GENERAL SURGICAL INNOVATIONS INC
10-Q, 1999-02-16
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS
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<PAGE>

                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                                    FORM 10-Q


[X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES
                EXCHANGE ACT OF 1934

                FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 1998.

                         Commission file number: 0-28448

                       GENERAL SURGICAL INNOVATIONS, INC.
             (Exact name of Registrant as specified in its charter)



            CALIFORNIA                              94-3160456
 (State or other jurisdiction of                    (I.R.S. Employer
  incorporation or organization)                    Identification No.)


                  10460 BUBB ROAD, CUPERTINO, CALIFORNIA 95014
                    (Address of principal executive offices)

       Registrant's telephone number, including area code: (408) 863-2500



Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the Registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. YES X NO

There were approximately 13,478,910 shares of Registrant's Common Stock 
issued and outstanding as of January 31, 1999.

<PAGE>

                       GENERAL SURGICAL INNOVATIONS, INC.

                          QUARTERLY REPORT ON FORM 10-Q

                  FOR THE THREE MONTHS ENDED DECEMBER 31, 1998


                                TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                            Page
                                                                            ----
<S>                                                                         <C>

                          PART I. FINANCIAL INFORMATION

   Item 1.  Condensed Financial Statements (Unaudited)
            Condensed balance sheets at December 31, 1998
            and June 30, 1998...............................................  3

            Condensed statements of operations and comprehensive loss
            for the three and six months ended December 31, 1998 and
            December 31, 1997...............................................  4

            Condensed statements of cash flows for the six months ended
            December 31, 1998 and December 31, 1997 ........................  5

            Notes to condensed financial statements.........................  6


   Item 2.  Management's Discussion and Analysis of Financial Condition
            and Results of Operations ......................................  7


   Item 3.  Quantitative and Qualitative Disclosures About Market Risk ..... 20

                           PART II. OTHER INFORMATION

   Item 1.  Legal Proceedings............................................... 20

   Item 2.  Changes in Securities and Use of Proceeds....................... 21

   Item 3.  Defaults Upon Senior Securities  ............................... 22

   Item 4.  Submission of Matters to a Vote of Security Holders............. 22

   Item 5.  Other Information .............................................. 22

   Item 6.  Exhibits and Reports on Form 8-K ............................... 22
</TABLE>


                                       2

<PAGE>

                       GENERAL SURGICAL INNOVATIONS, INC.
                            CONDENSED BALANCE SHEETS
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)
                                   (UNAUDITED)

<TABLE>
<CAPTION>
                                                                         December 31,           June 30,
                                                                             1998                 1998
                                                                     --------------------  -------------------
<S>                                                                  <C>                   <C>
                                     ASSETS

Current assets:
     Cash and cash equivalents.....................................       $   14,501           $   17,954
     Available-for-sale securities.................................            8,323               10,743
     Accounts receivable, net......................................              991                1,043
     Inventories...................................................            2,836                1,284
     Prepaid expenses and other current assets.....................              671                  733
                                                                          ----------           ----------
                Total current assets...............................           27,322               31,757

Available-for-sale securities, non-current.........................            6,768                8,772
Property and equipment, net........................................            2,434                2,101
Other assets.......................................................              375                  194
                                                                          ----------           ----------
                Total assets.......................................       $   36,899           $   42,824
                                                                          ----------           ----------
                                                                          ----------           ----------

                                   LIABILITIES

Current liabilities:
     Accounts payable..............................................       $    2,015           $      910
     Accrued liabilities...........................................            1,320                1,316
     Capital leases................................................               14                   14
     Bank borrowings...............................................               82                  103
                                                                          ----------           ----------
                Total current liabilities..........................            3,431                2,343

Other long-term liabilities........................................               75                  149
Capital leases, less current portion...............................                5                   12
Bank borrowings, less current portion..............................               41                   82
                                                                          ----------           ----------
                Total liabilities..................................            3,552                2,586
                                                                          ----------           ----------
Contingencies (Note 4)

                              SHAREHOLDERS' EQUITY

Preferred stock, $.001 par value...................................                -                    -
Common stock, $.001 par value......................................               13                   13
Additional paid-in capital.........................................           65,369               65,290
Notes receivable from shareholders.................................              (84)                 (87)
Deferred compensation, net.........................................              (91)                (159)
Accumulated other comprehensive income.............................               50                   16
Accumulated deficit................................................          (31,910)             (24,835)
                                                                          ----------           ----------
                Total shareholders' equity.........................           33,347               40,238
                                                                          ----------           ----------
                  Total liabilities and shareholders' equity.......       $   36,899           $   42,824
                                                                          ----------           ----------
                                                                          ----------           ----------
</TABLE>

              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                        CONDENSED FINANCIAL STATEMENTS.


                                       3

<PAGE>

                       GENERAL SURGICAL INNOVATIONS, INC.
            CONDENSED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)
                                   (UNAUDITED)

<TABLE>
<CAPTION>
                                                                                 THREE MONTHS ENDED          SIX MONTHS ENDED
                                                                                     DECEMBER 31,                DECEMBER 31,
                                                                             --------------------------    ------------------------
                                                                                1998            1997          1998          1997
                                                                             ----------      ----------    ----------    ----------
<S>                                                                          <C>             <C>           <C>           <C>
Sales...................................................................     $     926       $   1,408     $   2,947     $   2,975
Guaranteed payments.....................................................             -             860             -         1,635
                                                                             ----------      ----------    ----------    ----------
Total revenue...........................................................           926           2,268         2,947         4,610

Cost of sales...........................................................           731           1,186         1,815         2,142
                                                                             ----------      ----------    ----------    ----------
       Gross profit.....................................................           195           1,082         1,132         2,468
                                                                             ----------      ----------    ----------    ----------

Operating expenses:
    Research and development............................................           934             658         1,678         1,423
    Sales and marketing.................................................         1,836           1,168         3,154         2,294
    General and administrative..........................................         2,359           1,738         4,310         3,084
                                                                             ----------      ----------    ----------    ----------
      Total operating expenses..........................................         5,129           3,564         9,142         6,801
                                                                             ----------      ----------    ----------    ----------
       Operating loss...................................................        (4,934)         (2,482)       (8,010)       (4,333)

Interest income.........................................................           450             594           953         1,197
Interest expense........................................................            (4)             (9)          (10)          (21)
Other expense, net......................................................            (8)              -            (8)            -
                                                                             ----------      ----------    ----------    ----------
       Net loss.........................................................        (4,496)         (1,897)       (7,075)       (3,157)

Other comprehensive income (loss):
    Change in unrealized gain or loss on available-for-sale securities             (34)            (18)           34            33
                                                                             ----------      ----------    ----------    ----------
       Comprehensive loss...............................................     $  (4,530)      $  (1,915)    $  (7,041)    $  (3,124)
                                                                             ----------      ----------    ----------    ----------
                                                                             ----------      ----------    ----------    ----------

Net loss per common share and per common share-assuming
    dilution............................................................     $   (0.33)      $   (0.14)    $   (0.53)    $   (0.23)
                                                                             ----------      ----------    ----------    ----------
                                                                             ----------      ----------    ----------    ----------

Shares used in computing net loss per common share and per
    common share-assuming dilution......................................        13,446          13,355        13,442        13,334
                                                                             ----------      ----------    ----------    ----------
                                                                             ----------      ----------    ----------    ----------
</TABLE>


              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                        CONDENSED FINANCIAL STATEMENTS.


                                       4

<PAGE>

                       GENERAL SURGICAL INNOVATIONS, INC.
                       CONDENSED STATEMENTS OF CASH FLOWS
                                 (IN THOUSANDS)
                                   (UNAUDITED)

<TABLE>
<CAPTION>
                                                                                                 Six Months Ended
                                                                                                   December 31,
                                                                                       -----------------------------------
                                                                                            1998               1997
                                                                                       ----------------   ----------------
<S>                                                                                    <C>                <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss.............................................................................     $  (7,075)        $   (3,157)
Adjustments to reconcile net loss to net cash used in operating activities:
     Amortization of deferred compensation...........................................            68                 69
     Depreciation and amortization...................................................           412                567
     Provision for uncollectible accounts............................................            61                  7
     Provision for excess and obsolete inventory.....................................            50                 (4)
     Changes in operating assets and liabilities:
          Accounts receivable........................................................            (9)               (91)
          Inventories................................................................        (1,602)               705
          Prepaid expenses and other current assets..................................            62               (153)
          Other assets...............................................................          (217)                (2)
          Accounts payable...........................................................         1,105                 75
          Accrued liabilities........................................................           (70)              (267)
                                                                                          ---------         ----------
                    Net cash used in operating activities............................        (7,215)            (2,251)
                                                                                          ---------         ----------

CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of available-for-sale securities...........................................        (2,795)           (15,800)
Proceeds from sales and maturities of available-for-sale securities..................         7,200             17,792
Acquisition of property and equipment................................................          (656)              (304)
                                                                                          ---------         ----------
                    Net cash provided by investing activities........................         3,749              1,688
                                                                                          ---------         ----------

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock...............................................            79                130
Proceeds from payment on notes receivable from shareholders..........................             3                  -
Payments on capital lease obligations................................................            (7)                (9)
Principal payments on bank borrowings................................................           (62)               (84)
                                                                                          ---------         ----------
                   Net cash provided by financing activities.........................            13                 37
                                                                                          ---------         ----------

Net decrease in cash and cash equivalents............................................        (3,453)              (526)
Cash and cash equivalents, beginning of period.......................................        17,954              7,900
                                                                                          ---------         ----------
Cash and cash equivalents, end of period.............................................     $  14,501           $  7,374
                                                                                          ---------         ----------
                                                                                          ---------         ----------
</TABLE>


              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                        CONDENSED FINANCIAL STATEMENTS.


                                       5

<PAGE>

                       GENERAL SURGICAL INNOVATIONS, INC.

                     NOTES TO CONDENSED FINANCIAL STATEMENTS

1.   Basis of Presentation:

       The accompanying unaudited condensed financial statements as of December
31, 1998 of General Surgical Innovations, Inc. (the "Company") have been
prepared in accordance with generally accepted accounting principles for interim
financial information and pursuant to the instructions to Form 10-Q and Article
10 of Regulation S-X. Accordingly, they do not include all of the information
and footnotes required by generally accepted accounting principles for complete
financial statements. In the opinion of management, all adjustments, consisting
of normal recurring adjustments, considered necessary for a fair presentation
have been included. Operating results for the three and six month periods ended
December 31, 1998 are not necessarily indicative of the results that may be
expected for the fiscal year ending June 30, 1999, or any future interim period.

       These financial statements and notes should be read in conjunction with
the Company's audited financial statements and footnotes thereto included in the
Company's Annual Report on Form 10-K for the fiscal year ended June 30, 1998.

2.     Computation of Net Loss per Common Share and per Common Share-Assuming
Dilution:

       Effective December 15, 1997, the Company adopted Financial Accounting
Standards Board ("FASB") No. 128 "Earnings Per Share", and the provisions of the
Securities and Exchange Commission Staff Accounting Bulletin ("SAB 98"), and
accordingly all prior periods have been restated. Net loss per common share and
per common share-assuming dilution are computed using the weighted average
number of shares of common stock outstanding. Common equivalent shares from
stock options are excluded from the computation of net loss per common
share-assuming dilution as their effect is antidilutive. The Company has
determined that no incremental shares should be included in the computations in
accordance with SAB 98.

       Stock options to purchase 1,858,034 and 1,285,732 shares of common stock
at prices ranging from $0.09 to $9.75 per share were outstanding at December 31,
1998 and December 31 1997, respectively, but were not included in the
computation of net loss per common share-assuming dilution because they were
antidilutive. The aforementioned stock options could potentially dilute earnings
per share in the future.

3.   Inventories:

     Inventories comprise (IN THOUSANDS):

<TABLE>
<CAPTION>
                                                            Dec. 31,            June 30,
                                                            --------            --------
                                                              1998                1998
                                                              ----                ----
                                                          (unaudited)
<S>                                                      <C>                 <C>
Raw materials...................................           $      1,323        $        910
Work in progress................................                     38                   -
Finished goods..................................                  1,475                 374
                                                         ---------------     ---------------
                                                           $      2,836        $      1,284
                                                         ---------------     ---------------
                                                         ---------------     ---------------
</TABLE>


                                       6

<PAGE>

4.  Contingencies:

       In May 1996, Origin Medsystems, Inc. ("Origin"), a unit of Guidant 
Corporation, filed suit against GSI for infringement of U.S. Patent No. 
5,520,609 in the United States District Court for the Northern District of 
California. That suit was resolved in GSI's favor by judgment entered on 
May 15, 1998, finding Origin's patent unenforceable. Origin's appeal of that 
judgment is pending and is expected to be decided in 1999. The District 
Court has also awarded $990,000 in attorneys' fees to GSI and Origin has 
appealed that ruling as well.

