided sutures have greater surface roughness than monofilaments and for this reason ensure a more reliable suture when less complex knots are used, but these sutures traumatize the tissue more [3]. At the same time, monofilaments and more rigid and elastic and require using more complex knots than multifilament sutures.Creating composite sutures with a coreshell structure is an effective way of fabricating surgical sutures that combine the softness of multifilament sutures and the smooth surface of monofilaments [4,5]. Application of a coating on the surface of the sutures allows regulating the flexibility, surface roughness, and knot reliability, giving multifilament sutures atraumaticity and decreased capillarity, changing the color, and incorporating drugs, antimicrobials in particular, in the suture. In this way, coated sutures represent a balance between the qualities of mono-and multifilament sutures.A biodegradable complex polyester polyhydroxybutyrate (PHB), is of some interest as a modifier polymer [6], and its production technology, developed at the A. N. Bakh Institute of Biochemistry, Russian Academy of Sciences, has now been ma...