EXHIBIT 10.23

                                       
                                       
                          CHANGE OF CONTROL AGREEMENT
                                       


     This Change of Control Agreement (the "Agreement") is made and entered 
into effective as of January 20, 1998, by and between [NAME] (the "Employee") 
and General Surgical Innovations, Inc., a California corporation (the 
"Company").

                                   RECITALS

     A.   It is expected that another company or other entity may from time 
to time consider the possibility of acquiring the Company or that a change in 
control may otherwise occur, with or without the approval of the Company's 
Board of Directors (the "Board").  The Board recognizes that such 
consideration can be a distraction to the Employee, an executive corporate 
officer of the Company, and can cause the Employee to consider alternative 
employment opportunities.  The Board has determined that it is in the best 
interests of the Company and its shareholders to assure that the Company will 
have the continued dedication and objectivity of the Employee, 
notwithstanding the possibility, threat or occurrence of a Change of Control 
(as defined below) of the Company.

     B.   The Board believes that it is in the best interests of the Company 
and its shareholders to provide the Employee with an incentive to continue 
his or her employment with the Company.

     C.   The Board believes that it is imperative to provide the Employee 
with certain benefits upon a Change of Control and, under certain 
circumstances, upon termination of the Employee's employment in connection 
with a Change of Control, which benefits are intended to provide the Employee 
with financial security and provide sufficient income and encouragement to 
the Employee to remain with the Company notwithstanding the possibility of a 
Change of Control.

     D.   To accomplish the foregoing objectives, the Board of Directors has 
directed the Company, upon execution of this Agreement by the Employee, to 
agree to the terms provided in this Agreement.

     E.   Certain capitalized terms used in the Agreement are defined in 
Section 4 below.

     In consideration of the mutual covenants herein contained, and in 
consideration of the continuing employment of Employee by the Company, the 
parties agree as follows:



          1.   AT-WILL EMPLOYMENT.  The Company and the Employee acknowledge 
that the Employee's employment is and shall continue to be at-will, as 
defined under applicable law.  If the Employee's employment terminates for 
any reason, including (without limitation) any termination prior to a Change 
of Control, the Employee shall not be entitled to any payments or benefits, 
other than as provided by this Agreement, or as may otherwise be available in 
accordance with the terms of the Employee's offer letter from the Company 
dated  (the "Offer Letter") and the Company's established employee plans and 
written policies at the time of termination.  The terms of this Agreement 
shall terminate upon the earlier of (i) the date on which Employee ceases to 
be employed as an executive corporate officer of the Company, other than as a 
result of an involuntary termination by the Company without cause,  (ii) the 
date that all obligations of the parties hereunder have been satisfied, or 
(iii) two (2) years after a Change of Control.  A termination of the terms of 
this Agreement pursuant to the preceding sentence shall be effective for all 
purposes, except that such termination shall not affect the payment or 
provision of compensation or benefits on account of a termination of 
employment occurring prior to the termination of the terms of this Agreement.

          2.   STOCK OPTIONS AND RESTRICTED STOCK.

               (a)  EFFECTIVE DATE OF CHANGE OF CONTROL.  Subject to Sections 
5 and 6 below, in the event of a Change of Control and regardless of whether 
the Employee's employment with the Company is terminated in connection with 
the Change of Control, each stock option granted for the acquisition of the 
Company's securities and all of the shares of Common Stock  that are subject 
to the terms of a Restricted Stock Purchase Agreement ("Restricted Stock") 
held by the Employee shall become vested on the effective date of the 
transaction as to fifty percent (50%) of the options and Restricted Stock, 
respectively, that have not otherwise vested as the date of such Change of 
Control.  Each stock option shall be exercisable to the extent so vested in 
accordance with the provisions of the Option Agreement and Plan pursuant to 
which such option was granted, and each share of Restricted Stock shall be 
freely transferable to the extent so vested in accordance with the provisions 
of the Stock Purchase Agreement pursuant to which such stock was purchased by 
Employee.