       In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging that use of Origin's 
products infringes GSI's U.S. Patent 5,514,153. The court agreed with this 
allegation in a summary judgment ruling in GSI's favor. On February 8, 1999, 
a jury found the patent to be valid, that infringement was willful, and 
granted GSI approximately $12.9 million in damages. GSI is seeking an 
injunction against further infringements.

       A second action was filed similarly in September 1997, alleging that 
use of Origin's Vasoview product infringes U.S. Patent 5,667,520. Discovery 
is near completion in this case.

       GSI is also involved in an interference proceeding in the U.S. Patent 
Office to determine whether certain subject matter was first invented by 
GSI's inventor. The priority portion of this interference has been decided in 
GSI's favor by an arbitrator to whom this issue was referred. The 
patentability portion of this interference was decided in GSI's favor by the 
United States Patent and Trademark Office ("PTO"). Origin is expected to 
appeal the PTO's decision, but GSI believes that the arbitrator's priority 
decision is not appealable.

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

       The following discussion should be read in conjunction with the unaudited
financial statements and notes thereto included in Part I, Item I of this
Quarterly Report and with Management's Discussion and Analysis of Financial
Condition and Results of Operations contained in the Company's Annual Report on
Form 10-K for the year ended June 30, 1998.

       References made in this Quarterly Report on Form 10-Q to "General 
Surgical Innovations, Inc.," the "Company" or the "Registrant" refer to 
General Surgical Innovations, Inc. The following General Surgical 
Innovations, Inc. trademarks are mentioned in this Quarterly Report: 
ENDOSAPH-Registered Trademark-, SPACEMAKER-Registered Trademark-, 
SAPHtrak-Registered Trademark-, registered trademarks of the Company; 
SPACEKEEPER-TM-, and Total Solution-TM-, trademarks of the Company.

OVERVIEW

       Since its inception in April 1992, GSI has been engaged in the
development, manufacturing and marketing of balloon dissection systems and
related minimally invasive surgical instruments. The Company began commercial
sales of its balloon dissection systems for hernia repair in September 1993. To
date, the Company has received from the FDA seven 510(k) clearances for use of
the Company's technology to perform dissection of tissue planes anywhere in the
body using a broad range of balloon sizes and shapes. The Company currently
sells products in the United States, Europe, Asia and South America for selected


                                       7

<PAGE>

applications, such as hernia repair, subfascial endoscopic perforator surgery,
saphenous vein harvesting and breast augmentation and reconstruction surgery.

       In December 1996, the Company entered into a five year OEM supply 
agreement (the "Expanded EES Agreement") with Ethicon Endo-Surgery, Inc. 
("EES"), pursuant to which GSI granted EES worldwide sales and marketing 
rights to sell the SPACEMAKER-Registered Trademark- surgical balloon 
dissectors in the laparoscopic hernia repair and stress urinary incontinence 
("SUI") markets. In February 1998, the Company and EES signed a non-exclusive 
distribution agreement for the laparoscopic hernia repair and SUI markets. 
This agreement supersedes the December 1996 Expanded EES Agreement.

       During the first six months of fiscal 1999, the Company added eight
direct sales personnel and realigned its regional distribution in the United
States from one consisting primarily of third-party distributors to a
combination of distributors and a GSI direct sales force. The Company plans to
continue its direct sales force expansion, which the Company believes will
create a more balanced approach to distribution, throughout the remainder of the
fiscal year. Any increase in the Company's direct sales force will require
significant expenditures and additional management resources.

       In September 1998, the Company signed two non-exclusive, three-year 
agreements with United States Surgical Corporation ("USSC"). Under the terms 
of the first agreement, USSC has obtained non-exclusive rights to market and 
distribute GSI's SPACEMAKER-Registered Trademark- surgical balloon dissectors 
worldwide for use in hernia repair and incontinence procedures. Under the 
terms of the second agreement, GSI has secured non-exclusive worldwide rights 
to market and distribute several products, including USSC's 5mm mesh fixation 
device, the ProTack(TM), which is offered with GSI's balloon dissectors in a 
Total Solution-TM- hernia repair kit.

       In October 1998, GSI entered into non-exclusive agreements with seven 
leading surgical suppliers to distribute its SPACEMAKER-Registered Trademark- 
surgical balloon dissector kits used for hernia repair in the United States. 
Currently, domestic distribution of GSI's products is made through ten 
independent distributors covering 45 states for Subfascial Endoscopic 
Perforator Surgery ("SEPS") and saphenous vein harvest products, and nine 
independent distributors covering 41 states for hernia and SUI products. The 
Company currently has a direct sales force distributing products in the 
remaining portion of the United States as well as managing distributor 
relationships.

       In addition, the Company has agreements with USSC and EES to 
distribute hernia repair and SUI products worldwide. GSI also sells its 
products (other than for hernia and SUI applications) in international 
markets through other distributors, which resell to surgeons and hospitals. 
At present, the Company has exclusive distribution agreements with eight 
international distributors, including Baxter International, to distribute 
GSI's cardiovascular products in Europe and the Company has employees located 
in Europe to manage those distributors.

       To date, the majority of the sales to distributors and by the 
Company's direct sales force have been of products for use in hernia repair 
procedures. The Company's initial market focus was the application of its 
SPACEMAKER-Registered Trademark- balloon dissection technology for hernia 
repair. Subsequent to this, the Company has developed additional products for 
use in general surgery, as well as products for plastic surgery and 
cardiovascular applications. The Company has completed marketing-related 
clinical evaluations of, and has introduced products for, saphenous vein 
harvesting, SEPS, breast augmentation and reconstruction procedures and SUI. 
The Company is currently conducting additional marketing-related clinical 
evaluations for products for use in tissue dissection/expansion.

                                       8

<PAGE>

       While the Company has developed or is developing balloon dissection
systems for stress urinary incontinence, vascular and plastic surgery, sales of
products for hernia repair are expected to provide a majority of the Company's
revenues at least through calendar 1999.

       The Company has acquired rights to a significant number of patents from
third parties, including rights that apply to the Company's current balloon
dissection systems. The Company has historically paid and is obligated to pay in
the future to such third parties royalties equal to between one and four percent
of sales of such products, which payments are expected to exceed certain minimum
royalty payments due under the agreements with such parties. The payment of such
royalty amounts will have an adverse impact on the Company's gross profit and
results of operations.

       The Company has experienced significant operating losses since 
inception. The Company expects such operating losses to continue at least 
through fiscal 1999. The Company's sales to date have consisted primarily of 
surgical balloon dissectors for hernia repair. In order to support increased 
levels of sales in the future and to augment its long-term competitive 
position, including the development of surgical balloon dissectors for other 
applications, the Company anticipates that it will be required to make 
significant additional expenditures in sales and marketing, and in research 
and development (including marketing-related clinical evaluations).

       The Company currently manufactures and ships product shortly after the
receipt of orders, and anticipates that it will do so in the future.
Accordingly, the Company has not developed a significant backlog and does not
anticipate that it will develop a material backlog in the future.

RESULTS OF OPERATIONS

       REVENUE. Total revenue, including product sales and guaranteed payments,
decreased by 59% to $926,000 for the quarter ended December 31, 1998 from $2.3
million for the same period in 1997. Revenue for the six months ended December
31, 1998 decreased 36% to approximately $2.9 million from $4.6 million for the
six months ended December 31, 1997. Revenues in fiscal 1999 consisted entirely
of product sales, while revenues for the three and six months ended December 31,
1997 consisted of $860,000 and $1.6 million, respectively, in guaranteed
payments from EES. The Company believes that its sales results will fluctuate
from quarter to quarter during at least the next several quarters.

       COST OF SALES. Cost of sales decreased by 38% to $731,000 for the quarter
ended December 31, 1998 from approximately $1.2 million for the same period in
1997. This decrease in absolute dollars was due to a decrease in product sales
over this same period. As a percentage of product sales, cost of sales decreased
from 84% in the second quarter of fiscal 1998 to 79% in the second quarter of
fiscal 1999. Cost of sales for the six months ended December 31, 1998 decreased
as a percent of sales to 62%, or approximately $1.8 million, as compared to 72%
of sales, or approximately $2.1 million, for the six months ended December 31,
1997.

       RESEARCH AND DEVELOPMENT EXPENSES. Research and development expenses,
which include expenditures for marketing-related clinical evaluations and
regulatory expenses, increased 42% to $934,000 in the quarter ended December 31,
1998 from $658,00 for the same period in 1997. R&D expenses for the six months
ended December 31, 1998 were approximately $1.7 million as compared to $1.4
million for the same period of the prior fiscal year, which represented an 18%
increase. Increases are due to new general and vascular surgical product
development expenditures.


                                       9

<PAGE>

       SELLING, GENERAL AND ADMINISTRATIVE EXPENSES. Selling, general and 
administrative expenses increased by 44% to approximately $4.2 million for 
the quarter ended December 31, 1998 from $2.9 million for the quarter ended 
December 31, 1997. For the six months ended December 31, 1998, SG&A expenses 
were $7.5 million compared to $5.4 million for the same period in 1997. These 
increases are primarily due to increased legal expenses related to 
intellectual property litigation, as well as increased labor and labor 
related expenses as the Company expands its sales and marketing 
infrastructure.

       INTEREST INCOME, INTEREST EXPENSE, AND OTHER EXPENSE. Interest and other
income (net of expense) decreased to $438,000 for the quarter ended December 31,
1998 from $585,000 for the quarter ended December 31, 1997. For the six months
ended December 31, 1998, interest and other income (net of expense) decreased to
$935,000 from $1.2 million for the same period in 1997. Decreases are due mainly
to lower average cash, cash equivalents and available-for-sale securities
balances. Interest earned in the future will depend on the Company's funding
cycles and prevailing interest rates.

LIQUIDITY AND CAPITAL RESOURCES

       Since inception, the Company's cash expenditures have significantly
exceeded its sales, resulting in an accumulated deficit of approximately $31.9
million at December 31, 1998. The Company has funded its operations primarily
through the sale of equity securities. From its inception through December 31,
1998 the Company raised approximately $15.5 million through the private
placement of equity securities and approximately $46.9 million (net of
underwriting discounts and commissions) in an initial public offering.

       As of December 31, 1998 the Company's principal source of liquidity
consists of cash, cash equivalents and available-for-sale securities of $29.6
million. In addition, the Company has a bank line of credit available for $5.0
million. As of December 31, 1998, the Company has no amounts outstanding under
this line. The Company also has an equipment loan with an outstanding balance of
approximately $123,000.

       The Company expects to continue to incur costs over the next fiscal year,
including costs related to increased sales and marketing activities, increased
research and development, additional marketing-related clinical evaluations, and
costs to defend its patent positions. The Company believes that its current cash
balances and short-term investments along with cash generated from the future
sales of products will be sufficient to meet the Company's operating and capital
requirements through calendar year 2000. The Company may seek additional equity
or debt financing to address its working capital needs or to provide funding for
capital expenditures. There can be no assurance that additional financing, if
sought, will be available on satisfactory terms or at all.

YEAR 2000 COMPLIANCE

       The Year 2000 ("Y2K") issue arises from computer programs using two
digits rather than four to define the applicable year. Such software may
recognize a date using "00" as the year 1900 rather than the year 2000. This
could result in system failures or miscalculations leading to disruptions or
delays in the Company's activities and operations. If the Company, its key
customers or suppliers fail to make necessary modifications to their information
technology or non-information technology systems on a timely basis, the 


                                       10

<PAGE>

Y2K issue could have a material adverse effect on Company operations. 
However, the impact cannot be quantified at this time.

       In January 1998, the Company began to evaluate and assess the 
Company's information technology and non-information technology systems for 
compliance with the Y2K issue. The Company is in the process of fixing or 
replacing noncompliant software and systems and intends to have this process 
completed by June 30, 1999, but there can be no assurance that such fixes or 
replacements will occur by such date. The Company is currently conducting 
testing and remediation activities on its systems, and intends to survey 
major customers and suppliers to assess their systems' compliance as well as 
their systems' compatibility with the Company's existing or projected 
compliant systems. There can be no assurance that there will not be an 
adverse material effect on the Company's business, financial condition or 
results of operations if the Company or its suppliers or customers do not 
convert or replace their systems in a timely manner to comply with the Y2K 
issue.

