A compound barb medical device comprising: an elongate body wherein the elongate body is a monofilament suture having a central longitudinal axis ("D-D") including an outer surface, and the outer surface is in direct contact with tissue; at least one barb extending from the elongated body and defining an inner surface (12a, 12b, 12c), the inner surface including: a first, a second and a third portion (12a-c) cut at first, second and third angles (α β γ) relative to first, second and third longitudinal axes (a, b, c) respectively of the elongated body, the first, second and third axes (a, b, c) being parallel to the central longitudinal axis ("D-D") with the first axis (a) being outermost relative to the central longitudinal axis and the third axis (c) being innermost relative to the central longitudinal axis, wherein the first portion is disposed at a first angle (α) from about 0 degrees to about 90 degrees relative to the first longitudinal axis (a) of the elongate body; the second portion is disposed at a second angle (β) from about 0 degrees to about 90 degrees relative to the second longitudinal axis (b) of the elongate body; and the third portion is disposed at a third angle (γ) from about 0 degree to about 90 degrees relative to the third longitudinal axis (c) of the elongate body; and characterized in that the first, second and third portions (12a, 12b, 12c) are linear and the second angle (β) is less than the first angle (α) and the third angle (γ) is less than the second angle (β). an elongate body wherein the elongate body is a monofilament suture having a central longitudinal axis ("D-D") including an outer surface, and the outer surface is in direct contact with tissue; at least one barb extending from the elongated body and defining an inner surface (12a, 12b, 12c), the inner surface including: a first, a second and a third portion (12a-c) cut at first, second and third angles (α β γ) relative to first, second and third longitudinal axes (a, b, c) respectively of the elongated body, the first, second and third axes (a, b, c) being parallel to the central longitudinal axis ("D-D") with the first axis (a) being outermost relative to the central longitudinal axis and the third axis (c) being innermost relative to the central longitudinal axis, wherein the first portion is disposed at a first angle (α) from about 0 degrees to about 90 degrees relative to the first longitudinal axis (a) of the elongate body; the second portion is disposed at a second angle (β) from about 0 degrees to about 90 degrees relative to the second longitudinal axis (b) of the elongate body; and the third portion is disposed at a third angle (γ) from about 0 degree to about 90 degrees relative to the third longitudinal axis (c) of the elongate body; and characterized in that the first, second and third portions (12a, 12b, 12c) are linear and the second angle (β) is less than the first angle (α) and the third angle (γ) is less than the second angle (β). a first, a second and a third portion (12a-c) cut at first, second and third angles (α β γ) relative to first, second and third longitudinal axes (a, b, c) respectively of the elongated body, the first, second and third axes (a, b, c) being parallel to the central longitudinal axis ("D-D") with the first axis (a) being outermost relative to the central longitudinal axis and the third axis (c) being innermost relative to the central longitudinal axis, wherein the first portion is disposed at a first angle (α) from about 0 degrees to about 90 degrees relative to the first longitudinal axis (a) of the elongate body; the second portion is disposed at a second angle (β) from about 0 degrees to about 90 degrees relative to the second longitudinal axis (b) of the elongate body; and the third portion is disposed at a third angle (γ) from about 0 degree to about 90 degrees relative to the third longitudinal axis (c) of the elongate body; and characterized in that the first, second and third portions (12a, 12b, 12c) are linear and the second angle (β) is less than the first angle (α) and the third angle (γ) is less than the second angle (β).