               (b)  SUBSEQUENT VESTING.  Subject to Sections 5 and 6 below, 
assuming the Employee remains employed by the Company (or a successor 
company) after the Change in Control, the remaining fifty percent (50%) of 
the stock options and Restricted Stock not vested as of the date of the 
Change of Control shall vest as follows:  (i)  25% of the stock options and 
Restricted Stock, respectively, on the date twelve (12) months after the date 
of the Change of Control, and (ii)  25% of the stock options and Restricted 
Stock, respectively, on the date eighteen (18) months after the date of the 
Change of Control.

          3.   CHANGE OF CONTROL.

               (a)  TERMINATION FOLLOWING A CHANGE OF CONTROL.  Subject to 
Section 5 below, if the Employee's employment with the Company is terminated 
at any time within two (2) years after a Change of Control, then the Employee 
shall be entitled to receive severance benefits as follows:


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                    (i)  VOLUNTARY RESIGNATION.  If the Employee voluntarily 
resigns from the Company (other than as an Involuntary Termination (as 
defined below)) or if the Company terminates the Employee's employment for 
Cause (as defined below), then the Employee shall not be entitled to receive 
severance payments.  The Employee's benefits will be terminated under the 
terms of the offer letter, if applicable, and the Company's then-existing 
benefit plans and policies in accordance with such plans and policies in 
effect on the date of termination or as otherwise determined by the Board of 
Directors of the Company.

                    (ii) INVOLUNTARY TERMINATION.  If the Employee's 
employment is terminated as a result of an Involuntary Termination other than 
for Cause, the Employee shall be entitled to receive the following benefits:

                         (a) severance payments during the period from the 
date of the Employee's termination until the date twelve (12)  months after 
the effective date of the termination (the "Severance Period") equal to the 
salary that the Employee was receiving immediately prior to the Change of 
Control, which payments shall be paid during the Severance Period in 
accordance with the Company's standard payroll practices;

                         (b) a pro-rated amount of the Employee's "target 
bonus" for the fiscal year in which the termination occurs, based on the 
number of  months such Employee was employed during the fiscal year in which 
termination occurs, with such payment being made on the termination date, 
PROVIDED, HOWEVER, that if the "target bonus" has not yet been determined for 
the fiscal year in which the termination occurs, then Employee shall receive 
such pro-rated amount based on such Employee's bonus actually received, if 
any, for the prior fiscal year;

                         (c) continuation of all health and life insurance 
benefits through the end of the Severance Period (or, if earlier, until the 
date on which comparable coverage is made available by a new employer) 
substantially identical in level and cost to those to which the Employee was 
entitled immediately prior to the Change of Control, PROVIDED, however, that 
if the benefits available to Officers of the Company (or successor 
corporation) are changed after the Employee's termination date, then the 
Employee's benefits shall be continued at the new level and cost;

                         (d) full and immediate vesting of each unvested 
stock option granted for the Company's securities and each share of 
Restricted Stock held by the Employee on the date of termination so that each 
such option shall be exercisable in full on the termination date in 
accordance with the provisions of the Option Agreement and Plan pursuant to 
which such option was granted, and each such share of Restricted Stock shall 
be freely transferable to the extent so vested in accordance with the 
provisions of the Stock Purchase Agreement pursuant to which such stock was 
purchased by Employee; and

                         (e) forgiveness of the principal and accrued 
interest on any loans outstanding that were executed by Employee in 
connection with the purchase of shares of the Company's Common Stock.


                                     -3-


                         For purposes of this Agreement, the term "target 
bonus" shall mean the Employee's base salary immediately prior to the Change 
of Control multiplied by that percentage of such base salary that is 
prescribed by the Company under its Management Bonus Program as the 
percentage of such base salary payable to the Employee as a bonus if the 
Company pays bonuses at one-hundred percent (100%) of its operating plan.

                    (iii)  INVOLUNTARY TERMINATION FOR CAUSE.  If the 
Employee's employment is terminated for Cause, then the Employee shall not be 
entitled to receive severance payments.  The Employee's benefits will be 
terminated under the Company's then-existing benefit plans and policies in 
accordance with such plans and policies in effect on the date of termination 
or as otherwise determined by the Board of Directors of the Company.