       The Company's costs related to the Y2K issue are funded through 
operating cash flows. Through December 31, 1998, the Company expended 
approximately $15,000 in evaluating and planning. The Company estimates total 
costs to be between $50,000 and $100,000 for fixing and replacing 
noncompliant systems, including the cost of new software and modifying the 
applicable code of existing software. The Company currently believes that the 
total cost of achieving Y2K compliant systems will not be material to its 
business, financial condition or results of operations. In the event that the 
Company will be unable to achieve Y2K compliance in a timely manner with 
existing personnel, as a contingency the Company expects to hire outside Y2K 
solution providers to assist in achieving such compliance.

       Time and cost estimates are based on currently available information.
Factors that could affect these estimates include, but are not limited to, the
availability and cost of trained personnel to evaluate and implement the
changes, the ability to locate and correct all noncompliant systems, and the
ability of the Company's customers and suppliers to successfully implement Y2K
compliant systems or fixes.

FACTORS AFFECTING FUTURE RESULTS

       The following discussion should be read in conjunction with the condensed
financial statements and notes thereto included herein.

       The Company desires to take advantage of the "safe harbor" provisions of
the Private Securities Litigation Reform Act of 1995. Specifically, the Company
wishes to alert readers that, except for the historical information contained in
this Quarterly Report on Form 10-Q, the matters discussed herein are
forward-looking statements that are subject to certain risks and uncertainties
that could cause the actual results to differ materially from those projected.
Factors that could cause actual results to differ materially include, but are
not limited to, market demand for the Company's products, the timing of orders
and shipments, the timely development and market acceptance of new products and
surgical procedures, the impact of performance of the Company's distributors,
the Company's ability to further expand into international markets, public
policy relating to health care reform in the United States and other countries,
approval of its products by government agencies such as the United States Food
and Drug Administration, and other risks detailed below and included from time
to time in the Company's other SEC reports and press releases, copies of which
are available from the Company upon request. The Company assumes no obligation
to update any forward-looking statements contained herein. The factors listed
below under "Factors Affecting Future Results," as well as other factors, have
in the past affected, and could in the future affect, the Company's actual
results and could cause the Company's results for future periods to differ
materially from those expressed in any forward-looking statements contained in
the following discussion.


                                       11

<PAGE>

       HISTORY OF LOSSES AND ANTICIPATED FUTURE LOSSES. The Company has 
experienced significant operating losses since inception and as of 
December 31, 1998, the Company had an accumulated deficit of $31.9 million. 
The Company's net operating losses for the quarters ended December 31, 1998 
and September 30, 1998 were $4.5 million and $2.6 million, respectively. The 
Company expects to continue to incur operating losses on a quarterly and 
annual basis through at least calendar year 1999. The Company's limited 
operating history makes accurate prediction of future operating results 
difficult or impossible. There can be no assurance that the Company will ever 
generate substantial revenue or achieve profitability. Failure by the Company 
to generate substantial revenue would have a material adverse effect on the 
Company's business, financial condition and results of operations.

       DEPENDENCE UPON BALLOON DISSECTION PRODUCTS; RISK OF TECHNOLOGICAL
OBSOLESCENCE. Nearly all of the Company's sales since inception have been
derived from sales of its balloon dissection products, with a substantial
portion derived from sales for hernia repair procedures. The success of the
Company's products depends on the market acceptance of and demand for the
Company's products and related procedures, the nature of the technological
advances inherent in the product designs, reduction in patient trauma or other
benefits provided by such products, continued adoption of minimally invasive
surgery ("MIS") procedures by surgeons, reimbursement for the Company's products
by health care payors and the Company's receipt of regulatory approvals. There
can be no assurance that the Company's products will have the required technical
characteristics, that the Company's products will provide adequate patient
benefits, that marketing-related clinical evaluations results will be favorable,
that surgeons will continue to adopt MIS procedures, that recently-introduced
products or future products of the Company or related procedures will gain
market acceptance, or that required regulatory approvals will be obtained. The
failure to achieve any of the foregoing could have a material adverse effect on
the Company's business, financial condition and results of operations. To the
extent demand for the Company's surgical balloon dissectors for hernia repair
declines and the Company's newly-introduced products are not commercially
accepted or its existing products are not developed for new procedures, there
could be a material adverse effect on the Company's business, financial
condition and results of operations.

       DEPENDENCE ON KEY DISTRIBUTORS. In February 1998, the Company replaced 
its five-year OEM supply agreement with EES with a non-exclusive distribution 
agreement which granted EES worldwide sales and marketing rights to sell the 
SPACEMAKER-Registered Trademark- surgical balloon dissectors in the 
laparoscopic hernia repair and stress urinary incontinence ("SUI") markets. 
Unlike the prior EES OEM Agreement, this new EES non-exclusive agreement does 
not provide for any minimum payments from EES to the Company. In December 
1997, the Company entered into a four-year distribution agreement with 
Genzyme Surgical Products Corporation ("Genzyme"). Under the agreement, 
Genzyme has exclusive rights to market and distribute GSI's surgical balloon 
dissectors worldwide for use in reconstructive and cosmetic plastic surgery 
procedures. In September 1998, the Company signed a non-exclusive, three-year 
agreement with United States Surgical Corporation ("USSC"). Under the terms 
of the agreement, USSC has obtained non-exclusive rights to market and 
distribute GSI's SPACEMAKER-Registered Trademark- surgical balloon dissectors 
worldwide for use in hernia repair and incontinence procedures.

                                       12

<PAGE>

       LIMITED MARKETING AND DIRECT SALES EXPERIENCE. The Company has limited
experience marketing and selling its products through its direct sales force,
and has sold its products in commercial quantities through its direct sales
force only to the hernia market and, to a lesser degree, to the vascular surgery
markets. The Company intends to establish relationships with additional
distribution partners, and there can be no assurance that the Company will be
successful in establishing such relationships on commercially reasonable terms,
if at all. The failure to establish and maintain an effective distribution
channel for the Company's products, or establish and retain qualified and
effective sales personnel to support commercial sales of the Company's products,
could have a material adverse effect on the Company's business, financial
condition and results of operations.

       UNCERTAINTY OF MARKET ACCEPTANCE; NO ASSURANCE OF CLINICAL ADVANTAGE. 
The Company's success is substantially dependent upon the success of its 
SPACEMAKER-Registered Trademark- balloon dissection products. The Company 
believes that market acceptance of the Company's products will depend on the 
adoption of laparoscopic techniques generally and the conversion of 
non-balloon dissection surgical techniques and treatments to balloon 
dissection techniques specifically. To date, the Company has limited 
long-term outcomes data regarding successful balloon dissection procedures. 
If the Company is not able to demonstrate consistent clinical benefits 
resulting from the use of its products (including reduced procedure time, 
reduced patient trauma and lower costs), the Company's business, financial 
condition and results of operations could be materially and adversely 
affected.

       The Company further believes that the ability of health care providers 
to obtain adequate reimbursement for procedures using the Company's 
SPACEMAKER-Registered Trademark- balloon dissection products and related 
instruments will be critical to market acceptance of the Company's products. 
Although the Company believes that procedures using its balloon dissection 
products currently may be reimbursed in the United States under certain 
existing procedure codes, there can be no assurance that such procedure codes 
will remain available or that reimbursement under these codes will be 
adequate. The Company has limited experience in obtaining third-party 
reimbursement, and the failure to obtain reimbursement for some or all of its 
products could have a material adverse effect on the Company's business, 
financial condition and results of operations.

       The Company introduced its surgical balloon dissectors in late 1993. 
To the extent that laparoscopic techniques are adopted slowly, that surgical 
balloon dissectors are not incorporated into laparoscopic techniques or that 
surgeons are unwilling or unable to develop the skills necessary to utilize 
surgical balloon dissectors, the Company's business, financial condition and 
results of operations could be materially adversely affected.

       FLUCTUATIONS IN QUARTERLY RESULTS. Results of the Company's operations 
may fluctuate significantly from quarter to quarter and will depend on 
numerous factors, including (i) fluctuations in purchases of the Company's 
products by its distributors, (ii) the ability of the Company's distributors 
to effectively promote and sell the Company's products, (iii) the rate of 
adoption by surgeons of balloon dissection technology in markets targeted by 
the Company, (iv) the mix of sales among distributors and the Company's 
direct sales force, (v) new product introductions by the Company and its 
competitors, (vi) fluctuations in revenues among different product lines and 
markets, (vii) timing of patent and regulatory approvals, if any, 
(viii) intellectual property litigation, (ix) timing and growth of operating 
expenses and (x) general market conditions.

                                       13

<PAGE>

       In December 1996, the Company entered into the Expanded Ethicon
Agreement, pursuant to which EES made approximately $4.9 million in guaranteed
payments to the Company in fiscal year 1997, which constituted 54% of revenues
for fiscal year 1997 and payments by mutual consent of $775,000 in the first
quarter of fiscal year 1998 and $860,000 in the second quarter of fiscal 1998.
The Company and EES entered into a nonexclusive distribution agreement for the
laparoscopic hernia repair and stress urinary incontinence markets in February
1998, which supersedes the Expanded Ethicon Agreement and which does not include
a provision for minimum quarterly payments. The Company anticipates that sales
to EES may decrease in the future. Failure by EES to achieve certain levels of
sales growth or purchases could adversely affect the Company's operating
results. In September 1998, the Company signed two non-exclusive, three-year
agreements with United States Surgical Corporation. Failure by the Company or
USSC to achieve certain levels of sales growth or purchases could adversely
affect the Company's operating results.

       In addition, announcements or expected announcements by the Company, its
competitors or its distributors of new products, new technologies or pricing
changes could cause existing or potential customers of the Company to defer
purchases of the Company's existing products and could alter the mix of products
purchased from the Company, which could have a material adverse effect on the
Company's business, financial condition and results of operations. There can be
no assurance that future products or product enhancements will be successfully
introduced or that such introductions will not adversely affect the demand for
existing products. As a result of these and other factors, the Company's
quarterly operating results have fluctuated in the past, and the Company expects
that such results may fluctuate in the future. Due to such quarterly
fluctuations in operating results, quarter-to-quarter comparisons of the
Company's operating results are not necessarily meaningful and should not be
relied upon as indicators of likely future performance or annual operating
results.

       RELIANCE ON PATENTS AND PROPRIETARY TECHNOLOGY. The Company's success
will depend on its ability to obtain patent protection for its products and
processes, to preserve its trade secrets and proprietary technology and to
operate without infringing upon the patents or proprietary rights of third
parties.

       In May 1996, Origin Medsystems, Inc. ("Origin"), a unit of Guidant 
Corporation, filed suit against GSI for infringement of U.S. Patent No. 
5,520,609 in the United States District Court for the Northern District of 
California. That suit was resolved in GSI's favor by judgment entered on 
May 15, 1998, finding Origin's patent unenforceable. Origin's appeal of that 
judgment is pending and is expected to be decided in 1999. The District 
Court has also awarded $990,000 in attorneys' fees to GSI and Origin has 
appealed that ruling as well.

       In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging that use of Origin's 
products infringes GSI's U.S. Patent 5,514,153. The court agreed with this 
allegation in a summary judgment ruling in GSI's favor. On February 8, 1999, 
a jury found the patent to be valid, that infringement was willful, and 
granted GSI approximately $12.9 million in damages. GSI is seeking an 
injunction against further infringements.

       A second action was filed similarly in September 1997, alleging that 
use of Origin's Vasoview product infringes U.S. Patent 5,667,520. Discovery 
is near completion in this case.

       GSI is also involved in an interference proceeding in the U.S. Patent 
Office to determine whether certain subject matter was first invented by 
GSI's inventor. The priority portion of this interference has been decided in 
GSI's favor by an arbitrator to whom this issue was referred. The 
patentability portion of this interference was decided in GSI's favor by the 
United States Patent and Trademark Office ("PTO"). Origin is expected to 
appeal the PTO's decision, but GSI believes that the arbitrator's priority 
decision is not appealable.

