A tissue shaping device comprising: a first tissue shaper coupled to a first shaft defining a longitudinal axis; and a first tissue displacing element having a first tissue engaging element, the first tissue displacing element configured to extend from the first tissue shaper and draw tissue into the first tissue shaper engaged by the tissue engaging element, the first tissue shaper having a first cavity, the first tissue displacing element being configured to move tissue engaged by the first tissue engaging element into the first cavity from outside the first cavity, and the first tissue shaper including a first mold pivotally coupled to the first shaft, the first tissue shaper forming the first cavity between the first mold and the first shaft, characterised in that the tissue shaping device further comprises: a second tissue shaper coupled to a second shaft rotatably coupled to the first shaft, the second tissue shaper being rotatable about the longitudinal axis relative to the first tissue shaper, the second tissue shaper forming a second cavity; a second tissue displacing element having a second tissue engaging element, the second tissue displacing element configured to engage tissue outside the second tissue shaper and displace the tissue into the second cavity engaged by the tissue engaging element, the second tissue shaper including a second mold pivotally coupled to a distal end of the second shaft, and the second tissue shaper forming a second cavity between the second mold and the first shaft; a first tissue shifting element coupled to the first tissue shaper; and the first mold pivotally coupled to the first shaft, the first mold being movable from a closed position to a partially closed position, the closed position being configured to mold tissue for application of a fastener to tissue contained in the first mold, the first tissue shifting element being movable relative to the mold to shift tissue further into the first mold when the first mold is in the partially closed position. a first tissue shaper coupled to a first shaft defining a longitudinal axis; and a first tissue displacing element having a first tissue engaging element, the first tissue displacing element configured to extend from the first tissue shaper and draw tissue into the first tissue shaper engaged by the tissue engaging element, the first tissue shaper having a first cavity, the first tissue displacing element being configured to move tissue engaged by the first tissue engaging element into the first cavity from outside the first cavity, and the first tissue shaper including a first mold pivotally coupled to the first shaft, the first tissue shaper forming the first cavity between the first mold and the first shaft, a second tissue shaper coupled to a second shaft rotatably coupled to the first shaft, the second tissue shaper being rotatable about the longitudinal axis relative to the first tissue shaper, the second tissue shaper forming a second cavity; a second tissue displacing element having a second tissue engaging element, the second tissue displacing element configured to engage tissue outside the second tissue shaper and displace the tissue into the second cavity engaged by the tissue engaging element, the second tissue shaper including a second mold pivotally coupled to a distal end of the second shaft, and the second tissue shaper forming a second cavity between the second mold and the first shaft; a first tissue shifting element coupled to the first tissue shaper; and the first mold pivotally coupled to the first shaft, the first mold being movable from a closed position to a partially closed position, the closed position being configured to mold tissue for application of a fastener to tissue contained in the first mold, the first tissue shifting element being movable relative to the mold to shift tissue further into the first mold when the first mold is in the partially closed position.