               (b)  TERMINATION APART FROM A CHANGE OF CONTROL.  In the event 
the Employee's employment terminates for any reason, either prior to the 
occurrence of a Change of Control or after the two (2) year period following 
the effective date of a Change of Control, then the Employee shall not be 
entitled to receive any severance payments under this Agreement.  The 
Employee's benefits will be terminated under the terms of the Offer Letter, 
if applicable, and the Company's then existing benefit plans and policies in 
accordance with such plans and policies in effect on the date of termination 
or as otherwise determined by the Board of Directors of the Company.

          4.   DEFINITION OF TERMS.  The following terms referred to in this 
Agreement shall have the following meanings:

               (a)  CHANGE OF CONTROL.  "Change of Control" shall mean the 
occurrence of any of the following events:

                    (i)  OWNERSHIP.  Any "Person" (as such term is used in 
Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended) 
is or becomes the "Beneficial Owner" (as defined in Rule 13d-3 under said 
Act), directly or indirectly, of securities of the Company representing 
twenty percent (20%) or more of the total voting power represented by the 
Company's then outstanding voting securities WITHOUT the approval of the 
Board of Directors of the Company, PROVIDED, however, that this Section 
4(a)(i) shall not apply to the share holdings of Thomas J. Fogarty  as a 
result of his being, at any date, the Beneficial Owner of up to an aggregate 
of 20% of the total outstanding Common Stock of the Company, plus that number 
of shares that he is permitted to purchase in accordance with the provisions 
of any plan, arrangement, agreement or transaction approved by the Board of 
Directors of the Company or any committee of the Board of Directors; or

                    (ii) MERGER/SALE OF ASSETS.  A merger or consolidation of 
the Company whether or not approved by the Board of Directors of the Company, 
other than a merger or consolidation which would result in the voting 
securities of the Company outstanding immediately prior thereto continuing to 
represent (either by remaining outstanding or by being converted into voting 
securities of the surviving entity) at least fifty percent (50%) of the total 
voting power represented by the voting securities of the Company or such 
surviving entity outstanding immediately after such merger or consolidation, 
or the shareholders of the Company 


                                     -4-


approve a plan of complete liquidation of the Company or an agreement for the 
sale or disposition by the Company of all or substantially all of the 
Company's assets; or

                    (iii) CHANGE IN BOARD COMPOSITION.  A change in the 
composition of the Board of Directors of the Company, as a result of which 
fewer than a majority of the directors are Incumbent Directors.  "Incumbent 
Directors" shall mean directors who either (A) are directors of the Company 
as of January [20], 1998 or (B) are elected, or nominated for election, to 
the Board of Directors of the Company with the affirmative votes of at least 
a majority of the Incumbent Directors at the time of such election or 
nomination (but shall not include an individual whose election or nomination 
is in connection with an actual or threatened proxy contest relating to the 
election of directors to the Company).

               (b)  CAUSE.  "Cause" shall mean (i) gross negligence or 
willful misconduct in the performance of the Employee's duties to the Company 
where such gross negligence or willful misconduct has resulted or is likely 
to result in substantial and material damage to the Company or its 
subsidiaries, (ii) repeated unexplained or unjustified absence from the 
Company, (iii) a material and willful violation of any federal or state law; 
(iv) commission of any act of fraud with respect to the Company; or (v) 
conviction of a felony or a crime involving moral turpitude causing material 
harm to the standing and reputation of the Company, in each case as 
determined in good faith by the Board of Directors of the Company.

               (c)  INVOLUNTARY TERMINATION.  "Involuntary Termination" shall 
include any termination by the Company other than for Cause and the 
Employee's voluntary termination, upon 30 days prior written notice to the 
Company, following (i) a material reduction or change in job duties, 
responsibilities and requirements inconsistent with the Employee's position 
with the Company and the Employee's prior duties, responsibilities and 
requirements; (ii) any reduction of the Employee's base compensation (other 
than in connection with a general decrease in base salaries for most officers 
of the Company and any successor corporation); or (iii) the Employee's 
refusal to relocate to a facility or location more than 50 miles from the 
Company's current location.