                                       14

<PAGE>

       Patent interference or infringement involves complex legal and factual
issues and is highly uncertain, and there can be no assurance that any
conclusion reached by the Company regarding patent interference or infringement
will be consistent with the resolution of such issue by a court. In the event
the Company's products are found to infringe patents held by competitors, there
can be no assurance that the Company will be able to modify successfully its
products to avoid infringement, or that any modified products will be
commercially successful. Failure in such event to either develop a commercially
successful alternative or obtain a license to such patent on commercially
reasonable terms would have a material adverse effect on the Company's business,
financial condition and results of operations. As discussed above, the Company
is defending itself, and may in the future have to defend itself, in court
against allegations of infringement of third-party patents. Patent litigation is
expensive, requires extensive management time, and could subject the Company to
significant liabilities, require disputed rights to be licensed from third
parties or require the Company to cease selling its products.

       The validity and breadth of claims in medical technology patents involve
complex legal and factual questions and, therefore, may be highly uncertain. No
assurance can be given that any patents based on pending patent applications or
any future patent applications will be issued, that the scope of any patent
protection will exclude competitors or provide competitive advantages to the
Company, that any of the Company's patents or patents to which it has licensed
rights will be held valid under current challenges or if subsequently challenged
or that persons or entities in addition to Origin will not claim rights in or
ownership of the patents and other proprietary rights held or licensed by the
Company or that the Company's existing patents will cover the Company's future
products. Furthermore, there can be no assurance that others have not developed
or will not develop similar products, duplicate any of the Company's products or
design around any patents issued to or licensed by the Company or that may be
issued in the future to the Company. Since patent applications in the United
States are maintained in secrecy until patents issue, the Company also cannot be
certain that others did not first file applications for inventions covered by
the Company's pending patent applications, nor can the Company be certain that
it will not infringe any patents that may issue to others on such applications.

       The patent laws of European and certain other foreign countries generally
do not allow for the issuance of patents for methods of surgery on the human
body. Accordingly, the ability of the Company to gain patent protection for its
methods of tissue dissection will be significantly limited. As a result, there
can be no assurance that the Company will be able to develop a patent portfolio
in Europe or that the scope of any patent protection will provide competitive
advantages to the Company.

       ROYALTY PAYMENT OBLIGATIONS. The Company has acquired rights to patents
from third parties, including rights that apply to the Company's current
surgical balloon dissectors. The Company has historically paid and is obligated
to pay in the future to such third parties royalties equal to between one and
four percent of sales of such products, which payments are expected to exceed
minimum royalty payments due under agreements with such parties. The payment of
such royalty amounts will have an adverse impact on the Company's gross profit
and other results of operations. There can be no assurance that the Company will
be able to continue to satisfy such royalty payment obligations in the future,
and a failure to do so could have a material adverse effect on the Company's
business, financial condition and results of operations.


                                       15

<PAGE>

       COMPETITION; UNCERTAINTY OF TECHNOLOGICAL CHANGE. Competition in the
market for medical devices used in tissue dissection surgical procedures is
intense and is expected to increase. The Company competes primarily with other
producers of MIS tissue dissection instruments. Origin, a subsidiary of Guidant
Corporation, and others currently compete against the Company in the
development, production and marketing of MIS tissue dissection instruments and
tissue dissection technology. To the extent that surgeons elect to use open
surgical procedures rather than MIS, the Company also competes with producers of
tissue dissection instruments used in open surgical procedures, such as blunt
dissectors or graspers. A number of companies currently compete against the
Company in the development, production and marketing of tissue dissection
instruments and technology for open surgical procedures. In addition, the
Company indirectly competes with producers of therapeutic drugs, when such drugs
are used as an alternative to surgery. Many of the Company's competitors have
substantially greater capital resources, name recognition, expertise in research
and development, manufacturing and marketing and obtaining regulatory approvals.
There can be no assurance that the Company's competitors will not succeed in
developing surgical balloon dissectors or competing technologies that are more
effective than products marketed by the Company or that render the Company's
technology obsolete. Additionally, even if the Company's products provide
performance comparable to competing products or procedures, there can be no
assurance that the Company will be able to obtain necessary regulatory approvals
or compete against competitors in terms of price, manufacturing, marketing and
sales.

       Many of the alternative treatments for medical indications that can be
treated by surgical balloon dissectors and laparoscopic surgery are widely
accepted in the medical community and have a long history of use. In addition,
technological advances with other therapies could make such other therapies more
effective or cost-effective than surgical balloon dissectors and minimally
invasive surgery, and could render the Company's technology non-competitive or
obsolete. There can be no assurance that surgeons will use MIS to replace or
supplement established treatments or that MIS will remain competitive with
current or future treatments. The failure of surgeons to adopt MIS could have a
material adverse effect on the Company's business, financial condition and
results of operations.

       In addition to the Company's development of its surgical balloon
dissectors, the Company has also developed surgical instruments for use in MIS.
There can be no assurance that the Company's surgical instruments will
successfully compete with those manufactured by other producers of such surgical
instruments. The failure to achieve commercial market acceptance of such
surgical instruments could have a material adverse effect on the Company's
business, financial condition and results of operations.

       UNCERTAIN AVAILABILITY OF THIRD-PARTY REIMBURSEMENT. The Company's
success will depend upon the ability of surgeons to obtain satisfactory
reimbursement from healthcare payors for the Company's products. In the United
States, hospitals, physicians and other healthcare providers that purchase
medical devices generally rely on third-party payors, such as private health
insurance plans, to reimburse all or part of the costs associated with the
treatment of patients. Reimbursement in the United States for the Company's
balloon dissection products is currently available from most third-party payors,
including most major private health care insurance plans and Medicaid, under
existing surgical procedure codes. The Company does not expect that third-party
reimbursement in the United States will be available for use of some of its
other products unless and until clearance or approval is received from the
federal Food and Drug Administration (the "FDA"). If FDA clearance or approval
is received, third-party reimbursement for these products will depend upon
decisions by individual health maintenance organizations, private insurers and
other payors. Many payors, including the federal Medicare program, pay a preset
amount for the surgical facility component of a surgical procedure. This amount
typically includes medical devices such as the Company's. Thus, the surgical
facility or surgeon may not recover the added cost of the Company's products. In
addition, managed care payors often limit coverage to surgical devices on a
preapproved list or obtained from an exclusive source. If the Company's products
are not 


                                       16

<PAGE>

on the list or are not available from the exclusive source, the facility or 
surgeon will need to obtain an exception from the payor or the patient will 
be required to pay for some or all of the cost of the Company's product. The 
Company believes that procedures using its balloon dissection products 
currently may be reimbursed in the United States under certain existing 
procedure codes. However, there can be no assurance that such procedure codes 
will remain available or that the reimbursement under these codes will be 
adequate. Given the efforts to control and decrease health care costs in 
recent years, there can be no assurance that any reimbursement will be 
sufficient to permit the Company to increase revenues or achieve or maintain 
profitability. The unavailability of third-party or other adequate 
reimbursement could have a material adverse effect on the Company's business, 
financial condition and results of operations.

       Reimbursement systems in international markets vary significantly by
country, and by region within some countries, and reimbursement approvals must
be obtained on a country-by-country basis. Many international markets have
government-managed health care systems that govern reimbursement for new devices
and procedures. In most markets, there are private insurance systems as well as
government-managed systems. Large-scale market acceptance of the Company's
surgical balloon dissectors and other products will depend on the availability
and level of reimbursement in international markets targeted by the Company.
Currently, the Company has been informed by its international distributors that
the surgical balloon dissectors have been approved for reimbursement in many of
the countries in which the Company markets its products. Obtaining reimbursement
approvals can require 12 to 18 months or longer. There can be no assurance that
the Company will obtain reimbursement in any country within a particular time,
for a particular amount, or at all. Failure to obtain such approvals could have
a material adverse effect on the Company's business, financial condition and
results of operations.

       Regardless of the type of reimbursement system, the Company believes that
surgeon advocacy of its products will be required to obtain reimbursement.
Availability of reimbursement will depend on the clinical efficacy of the
procedure and the utility and cost of the Company's products. There can be no
assurance that surgeons will support and advocate reimbursement for use of the
Company's systems for all applications intended by the Company. Failure by
surgeons, hospitals and other users of the Company's products to obtain
sufficient reimbursement from health care payors or adverse changes in
government and private third-party payors' policies toward reimbursement for
procedures employing the Company's products could have a material adverse effect
on the Company's business, financial condition and results of operations.

       GOVERNMENT REGULATION. The Company's SPACEMAKER-Registered Trademark- 
surgical balloon dissectors and other products are subject to extensive and 
rigorous regulation by the FDA and, to varying degrees, by state and foreign 
regulatory agencies. Under the federal Food, Drug, and Cosmetic Act, the FDA 
regulates the clinical testing, manufacture, labeling, packaging, marketing, 
distribution and record keeping for medical devices, in order to ensure that 
medical devices distributed in the United States are safe and effective for 
their intended use. Prior to commercialization, a medical device generally 
must receive FDA and foreign regulatory clearance or approval, which can be 
an expensive, lengthy and uncertain process. The Company is also subject to 
routine inspection by the FDA and state agencies, such as the California 
Department of Health Services ("CDHS"), for compliance with Good 
Manufacturing Practice requirements, Medical Device Reporting requirements 
and other applicable regulations. Noncompliance with applicable requirements 
can result in warning letters, import detentions, fines, civil penalties, 
injunctions, suspensions or losses of regulatory approvals, recall or seizure 
of products, operating restrictions, refusal of the government to approve 
product export applications or allow the Company to enter into supply 
contracts, and criminal prosecution. Delays in receipt of, or failure to 
obtain, regulatory clearances and approvals, if obtained, or any failure to 
comply with regulatory requirements could have a material adverse effect on 
the Company's business, financial condition and results of operations.

                                       17

<PAGE>

       Labeling and promotional activities are subject to scrutiny by the FDA 
and, in certain circumstances, by the Federal Trade Commission. Current FDA 
enforcement policy prohibits the marketing of approved medical devices for 
unapproved uses. The SPACEMAKER-Registered Trademark- I platform, 
SPACEMAKER-Registered Trademark- II platform, SPACEMAKER-Registered 
Trademark- Plastics platform, SPACEMAKER-Registered Trademark- 
SAPHtrak-Registered Trademark- platform and KnotMakerTM- product each have 
received 510(k) clearance for use during general, endoscopic, laparoscopic or 
cosmetic and reconstructive surgery, and certain vascular surgery (including 
saphenous vein procedures) when tissue dissection is required. The Company 
has promoted these products for surgical applications (E.G., hernia repair, 
subfascial endoscopic perforator surgery, breast augmentation and 
reconstruction, treatment of stress urinary incontinence and saphenous vein 
harvesting), and may in the future promote these products for the dissection 
required for additional selected applications (E.G. tissue 
dissection/expansion and a variety of orthopedic procedures such as anterior 
spinal fusion and long-bone plating). For any medical device cleared through 
the 510(k) process, modifications or enhancements that could significantly 
affect the safety or effectiveness of the device or that constitute a major 
change to the intended use of the device will require a new 510(k) 
submission. The Company has made modifications to its products which the 
Company believes do not affect the safety or effectiveness of the device or 
constitute a major change to the intended use and therefore do not require 
the submission of new 510(k) notices. There can be no assurance, however, 
that the FDA will agree with any of the Company's determinations not to 
submit a new 510(k) notice for any of these changes or will not require the 
Company to submit a new 510(k) notice for any of the changes made to the 
product. If such additional 510(k) clearances are required, there can be no 
assurance that the Company will obtain them on a timely basis, if at all, and 
delays in receipt of or failure to receive such approvals could have a 
material adverse effect on the Company's business, financial condition and 
results of operations. If the FDA requires the Company to submit a new 510(k) 
notice for any product modification, the Company may be prohibited from 
marketing the modified product until the 510(k) notice is cleared by the FDA.

       Sales of medical devices outside of the United States are subject to
foreign regulatory requirements that vary widely from country to country. The
Company currently relies on its international distributors for the receipt of
premarket approvals and compliance with clinical trial requirements in those
countries that require them, and it expects to continue to rely on distributors
in those countries where the Company continues to use distributors. In the event
that the Company's international distributors fail to obtain or maintain
premarket approvals or compliance in foreign countries where such approvals or
compliance are required, the Company may be required to cause the applicable
distributor to file revised governmental notifications, cease commercial sales
of its products in the applicable countries or otherwise act so as to stop any
ongoing noncompliance in such countries. Any enforcement action by regulatory
authorities with respect to past or any future regulatory noncompliance could
have a material adverse effect on the Company's business, financial condition
and results of operations.

       LIMITED COMMERCIAL MANUFACTURING EXPERIENCE. The Company has only limited
experience in manufacturing its products in commercial quantities. Manufacturers
often encounter difficulties in scaling up for commercial production of new
products, including problems involving production yields, quality control and
assurance, component supply and shortages of qualified personnel. Difficulties
experienced by the Company in manufacturing scale-up and manufacturing
difficulties could have a material adverse effect on its business, financial
condition and results of operations. There can be no assurance that the Company
will be successful in scaling up or that it will not experience manufacturing
difficulties or product recalls in the future.

       DEPENDENCE ON SINGLE SOURCE SUPPLIERS; LACK OF CONTRACTUAL ARRANGEMENTS.
The Company currently relies upon single source suppliers for several components
of its balloon dissection products, and in most cases there are no formal
contracts with such suppliers. There can be no assurance that the component
materials obtained from single source suppliers will continue to be available in
adequate quantities or, if required, that 


                                       18

<PAGE>

the Company will be able to locate alternative sources of such component 
materials on a timely basis to market its products, if at all. In addition, 
there can be no assurance that the single source suppliers will meet the 
Company's future requirements for timely delivery of products of sufficient 
quality and quantity. The failure to obtain sufficient quantities and 
qualities of such component materials, or the loss of any of the Company's 
single source suppliers, could cause a delay in GSI's ability to fulfill 
orders while it attempts to identify and certify a replacement supplier, if 
any, and could have a material adverse effect on the Company's business, 
financial condition and results of operations.

       PRODUCT LIABILITY RISK AND PRODUCT RECALL; LIMITED INSURANCE COVERAGE.
The Company's business exposes it to potential product liability risks or
product recalls that are inherent in the design, development, manufacture and
marketing of medical devices, in the event the use of the Company's products
cause or are alleged to have caused adverse effects on a patient or such
products are believed to be defective. The Company's products are designed to be
used in certain procedures where there is a high risk of serious injury or
death. Such risks will exist even with respect to those products that have
received, or may in the future receive, regulatory clearance for commercial
sale. As a result, there can be no assurance that the Company's product
liability insurance is adequate or that such insurance coverage will continue to
be available on commercially reasonable terms or at all. Particularly given the
lack of data regarding the long-term results of the use of balloon dissection
products, there can be no assurance the Company will avoid significant product
liability claims. Consequently, a product liability claim or other claim with
respect to uninsured or underinsured liabilities could have a material adverse
effect on the Company's business, financial condition and results of operations.

       DEPENDENCE ON MANAGEMENT AND OTHER KEY PERSONNEL. The Company is
dependent upon a limited number of key management and technical personnel. The
loss of the services of one or more of such key employees could have a material
adverse effect on the Company's business, financial condition, and results of
operations. In addition, the Company's success will be dependent upon its
ability to attract and retain additional highly qualified sales, management,
manufacturing and research and development personnel. The Company faces intense
competition in its recruiting activities and there can be no assurance that the
Company will be able to attract and/or retain qualified personnel.

       POTENTIAL VOLATILITY OF STOCK PRICE. The market prices of the Company's
common stock and the stock of many other publicly held medical device companies
have in the past been, and can in the future be expected to be, especially
volatile. Announcements regarding competitive developments, product sales,
clinical marketing trial results, release of reports by securities analysts,
developments or disputes concerning patents or proprietary rights, regulatory
developments, changes in regulatory or medical reimbursement policies, economic
and other external factors, as well as period-to-period fluctuations in the
Company's financial results, may have a significant impact on the market price
of the common stock. In addition, the securities markets have from time to time
experienced significant price and volume fluctuations that are unrelated to the
operating performance of particular companies.

       YEAR 2000 COMPLIANCE. The Year 2000 ("Y2K") issue arises from computer
programs using two digits rather than four to define the applicable year. Such
software may recognize a date using "00" as the year 1900 rather than the year
2000. This could result in system failures or miscalculations leading to
disruptions or delays in the Company's activities and operations. If the
Company, its key customers or suppliers fail to make necessary modifications to
their information technology or non-information technology systems on a timely
basis, the Y2K issue could have a material adverse effect on Company operations.
However, the impact cannot be quantified at this time.


                                       19

<PAGE>

       In January 1998 the Company began to evaluate and assess the Company's 
information technology and non-information technology systems for compliance 
with the Y2K issue. The Company is in the process of fixing or replacing 
noncompliant software and systems and intends to have this process completed 
by June 30, 1999, but there can be no assurance that such fixes or 
replacements will occur by such date. The Company is currently conducting 
testing and remediation activities on its systems, and intends to survey 
major customers and suppliers to assess their systems' compliance as well as 
their systems' compatibility with the Company's existing or projected 
compliant systems. There can be no assurance that there will not be an 
adverse material effect on the Company's business, financial condition or 
results of operations if the Company or its suppliers or customers do not 
convert or replace their systems in a timely manner to comply with the Y2K 
issue. See "Management's Discussion and Analysis of Financial Condition and 
Results of Operations -- Year 2000 Compliance."

RECENT PRONOUNCEMENTS

       In June 1997, the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards No. 131 ("SFAS 131"), "Disclosures about
Segments of an Enterprise and Related Information." This statement establishes
standards for disclosure about operating segments in annual financial statements
and selected information in interim financial reports. It also establishes
standards for related disclosures about products and services, geographic areas
and major customers. This statement supersedes Statement of Financial Accounting
Standards No. 14, "Financial Reporting for Segments of a Business Enterprise."
The new standard becomes effective for fiscal years beginning after December 15,
1997, and requires that comparative information from earlier years be restated
to conform to the requirements of this standard. The Company is evaluating the
requirements of SFAS 131 and the effects, if any, on the Company's current
reporting and disclosures.

ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

       The Company had no holdings of derivative financial or commodity
instruments at December 31, 1998. A review of the Company's other financial
instruments and risk exposures at that date revealed that the Company had
exposure to interest rate risk. At December 31, 1998 the Company performed
sensitivity analyses to assess the potential effect of this risk and concluded
that near-term changes in interest rates should not materially adversely affect
the Company's financial position, results of operations or cash flows.

PART II. OTHER INFORMATION

ITEM 1.  LEGAL PROCEEDINGS

       In May 1996, Origin Medsystems, Inc. ("Origin"), a unit of Guidant 
Corporation, filed suit against GSI for infringement of U.S. Patent No. 
5,520,609 in the United States District Court for the Northern District of 
California. That suit was resolved in GSI's favor by judgment entered on 
May 15, 1998, finding Origin's patent unenforceable. Origin's appeal of that 
judgment is pending and is expected to be decided in 1999. The District 
Court has also awarded $990,000 in attorneys' fees to GSI and Origin has 
appealed that ruling as well.

       In June 1996, GSI filed an action against Origin in the U.S. District 
Court for the Northern District of California alleging that use of Origin's 
products infringes GSI's U.S. Patent 5,514,153. The court agreed with this 
allegation in a summary judgment ruling in GSI's favor. On February 8, 1999, 
a jury found the patent to be valid, that infringement was willful, and 
granted GSI approximately $12.9 million in damages. GSI is seeking an 
injunction against further infringements.

       A second action was filed similarly in September 1997, alleging that 
use of Origin's Vasoview product infringes U.S. Patent 5,667,520. Discovery 
is near completion in this case.

       GSI is also involved in an interference proceeding in the U.S. Patent 
Office to determine whether certain subject matter was first invented by 
GSI's inventor. The priority portion of this interference has been decided in 
GSI's favor by an arbitrator to whom this issue was referred. The 
patentability portion of this interference was decided in GSI's favor by the 
United States Patent and Trademark Office ("PTO"). Origin is expected to 
appeal the PTO's decision, but GSI believes that the arbitrator's priority 
decision is not appealable.

                                       20
<PAGE>

       From time to time the Company may be exposed to litigation arising out of
its products or operations. The Company is not engaged in any legal proceedings
that are expected, individually or in the aggregate, to have a material adverse
effect on the Company, except for the patent interference and infringement
proceedings discussed herein.

ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS

       In connection with its initial public offering in 1996, the Company 
filed a Registration Statement on Form S-1, SEC File No. 333-2774 (the 
"REGISTRATION STATEMENT"), which was declared effective by the Commission on 
May 9, 1996. Pursuant to the Registration Statement, the Company registered 
and sold 3,450,000 shares of its Common Stock, $0.001 par value per share, 
for its own account. The offering commenced on May 10, 1996 and terminated 
when all of the registered shares had been sold. The aggregate offering price 
of the registered shares was $51,750,000. The managing underwriters of the 
offering were Cowen & Company and UBS Securities LLC.

       From May 10, 1996 to December 31, 1998, the Company incurred the
following expenses in connection with the offering:

<TABLE>
                <S>                                           <C>
                Underwriting discounts and commissions        $3,622,500
                Other expenses                                $1,187,025
                                                              ----------
                         Total Expenses                       $4,809,525
</TABLE>

       All of such expenses were direct or indirect payments to others.

       The net offering proceeds to the Company after deducting the total
expenses above were $46,940,475. From May 10, 1996 to December 31, 1998, the
Company used such net offering proceeds, in direct or indirect payments to
others, as follows:

<TABLE>
       <S>                                                          <C>
       Construction of plant, building and facilities               $ 1,227,065
       Purchase and installment of machinery and equipment          $ 1,937,420
       Repayment of indebtedness                                    $   898,811
       Working capital                                              $30,502,324
                                                                    -----------
                 Total                                              $34,565,620
</TABLE>


                                       21

<PAGE>

       This use of proceeds does not represent a material change in the use of
proceeds described in the prospectus of the Registration Statement.

ITEM 3. DEFAULTS IN SENIOR SECURITIES
        None.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

       On November 19, 1998 at the Company's Annual Meeting of Shareholders for
the Fiscal Year Ending June 30, 1998 the following matters were submitted and
voted on by securityholders and were adopted:

        A.  The election of Class I directors to serve until the Annual Meeting
            of the shareholders for fiscal year 2000 or until their successors
            are elected and qualified.

        The results of the vote are as follows:

<TABLE>
<CAPTION>

                                                   Yes         Abstain
                                                ----------     -------
        <S>                                     <C>            <C>
        Gregory D. Casciaro                     12,725,913      50,907
        Thomas J. Fogarty                       12,694,090      82,730
        Roderick A. Young                       12,723,990      52,830

</TABLE>

        The terms of office for the following individuals, who are Class II 
directors, will continue until the Annual Meeting of Shareholders for fiscal 
year 1999: David Chonette, Paul Goeld, James Sulat, and Mark Wan.

        B.  The approval of an amendment to the 1992 Stock Option Plan (i) to
            increase the number of shares of Common Stock reserved for issuance
            thereunder on the date of each annual meeting of the shareholders
            during the period beginning on and including November 19, 1998 and
            ending on September 14, 2002 by an amount equal to the lesser of:
            (x) four percent (4%) of the total number of shares of the Company's
            Common Stock issued and outstanding as of the last business day
            immediately preceding the date of the annual meeting of the
            shareholders each fiscal year, or (y) 600,000 shares, and (ii) to
            increase the total maximum number of shares subject to options that
            may be issued to any one employee during a fiscal year to 1,000,000
            effective as of July 1, 1998.

        The results of the vote are as follows:

<TABLE>
<CAPTION>

                            Yes        No      Abstain     Broker Non-Vote
                         ---------   -------   -------     ---------------
                         <S>         <C>       <C>         <C>
                         7,292,379   642,631   906,723           3,935,087

</TABLE>

        C.  The ratification of PricewaterhouseCoopers, LLP as the Company's
            independent accountants for the fiscal year ended June 30, 1999.

        The results of the vote are as follows:

<TABLE>
<CAPTION>

                            Yes         No     Abstain
                         ----------   ------   -------
                         <S>          <C>      <C>
                         12,750,326   18,236     8,258


</TABLE>

ITEM 5. OTHER INFORMATION
        None.

ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

     (a) Exhibits

<TABLE>
<CAPTION>
         Exhibit           Description
         -------           -----------
         <S>               <C>
           10.2           1992 Stock Option Plan, as amended November 1997 
                          and November 1998.

           10.27          Written Compensation Agreement Dated April 6, 1998.
</TABLE>


                                       22

<PAGE>

<TABLE>
<S>      <C>
27.1     Financial Data Schedule.
</TABLE>

     (b) Reports on Form 8-K

         The Company filed no reports on Form 8-K during the quarter ended
December 31, 1998.


                                       23

<PAGE>


SIGNATURES

       Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this Report to be signed on its behalf by the
undersigned, thereunto duly authorized.




                        GENERAL SURGICAL INNOVATIONS, INC.