          5.   LIMITATION ON PAYMENTS.  In the event that the severance and 
other benefits provided for in this Agreement to the Employee (i) constitute 
"parachute payments" within the meaning of Section 280G of the Internal 
Revenue Code of 1986, as amended (the "Code") and (ii) but for this Section, 
would be subject to the excise tax imposed by Section 4999 of the Code, then 
the Employee's severance benefits under Sections 2(a), 2(b) and 3(a)(ii) 
shall be payable either:

               (a)  in full, or

               (b)  as to such lesser amount which would result in no portion 
of such severance benefits being subject to excise tax under Section 4999 of 
the Code,

whichever of the foregoing amounts, taking into account the applicable 
federal, state and local income taxes and the excise tax imposed by Section 
4999, results in the receipt by the Employee on an after-tax basis, of the 
greatest amount of severance benefits under Sections 2(a), 2(b) and 


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3(a)(ii), notwithstanding that all or some portion of such severance benefits 
may be taxable under Section 4999 of the Code.  Unless the Company and the 
Employee otherwise agree in writing, any determination required under this 
Section 5 shall be made in writing by the Company's independent public 
accountants (the "Accountants"), whose determination shall be conclusive and 
binding upon the Employee and the Company for all purposes.  For purposes of 
making the calculations required by this Section 5, the Accountants may make 
reasonable assumptions and approximations concerning applicable taxes and may 
rely on reasonable, good faith interpretations concerning the application of 
Section 280G and 4999 of the Code.  The Company and the Employee shall 
furnish to the Accountants such information and documents as the Accountants 
may reasonably request in order to make a determination under this Section.  
The Company shall bear all costs the Accountants may reasonably incur in 
connection with any calculations contemplated by this Section 5.

          6.   CERTAIN BUSINESS COMBINATIONS.  In the event it is determined 
by the Board, upon consultation with Company management and the Company's 
independent auditors, that the enforcement of any Section of this Agreement, 
including, but not limited to, Sections 2 and 3(a)(ii) hereof, which allows 
for the acceleration of vesting of stock options granted for the Company's 
securities and shares of Restricted Stock held by the Employee upon the 
effective date of a Change of Control would preclude accounting for any 
proposed business combination of the Company involving a Change of Control as 
a pooling of interests, and the Board otherwise desires to approve such a 
proposed business transaction which requires as a condition to the closing of 
such transaction that it be accounted for as a pooling of interests, then any 
such Section of this Agreement shall be null and void.  For purposes of this 
Section 6, the Board's determination shall require the unanimous approval of 
the non-employee Board members.

          7.   SUCCESSORS.  Any successor to the Company (whether direct or 
indirect and whether by purchase, lease, merger, consolidation, liquidation 
or otherwise) to all or substantially all of the Company's business and/or 
assets shall assume the obligations under this Agreement and agree expressly 
to perform the obligations under this Agreement in the same manner and to the 
same extent as the Company would be required to perform such obligations in 
the absence of a succession.  The terms of this Agreement and all of the 
Employee's rights hereunder shall inure to the benefit of, and be enforceable 
by, the Employee's personal or legal representatives, executors, 
administrators, successors, heirs, distributees, devisees and legatees.

          8.   NOTICE.  Notices and all other communications contemplated by 
this Agreement shall be in writing and shall be deemed to have been duly 
given when personally delivered or when mailed by U.S. registered or 
certified mail, return receipt requested and postage prepaid.  Mailed notices 
to the Employee shall be addressed to the Employee at the home address which 
the Employee most recently communicated to the Company in writing.  In the 
case of the Company, mailed notices shall be addressed to its corporate 
headquarters, and all notices shall be directed to the attention of its 
Secretary.


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          9.   MISCELLANEOUS PROVISIONS.