                            By:/s/ STEPHEN J. BONELLI
                                Stephen J. Bonelli
                     Vice President, Finance and Administration
                       Principal and Chief Financial Officer




Date: February 16, 1999


                                       24

<PAGE>

                          GENERAL SURGICAL INNOVATIONS, INC.

                                1992 STOCK OPTION PLAN

                      (AS AMENDED NOVEMBER 1997 AND NOVEMBER 1998)

     1.  PURPOSES OF THE PLAN.  The purposes of this Stock Option Plan are to 
attract and retain the best available personnel for positions of substantial 
responsibility, to provide additional incentive to the Employees and 
Consultants of the Company, and to promote the success of the Company's 
business.

         Options granted hereunder may be either Incentive Stock Options or 
Nonstatutory Stock Options, at the discretion of the Administrator and as 
reflected in the terms of the written option agreement.

     2.  DEFINITIONS.  As used herein, the following definitions shall apply:

         (a)  "ADMINISTRATOR" shall mean the Board or any of its Committees 
appointed pursuant to Section 4 of the Plan.

         (b)  "APPLICABLE LAWS" shall have the meaning set forth in Section 
4(a) below.

         (c)  "BOARD" shall mean the Board of Directors of the Company.

         (d)  "CODE" shall mean the Internal Revenue Code of 1986, as amended.

         (e)  "COMMON STOCK" shall mean the Common Stock of the Company.

         (f)  "COMMITTEE" shall mean the Committee appointed by the Board of 
Directors in accordance with Section 4(a) below, if one is appointed.

         (g)  "COMPANY" shall mean GENERAL SURGICAL INNOVATIONS, INC., a 
California corporation.

         (h)  "CONSULTANT" shall mean (i) any person who is engaged by the 
Company or any subsidiary to render consulting services and is compensated 
for such consulting services, and (ii) any director of the Company whether 
compensated for such services or not.

         (i)  "CONTINUOUS STATUS AS AN EMPLOYEE OR CONSULTANT" shall mean the 
absence of any interruption or termination of service as an Employee or 
Consultant.  Continuous Status as an Employee or Consultant shall not be 
considered interrupted in the case of sick leave, military leave, or any 
other leave of absence approved by the Administrator; provided, however, 
either that such leave must be for a period of not more than ninety (90) days 
or that re-employment upon the expiration of such leave must be guaranteed by 
contract or by statute, or is provided pursuant to Company policy adopted 
from time to time. For purposes of this Plan, a change in 

<PAGE>

status from an Employee to a Consultant or from a Consultant to an Employee 
shall not constitute an interruption of Continuous Status as an Employee or 
Consultant.

         (j)  "DIRECTOR" shall mean a member of the Board.

         (k)  "EMPLOYEE" shall mean any person, including Officers and 
Directors, employed by the Company or any Parent or Subsidiary of the 
Company. The payment of a director's fee by the Company to a Director shall 
not be sufficient to constitute "employment" of the Director by the Company.

         (l)  "EXCHANGE ACT" shall mean the Securities Exchange Act of 1934, 
as amended.

         (m)  "FAIR MARKET VALUE" shall mean, as of any date, the value of 
Common Stock determined as follows:

              (i)   If the Common Stock is listed on any established stock 
exchange or a national market system including without limitation the 
National Market of the National Association of Securities Dealers, Inc. 
Automated Quotation ("Nasdaq") System, its Fair Market Value shall be the 
closing sales price for such stock as quoted on such exchange or system on 
the date of determination as such price is reported in THE WALL STREET 
JOURNAL or such other source as the Administrator deems reliable; provided, 
however, that if no sales were reported on the date of determination, the 
closing bid on that day shall be used, and that if the date of determination 
falls on weekends or holidays, its Fair Market Value shall be the closing 
sales price for such stock as quoted on such exchange or system on the last 
market trading day prior to the date of determination.

              (ii)  If the Common Stock is quoted on the Nasdaq System (but 
not on the National Market thereof) or regularly quoted by a recognized 
securities dealer but selling prices are not reported, its Fair Market Value 
shall be the mean between the bid and asked prices for the Common Stock; or

              (iii) In the absence of an established market for the Common 
Stock, the Fair Market Value thereof shall be determined in good faith by the 
Administrator.

          (n)  "INCENTIVE STOCK OPTION" shall mean an Option intended to 
qualify as an incentive stock option within the meaning of Section 422 of the 
Code, as designated in the applicable written option agreement.

          (o)  "NAMED EXECUTIVE" shall mean any individual who, on the last 
day of the Company's fiscal year, is the chief executive officer of the 
Company (or is acting in such capacity) or among the four highest compensated 
officers of the Company (other than the chief executive officer).  Such 
officer status shall be determined pursuant to the executive compensation 
disclosure rules under the Exchange Act.


                                       -2-
<PAGE>

          (p)  "NONSTATUTORY STOCK OPTION" shall mean an Option not intended 
to qualify as an Incentive Stock Option, as designated in the applicable 
written option agreement.

          (q)  "OFFICER" shall mean a person who is an officer of the Company 
within the meaning of Section 16 of the Exchange Act and the rules and 
regulations promulgated thereunder.

          (r)  "OPTION" shall mean a stock option granted pursuant to the 
Plan.

          (s)  "OPTIONED STOCK" shall mean the Common Stock subject to an 
Option.

          (t)  "OPTIONEE" shall mean an Employee or Consultant who receives 
an Option.

          (u)  "PARENT" shall mean a "parent corporation," whether now or 
hereafter existing, as defined in Section 424(e) of the Code, or any 
successor provision.

          (v)  "PLAN" shall mean this 1992 Stock Option Plan.

          (w)  "RULE 16b-3" shall mean Rule 16b-3 promulgated under the 
Exchange Act as the same may be amended from time to time, or any successor 
provision.

          (x)  "SHARE" shall mean a share of Common Stock, adjusted in 
accordance with Section 12 below.

          (y)  "SUBSIDIARY" shall mean a "subsidiary corporation," whether 
now or hereafter existing, as defined in Section 424(f) of the Code, or any 
successor provision.

     3.  STOCK SUBJECT TO THE PLAN.  Subject to the provisions of Section 13 
below, the maximum aggregate number of shares that may be sold under the Plan 
is 2,615,895 shares of Common Stock, plus an automatic increase on the date 
of each annual meeting of the shareholders during the period beginning (and 
including) November 19, 1998 and ending September 14, 2002 (the date of the 
termination of the Plan) (the "Increase Period") equal to the lesser of: (x) 
four percent (4%) of the total number of shares of the Company's Common Stock 
issued and outstanding as of the last business day immediately preceding the 
date of the annual meeting of the shareholders each fiscal year, or (y) 
600,000 shares, for a maximum aggregate of 5,015,895 shares that may be sold 
under the Plan prior to its termination.  The Shares may be authorized, but 
unissued, or reacquired Common Stock.

         If an Option should expire or become unexercisable for any reason 
without having been exercised in full, then the unpurchased Shares that were 
subject to the Option shall, unless the Plan has been terminated, become 
available for future grant under the Plan.  In addition, any Shares of Common 
Stock which are retained by the Company upon exercise of an Option in order 
to satisfy the exercise price for such Option or any withholding taxes due 
with respect to such exercise, shall be treated as not issued and shall 
continue to be available under the Plan.

         Notwithstanding any other provision of the Plan, shares issued under 
the Plan and later repurchased by the Company shall not become available for 
future grant or sale under the Plan.


                                -3-
<PAGE>

     4.  ADMINISTRATION OF THE PLAN

         (a)  COMPOSITION OF ADMINISTRATOR.

              (i)   MULTIPLE ADMINISTRATIVE BODIES.  If permitted by Rule 
16b-3 promulgated under the Exchange Act or any successor rule thereto, as in 
effect at the time that discretion is being exercised with respect to the 
Plan ("Rule 16b-3"), and by the legal requirements relating to the 
administration of incentive stock option plans, if any, of applicable 
securities laws and the Code (collectively, the "Applicable Laws"), grants 
under the Plan may (but need not) be made by different administrative bodies 
with respect to Directors, Officers who are not Directors and Employees who 
are neither Directors nor Officers.

              (ii)  ADMINISTRATION WITH RESPECT TO DIRECTORS AND OFFICERS.  
With respect to grants of Options to Employees or Consultants who are also 
Officers or Directors of the Company, grants under the Plan shall be made by 
(A) the Board, if the Board may make grants under the Plan in compliance with 
Rule 16b-3 and Section 162(m) of the Code as it applies so as to qualify 
grants of Options to Named Executives as performance-based compensation, or 
(B) a Committee designated by the Board to make grants under the Plan, which 
Committee shall be constituted in such a manner as to permit grants under the 
Plan to comply with Rule 16b-3, to qualify grants of Options to Named 
Executives as performance-based compensation under Section 162(m) of the Code 
and otherwise so as to satisfy the Applicable Laws.

              (iii) ADMINISTRATION WITH RESPECT TO OTHER PERSONS.  With 
respect to grants of Options to Employees or Consultants who are neither 
Directors nor Officers of the Company, the Plan shall be administered by (A) 
the Board or (B) a Committee designated by the Board, which Committee shall 
be constituted in such a manner as to satisfy the Applicable Laws.

              (iv)  GENERAL.  If a Committee has been appointed pursuant to 
subsection (ii) or (iii) of this Section 4(a), such Committee shall continue 
to serve in its designated capacity until otherwise directed by the Board.  
From time to time the Board may increase the size of any Committee and 
appoint additional members thereof, remove members (with or without cause) 
and appoint new members in substitution therefor, fill vacancies (however 
caused) and remove all members of a Committee and thereafter directly 
administer the Plan, all to the extent permitted by the Applicable Laws and, 
in the case of a Committee appointed under subsection (ii), to the extent 
permitted by Rule 16b-3 and to the extent required under Section 162(m) of 
the Code to qualify grants of Options to Named Executives as 
performance-based compensation.

          (b)  POWERS OF THE ADMINISTRATOR.  Subject to the provisions of the 
Plan and in the case of a Committee, the specific duties delegated by the 
Board to such Committee, the Administrator shall have the authority, in its 
discretion:

               (i)  to determine the Fair Market Value of the Common Stock, 
in accordance with Section 2(m) of the Plan;


                                -4-
<PAGE>

               (ii)  to select the Employees and Consultants to whom Options 
may from time to time be granted hereunder;

               (iii) to determine whether and to what extent Options are 
granted hereunder;

               (iv)  to determine the number of shares of Common Stock to be 
covered by each such award granted hereunder;

               (v)   to approve forms of agreement for use under the Plan;

               (vi)  to determine the terms and conditions, not inconsistent 
with the terms of the Plan, of any award granted hereunder (including, but 
not limited to, the share price and any restriction or limitation, or any 
vesting acceleration or waiver of forfeiture restrictions regarding any 
Option and/or the shares of Common Stock relating thereto, based in each case 
on such factors as the Administrator shall determine, in its sole 
discretion); and

               (vii) to reduce the exercise price of any Option to the then 
current Fair Market Value if the Fair Market Value of the Common Stock 
covered by such Option shall have declined since the date the Option was 
granted.

          (c)  EFFECT OF ADMINISTRATOR'S DECISION.  All decisions, 
determinations and interpretations of the Administrator shall be final and 
binding on all Optionees and any other holders of any Options.

     5.  ELIGIBILITY.

         (a)  Options may be granted only to Employees and Consultants. 
Incentive Stock Options may be granted only to Employees.  An Employee or 
Consultant who has been granted an Option may, if he or she is otherwise 
eligible, be granted an additional Option or Options.

         (b)  Each Option shall be designated in the written option agreement 
as either an Incentive Stock Option or a Nonstatutory Stock Option.  However, 
notwithstanding such designations, to the extent that the aggregate Fair 
Market Value of Stock Options are exercisable for the first time by an 
Optionee during any calendar year (under all plans of the Company or any 
Parent or Subsidiary) exceeds $100,000, such excess Options shall be treated 
as Nonstatutory Stock Options.

         (c)  For purposes of Section 5(b), Incentive Stock Options shall be 
taken into account in the order in which they were granted, and the Fair 
Market Value of the Shares shall be determined as of the time the Option with 
respect to such Shares is granted.

         (d)  The Plan shall not confer upon any Optionee any right with 
respect to continuation of employment or consulting relationship with the 
Company, nor shall it interfere in 


                                -5-
<PAGE>

any way with his or her right or the Company's right to terminate his or her 
employment or consulting relationship at any time, with or without cause.

     6.  TERM OF PLAN.  The Plan shall become effective upon the earlier to 
occur of its adoption by the Board of Directors or its approval by the 
Shareholders of the Company as described in Section 19 below.  It shall 
continue in effect for a term of ten (10) years unless sooner terminated 
under Section 15 below.

     7.  TERM OF OPTION.  The term of each option shall be the term stated in 
the Option Agreement, PROVIDED, HOWEVER, that in the case of an Incentive 
Stock Option, the term shall be no more than ten (10) years from the date of 
grant thereof or such shorter term as may be provided in the Stock Option 
Agreement. However, in the case of an Incentive Stock Option granted to an 
Optionee who, at the time the Option is granted, owns stock representing more 
than ten percent (10%) of the voting power of all classes of stock of the 
Company or any Parent or Subsidiary, the term of the Option shall be five (5) 
years from the date of grant thereof or such shorter time as may be provided 
in the Stock Option Agreement.

     8.  LIMITATION GRANTS TO EMPLOYEES.  Subject to adjustment as provided 
in this Plan, the maximum number of shares which may be subject to Options 
granted to any one Employee under this Plan for any fiscal year of one 
Company shall be 1,000,000.

     9.  EXERCISE PRICE AND CONSIDERATION

         (a)  EXERCISE PRICE.  The per Share exercise price for the Shares to 
be issued pursuant to exercise of an Option shall be such price as is 
determined by the Administrator, but shall be subject to the following:

              (i)  In the case of an Incentive Stock Option

                   (A)  granted to an Employee who, at the time of the grant 
of such Incentive Stock Option, owns stock representing more than ten percent 
(10%) of the voting power of all classes of stock of the Company or any 
Parent or Subsidiary, the per Share exercise price shall be no less than one 
hundred ten percent (110%) of the Fair Market Value per Share on the date of 
grant.

                   (B)  granted to any other Employee, the per Share exercise 
price shall be no less than one hundred percent (100%) of the Fair Market 
Value per Share on the date of grant.

              (ii) In the case of a Nonstatutory Stock Option

                   (A)  granted to a person who, at the time of the grant of 
such Option, is a Named Executive of the Company, the per Share exercise 
price shall be no less than one hundred percent (100%) of the Fair Market 
Value on the date of grant.


                                -6-
<PAGE>

                   (B)  granted to any person other than a Named Executive, 
the per Share exercise price shall be no less than eighty-five percent (85%) 
of the Fair Market Value per Share on the date of grant.

          (b)  PERMISSIBLE CONSIDERATION.  The Administrator shall determine 
the acceptable form of consideration for exercising an Option, including the 
method of payment.  In the case of an Incentive Stock Option, the 
Administrator shall determine the acceptable form of consideration at the 
time of grant.  Such consideration may consist entirely of:

               (i)   cash;

               (ii)  check;

               (iii) promissory note;

               (iv)  other Shares which (A) in the case of Shares acquired 
upon exercise of an option, have been owned by the Optionee for more than six 
months on the date of surrender, and (B) have a Fair Market Value on the date 
of surrender equal to the aggregate exercise price of the Shares as to which 
said Option shall be exercised;

               (v)   delivery of a properly executed exercise notice together 
with such other documentation as the Administrator and the broker, if 
applicable, shall require to effect an exercise of the Option and delivery to 
the Company of the sale or loan proceeds required to pay the exercise price;

               (vi)  any combination of the foregoing methods of payment; or  

              (vii)     such other consideration and method of payment for 
the issuance of Shares to the extent permitted by Applicable Laws.

     10.  EXERCISE OF OPTION

          (a)  PROCEDURE FOR EXERCISE; RIGHTS AS A SHAREHOLDER.  Any Option 
granted hereunder shall be exercisable at such times and under such 
conditions as determined by the Administrator, including performance criteria 
with respect to the Company and/or the Optionee, and as shall be permissible 
under the terms of the Plan.

               An Option may not be exercised for a fraction of a Share.

               An Option shall be deemed to be exercised when written notice 
of such exercise has been given to the Company in accordance with the terms 
of the Option by the person entitled to exercise the Option and full payment 
for the Shares with respect to which the Option is exercised has been 
received by the Company.  Full payment may, as authorized by the 
Administrator, consist of any consideration and method of payment allowable 
under Section 9(b) above.  Until the issuance (as evidenced by the 
appropriate entry on the books of the Company or of a duly authorized 
transfer agent of the Company) of the stock certificate evidencing such 
Shares, no right to vote or receive dividends or any other rights as a 
Shareholder shall exist with 


                                -7-
<PAGE>

respect to the Optioned Stock, notwithstanding the exercise of the Option.  
No adjustment shall be made for a dividend or other right for which the 
record date is prior to the date the stock certificate is issued, except as 
provided in Section 13 below.

               Exercise of an Option in any manner shall result in a decrease 
in the number of Shares which thereafter may be available, both for purposes 
of the Plan and for sale under the Option, by the number of Shares as to 
which the Option is exercised.

          (b)  TERMINATION OF STATUS AS AN EMPLOYEE OR CONSULTANT.  In the 
event of termination of an Optionee's Continuous Status as an Employee or 
Consultant, he or she may, but only within thirty (30) days (or such other 
period of time not exceeding three (3) months in the case of an Incentive 
Stock Option or six (6) months in the case of a Nonstatutory Stock Option, as 
is determined by the Administrator, with such determination in the case of an 
Incentive Stock Option being made at the time of the grant of the Option) 
after the date of such termination (but in no event later than the date of 
expiration of the term of such Option as set forth in the Option Agreement), 
exercise his or her Option to the extent that he or she was entitled to 
exercise it at the date of such termination.  To the extent that he or she 
was not entitled to exercise the Option at the date of such termination, or 
if he or she does not exercise such Option (which he or she was entitled to 
exercise) within the time specified herein, the Option shall terminate.

          (c)  DISABILITY OF OPTIONEE.  Notwithstanding the provisions of 
Section 10(b) above, in the event of termination of an Optionee's Continuous 
Status as an Employee or Consultant with the Company as a result of his or 
her total and permanent disability (as defined in Section 22(e)(3) of the 
Code), then he or she may, but only within six (6) months (or such other 
period of time not exceeding twelve (12) months as is determined by the 
Administrator, with such determination in the case of an Incentive Stock 
Option being made at the time of the grant of the Option) from the date of 
termination (but in no event later than the date of expiration of the term of 
such Option as set forth in the Option Agreement), exercise his or her Option 
to the extent he or she was entitled to exercise it at the date of 
termination of employment or consulting. To the extent that he or she was not 
entitled to exercise the Option at the date of termination, or if he or she 
does not exercise such Option (which he or she was entitled to exercise) 
within the time specified herein, the Option shall terminate.

          (d)  DEATH OF OPTIONEE.  Notwithstanding the provisions of Section 
10(b) above, in the event of the death of an Optionee:

               (i)  during the term of the Option who is at the time of his 
or her death an Employee or Consultant of the Company and who shall have been 
in Continuous Status as an Employee or Consultant since the date of grant of 
the Option, the Option may be exercised, at any time within six (6) months 
following the date of death (but in no event later than the date of 
expiration of the term of such Option as set forth in the Option Agreement), 
by the Optionee's estate or by a person who acquired the right to exercise 
the Option by bequest or inheritance, but only to the extent of the right to 
exercise that would have accrued had the Optionee continued 


                                -8-
<PAGE>

living and remained in Continuous Status as an Employee or Consultant three 
(3) months after the date of death; or

               (ii) within one (1) month (or such other period of time not 
exceeding three (3) months as is determined by the Administrator, with such 
determination in the case of an Incentive Stock Option being made at the time 
of grant of the Option) after the termination of Continuous Status as an 
Employee or Consultant, the Option may be exercised, at any time within three 
(3) months following the date of death (but in no event later than the date 
of expiration of the term of such Option as set forth in the Option 
Agreement), by the Optionee's estate or by a person who acquired the right to 
exercise the Option by bequest or inheritance, but only to the extent of the 
right to exercise that had accrued at the date of termination.

          (e)  EXTENSION OF EXERCISE PERIOD.  Notwithstanding the limitations 
set forth in Sections 10(b), (c) and (d) above, the Administrator has full 
power and authority to extend the period of time for which any Option granted 
under the Plan is to remain exercisable following termination of an 
Optionee's Continuous Status as an Employee or Consultant from the limited 
period set forth in the written option agreement to such greater period of 
time as the Administrator shall deem appropriate; provided, however, that in 
no event shall such Option be exercisable after the specified expiration date 
of the Option term.

          (f)  RULE 16b-3.  Options granted to persons subject to Section 
16(b) of the Exchange Act must comply with Rule 16b-3 and shall contain such 
additional conditions or restrictions as may be required thereunder to 
qualify for the maximum exemption from Section 16 of the Exchange Act with 
respect to Plan transactions.

     11.  STOCK WITHHOLDING TO SATISFY WITHHOLDING TAX OBLIGATIONS.  At the 
discretion of the Administrator, Optionees may satisfy withholding 
obligations as provided in this paragraph.  When an Optionee incurs tax 
liability in connection with an Option, which tax liability is subject to tax 
withholding under applicable tax laws, and the Optionee is obligated to pay 
the Company an amount required to be withheld under applicable tax laws, the 
Optionee may satisfy the withholding tax obligation by one or some 
combination of the following methods:  (a) by cash payment, or (b) out of 
Optionee's current compensation, (c) if permitted by the Administrator, in 
its discretion, by surrendering to the Company Shares that (i) in the case of 
Shares previously acquired from the Company, have been owned by the Optionee 
for more than six months on the date of surrender, and (ii) have a fair 
market value on the date of surrender equal to or less than Optionee's 
applicable withholding tax rate times the ordinary income recognized, or (d) 
by electing to have the Company withhold from the Shares to be issued upon 
exercise of the Option, if any, that number of Shares having a fair market 
value equal to the amount required to be withheld.  For this purpose, the 
fair market value of the Shares to be withheld shall be determined on the 
date that the amount of tax to be withheld is to be determined (the "Tax 
Date").

          Any surrender by a Reporting Person of previously owned Shares to 
satisfy tax withholding obligations arising upon exercise of this Option must 
comply with the applicable provisions of Rule 16b-3 and shall be subject to 
such additional conditions or restrictions as may 


                                -9-
<PAGE>

be required thereunder to qualify for the maximum exemption from Section 16 
of the Exchange Act with respect to Plan transactions.

          All elections by an Optionee to have Shares withheld to satisfy tax 
withholding obligations shall be made in writing in a form acceptable to the 
Administrator and shall be subject to the following restrictions:

          (a)  the election must be made on or prior to the applicable Tax 
Date;

          (b)  once made, the election shall be irrevocable as to the 
particular Shares of the Option as to which the election is made; and

          (c)  all elections shall be subject to the consent or disapproval 
of the Administrator.

     In the event the election to have Shares withheld is made by an Optionee 
and the Tax Date is deferred under Section 83 of the Code because no election 
is filed under Section 83(b) of the Code, the Optionee shall receive the full 
number of Shares with respect to which the Option is exercised but such 
Optionee shall be unconditionally obligated to tender back to the Company the 
proper number of Shares on the Tax Date.

     12.  NON-TRANSFERABILITY OF OPTIONS.  An Option may not be sold, 
pledged, assigned, hypothecated, transferred or disposed of in any manner 
other than by will or by the laws of descent or distribution.  The 
designation of a beneficiary by an Optionee does not constitute a transfer.  
An Option may be exercised, during the lifetime of the Optionee, only by the 
Optionee.

     13.  ADJUSTMENTS UPON CHANGES IN CAPITALIZATION CORPORATE TRANSACTIONS.

          (a)  CHANGES IN CAPITALIZATION.  Subject to any required action by 
the Shareholders of the Company, the number of shares of Common Stock covered 
by each outstanding Option, the number of shares of Common Stock which have 
been authorized for issuance under the Plan but as to which no Options have 
yet been granted or which have been returned to the Plan upon cancellation or 
expiration of an Option, the maximum number of Shares of Common Stock for 
which Options may be granted to any Employee under Section 8 of the Plan, as 
well as the price per share of Common Stock covered by each such outstanding 
Option, shall be proportionately adjusted for any increase or decrease in the 
number of issued shares of Common Stock resulting from a stock split, reverse 
stock split, stock dividend, combination or reclassification of the Common 
Stock, or any other increase or decrease in the number of issued shares of 
Common Stock effected without receipt of consideration by the Company; 
provided, however, that conversion of any convertible securities of the 
Company shall not be deemed to have been "effected without receipt of 
consideration."  Such adjustment shall be made by the Administrator, whose 
determination in that respect shall be final, binding, and conclusive.  
Except as expressly provided herein, no issuance by the Company of shares of 
stock of any class, or securities convertible into shares of stock of any 
class, shall affect, and no adjustment by reason thereof shall be made with 
respect to, the number or price of shares of Common Stock subject to an 
Option.