               (a)  NO DUTY TO MITIGATE.  The Employee shall not be required 
to mitigate the amount of any payment contemplated by this Agreement (whether 
by seeking new employment or in any other manner), nor, except as otherwise 
provided in this Agreement, shall any such payment be reduced by any earnings 
that the Employee may receive from any other source.

               (b)  WAIVER.  No provision of this Agreement shall be 
modified, waived or discharged unless the modification, waiver or discharge 
is agreed to in writing and signed by the Employee and by an authorized 
officer of the Company (other than the Employee).  No waiver by either party 
of any breach of, or of compliance with, any condition or provision of this 
Agreement by the other party shall be considered a waiver of any other 
condition or provision or of the same condition or provision at another time.

               (c)  WHOLE AGREEMENT.  No agreements, representations or 
understandings (whether oral or written and whether express or implied) which 
are not expressly set forth in this Agreement have been made or entered into 
by either party with respect to the subject matter hereof.  This Agreement 
supersedes any agreement of the same title and concerning similar subject 
matter dated prior to the date of this Agreement, and by execution of this 
Agreement both parties agree that any such predecessor agreement shall be 
deemed null and void.

               (d)  CHOICE OF LAW.  The validity, interpretation, 
construction and performance of this Agreement shall be governed by the laws 
of the State of California without reference to conflict of laws provisions.

               (e)  SEVERABILITY.  If any term or provision of this Agreement 
or the application thereof to any circumstance shall, in any jurisdiction and 
to any extent, be invalid or unenforceable, such term or provision shall be 
ineffective as to such jurisdiction to the extent of such invalidity or 
unenforceability without invalidating or rendering unenforceable the 
remaining terms and provisions of this Agreement or the application of such 
terms and provisions to circumstances other than those as to which it is held 
invalid or unenforceable, and a suitable and equitable term or provision 
shall be substituted therefor to carry out, insofar as may be valid and 
enforceable, the intent and purpose of the invalid or unenforceable term or 
provision.

               (f)  ARBITRATION.  Any dispute or controversy arising under or 
in connection with this Agreement may be settled at the option of either 
party by binding arbitration in the County of Santa Clara, California, in 
accordance with the rules of the American Arbitration Association then in 
effect. Judgment may be entered on the arbitrator's  award in any court 
having jurisdiction.  Punitive damages shall not be awarded.

               (g)  LEGAL FEES AND EXPENSES.  The parties shall each bear 
their own expenses, legal fees and other fees incurred in connection with 
this Agreement.


                                     -7-


               (h)  NO ASSIGNMENT OF BENEFITS.  The rights of any person to 
payments or benefits under this Agreement shall not be made subject to option 
or assignment, either by voluntary or involuntary assignment or by operation 
of law, including (without limitation) bankruptcy, garnishment, attachment or 
other creditor's process, and any action in violation of this subsection (h) 
shall be void.

               (i)  EMPLOYMENT TAXES.  All payments made pursuant to this 
Agreement will be subject to withholding of applicable income and employment 
taxes.

               (j)  ASSIGNMENT BY COMPANY.  The Company may assign its rights 
under this Agreement to an affiliate, and an affiliate may assign its rights 
under this Agreement to another affiliate of the Company or to the Company; 
provided, however, that no assignment shall be made if the net worth of the 
assignee is less than the net worth of the Company at the time of assignment. 
In the case of any such assignment, the term "Company" when used in a section 
of this Agreement shall mean the corporation that actually employs the 
Employee.

               (k)  COUNTERPARTS.  This Agreement may be executed in 
counterparts, each of which shall be deemed an original, but all of which 
together will constitute one and the same instrument.


                            [Signature page follow)
                                       


                                      -8-


     IN WITNESS WHEREOF, each of the parties has executed this Agreement, in 
the case of the Company by its duly authorized officer, as of the day and 
year first above written.

GENERAL SURGICAL INNOVATIONS, INC.                [NAME]


By:________________________             By:___________________________

Title:_____________________             Title:________________________


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