                                -10-
<PAGE>

          (b)  CORPORATE TRANSACTIONS.  In the event of the proposed 
dissolution or liquidation of the Company, the Option will terminate 
immediately prior to the consummation of such proposed action, unless 
otherwise provided by the Administrator.  The Administrator may, in the 
exercise of its sole discretion in such instances, declare that any Option 
shall terminate as of a date fixed by the Administrator and give each 
Optionee the right to exercise his or her Option as to all or any part of the 
Optioned Stock, including Shares as to which the Option would not otherwise 
be exercisable.  In the event of a proposed sale of all or substantially all 
of the assets of the Company, or the merger of the Company with or into 
another corporation, the Option shall be assumed or an equivalent option 
shall be substituted by such successor corporation or a parent or subsidiary 
of such successor corporation, unless the Administrator determines, in lieu 
of such assumption or substitution, that the Optionee shall have the right to 
exercise the Option as to some or all of the Optioned Stock, including Shares 
as to which the Option would not otherwise be exercisable.  If the 
Administrator makes an Option exercisable in lieu of assumption or 
substitution in the event of a merger or sale of assets, the Administrator 
shall notify the Optionee that the Option shall be exercisable for a period 
of fifteen (15) days from the date of such notice, and the Option will 
terminate upon the expiration of such period.

     14.  TIME OF GRANTING OPTIONS.  The date of grant of an Option shall, 
for all purposes, be the date on which the Administrator makes the 
determination granting such Option or such other date as is determined by the 
Administrator. Notice of the determination shall be given to each Employee or 
Consultant to whom an Option is so granted within a reasonable time after the 
date of such grant.

     15.  AMENDMENT AND TERMINATION OF THE PLAN.

          (a)  AMENDMENT AND TERMINATION.  The Board may amend or terminate 
the Plan from time to time in such respects as the Board may deem advisable; 
provided, however, that the following revisions or amendments shall require 
approval of the shareholders of the Company in the manner described in 
Section 19 of the Plan:

               (i)   any increase in the number of Shares subject to the 
Plan, other than in connection with an adjustment under Section 13 above;

               (ii)  any change in the designation of the class of persons 
eligible to be granted Options; or

               (iii) any change in the limitation on grants to Employees as 
described in Section 8 of the Plan or other changes which would require 
shareholder approval to qualify Options granted hereunder as 
performance-based compensation under Section 162(m).

          (b)  SHAREHOLDER APPROVAL.  If any amendment requiring shareholder 
approval under Section 15(a) above is made subsequent to the first 
registration of any class of equity security by the Company under Section 12 
of the Exchange Act, then such Shareholder approval shall be solicited as 
described in Section 19 below.


                                -11-
<PAGE>

          (c)  EFFECT OF AMENDMENT OR TERMINATION.  Any such amendment or 
termination of the Plan shall not affect Options already granted and such 
Options shall remain in full force and effect as if this Plan had not been 
amended or terminated, unless mutually agreed otherwise between the Optionee 
and the Board, which agreement must be in writing and signed by the Optionee 
and the Company.

     16.  CONDITIONS UPON ISSUANCE OF SHARES.  Shares shall not be issued 
pursuant to the exercise of an Option unless the exercise of such Option and 
the issuance and delivery of such Shares pursuant thereto complies with all 
relevant provisions of law, including, without limitation, the Securities Act 
of 1933, as amended, the Exchange Act, the rules and regulations promulgated 
thereunder, and the requirements of any stock exchange upon which the Shares 
may then be listed. The exercise of such Option and the issuance and delivery 
of such Shares pursuant thereto shall be further subject to the approval of 
counsel for the Company with respect to such compliance.

          As a condition to the exercise of an Option, the Company may 
require the person exercising such Option to represent and warrant at the 
time of any such exercise that the Shares are being purchased only for 
investment and without any present intention to sell or distribute such 
Shares if, in the opinion of counsel for the Company, such a representation 
is required by any of the aforementioned relevant provisions of law.

     17.  RESERVATION OF SHARES.  The Company, during the term of this Plan, 
will at all times reserve and keep available such number of Shares as shall 
be sufficient to satisfy the requirements of the Plan.  The inability of the 
Company to obtain authority from any regulatory body having jurisdiction, 
which authority is deemed by the Company's counsel to be necessary to the 
lawful issuance and sale of any Shares hereunder, shall relieve the Company 
of any liability in respect of the failure to issue or sell such Shares as to 
which such requisite authority shall not have been obtained.

     18.  OPTION AGREEMENT.  Options shall be evidenced by written option 
agreements in such form as the Administrator shall approve.

     19.  SHAREHOLDER APPROVAL.  

          (a)  Continuance of the Plan shall be subject to approval by the 
shareholders of the Company within twelve (12) months before or after the 
date the Plan is adopted.  Such shareholder approval shall be obtained in the 
manner and to the degree required under applicable federal and state law and 
the rules of any stock exchange upon which the Shares are listed.

          (b)  If and in the event that the Company registers any class of 
equity securities pursuant to Section 12 of the Exchange Act, any required 
approval of the Shareholders of the Company obtained after such registration 
shall be solicited substantially in accordance with Section 14(a) of the 
Exchange Act and the rules and regulations promulgated thereunder.

          (c)  If any required approval by the Shareholders of the Plan 
itself or of any amendment thereto is solicited at any time otherwise than in 
the manner described in 


                                -12-
<PAGE>

Section 19(b) hereof, then the Company shall, at or prior to the first annual 
meeting of Shareholders held subsequent to the later of (1) the first 
registration of any class of equity securities of the Company under Section 
12 of the Exchange Act or (2) the granting of an Option hereunder to an 
officer or director after such registration, do the following:

               (i)  furnish in writing to the holders entitled to vote for 
the Plan substantially the same information which would be required (if 
proxies to be voted with respect to approval or disapproval of the Plan or 
amendment were then being solicited) by the rules and regulations in effect 
under Section 14(a) of the Exchange Act at the time such information is 
furnished; and

               (ii) file with, or mail for filing to, the Securities and 
Exchange Commission four copies of the written information referred to in 
subsection (i) hereof not later than the date on which such information is 
first sent or given to Shareholders.

     20.  INFORMATION TO OPTIONEES.  The Company shall provide to each 
Optionee, not less frequently than annually, copies of annual financial 
statements.  The Company shall also provide such statements to each 
individual who acquires Shares pursuant to the Plan while such individual 
owns such Shares.  The Company shall not be required to provide such 
statements to key employees whose duties in connection with the Company 
assure their access to equivalent information.


                                -13-
<PAGE>

                 GENERAL SURGICAL INNOVATIONS, INC

                      1992 STOCK OPTION PLAN

                   NOTICE OF STOCK OPTION GRANT



Optionee's Name and Address:

< < Optionee > >
< < Optionee > >
< < Optionee > >


     You have been granted an option to purchase Common Stock of General 
Surgical Innovations, Inc., (the "Company") as follows:

     Date of Grant:                     < < GrantDate > >

     Exercise Price Per Share:          < < ExercisePrice > >

     Total Number of Shares Granted:    < < SharesGranted > >

     Total Price of Shares Granted:     < < TotalExercisePrice > >

     Type of Option:                    < < NoSharesISO > > Shares 
                                        Incentive Stock Option
                                        < < Optionee > > Shares 
                                        Nonstatutory Stock Option

     Term/Expiration Date:              < < Optionee > >/< < Optionee > >

     Vesting Commencement Date:         < < VestingStartDate > >

     Vesting Schedule:                  25% of the Shares subject to the 
                                        Option on the first anniversary 
                                        of the Vesting Commencement 
                                        Date, and 1/48th of the Shares vest 
                                        on the monthly anniversary of the 
                                        Vesting Commencement Date thereafter. 

<PAGE>

     Termination Period:                Option may be exercised for a 
                                        period of 30 days after
                                        termination of employment or 
                                        consulting relationship except 
                                        as set out in Sections 7 and 8 
                                        of the Stock Option Agreement 
                                        (but in no event later than the 
                                        Expiration Date).

     By your signature and the signature of the Company's representative 
below, you and the Company agree that this option is granted under and 
governed by the terms and conditions of the General Surgical Innovations, 
Inc. 1992 Stock Option Plan and the Stock Option Agreement, all of which are 
attached and made a part of this document.

OPTIONEE:                               General Surgical Innovations, Inc.



_________________________________       By: _________________________________
Signature

_________________________________       Title: ______________________________
Print Name


                                       -2-


<PAGE>

                      GENERAL SURGICAL INNOVATIONS, INC.

                           STOCK OPTION AGREEMENT

     1.  GRANT OF OPTION. General Surgical Innovations, Inc., a California 
corporation (the "COMPANY"), hereby grants to the Optionee named in the 
Notice of Stock Option Grant attached to this Agreement ("OPTIONEE"), an 
option (the "OPTION") to purchase the total number of shares of Common Stock 
(the "SHARES") set forth in the Notice of Stock Option Grant, at the exercise 
price per share set forth in the Notice of Stock Option Grant (the "EXERCISE 
PRICE") subject to the terms, definitions and provisions of the 1992 Stock 
Option Plan (the "PLAN") adopted by the Company, which is incorporated in 
this Agreement by reference. In the event of a conflict between the terms of 
the Plan and the terms of this Agreement, the terms of the Plan shall govern. 
Unless otherwise defined in this Agreement, the terms used in this Agreement 
shall have the meanings defined in the Plan.

     To the extent designated an Incentive Stock Option in the Notice of 
Stock Option Grant, this Option is intended to qualify as an Incentive Stock 
Option as defined in Section 422 of the Internal Revenue Code of 1986, as 
amended (the "CODE") and, to the extent not so designated, this Option is 
intended to be a Nonstatutory Stock Option.

     2.  EXERCISE OF OPTION.  This Option shall be exercisable during its 
term in accordance with the Vesting Schedule set out in the Notice of Stock 
Option Grant and with the provisions of Sections 9 and 10 of the Plan as 
follows:

          (a)  RIGHT TO EXERCISE.

    (i)   This Option may not be exercised for a fraction of a share.

    (ii)  In the event of Optionee's death, disability or other termination 
of employment, the exercisability of the Option is governed by Sections 6, 7 
and 8 below, subject to the limitations contained in paragraphs (iii) and 
(iv) below.

    (iii) In no event may this Option be exercised after the date of 
expiration of the term of this Option as set forth in the Notice of Stock 
Option Grant.

    (iv)  If designated an Incentive Stock Option in the Notice of Stock 
Option Grant, in the event that the Shares subject to this Option (and all 
other Incentive Stock Options granted to Optionee by the Company or any 
Parent or Subsidiary) that vest in any calendar year have an aggregate fair 
market value (determined for each Share as of the Date of Grant of the option 
covering such Share) in excess of $100,000, the Shares in excess of $100,000 
shall be treated as subject to a Nonstatutory Stock Option, in accordance 
with Section 5 of the Plan.

          (b)  METHOD OF EXERCISE.

     (i)  This Option shall be exercisable by delivering to the Company a 
written notice of exercise (in the form attached as EXHIBIT A) which shall 
state the election to exercise the Option, 


<PAGE>

the number of Shares in respect of which the Option is being exercised, and 
such other representations and agreements as to the holder's investment 
intent with respect to such Shares of Common Stock as may be required by the 
Company pursuant to the provisions of the Plan.  Such written notice shall be 
signed by Optionee and shall be delivered in person or by certified mail to 
the Secretary of the Company.  The written notice shall be accompanied by 
payment of the Exercise Price.  This Option shall be deemed to be exercised 
upon receipt by the Company of such written notice accompanied by the 
Exercise Price.

     (ii)  As a condition to the exercise of this Option, Optionee agrees to 
make adequate provision for federal, state or other tax withholding 
obligations, if any, which arise upon the exercise of the Option or 
disposition of Shares, whether by withholding, direct payment to the Company, 
or otherwise.

     (iii) No Shares will be issued pursuant to the exercise of an Option 
unless such issuance and such exercise shall comply with all relevant 
provisions of law and the requirements of any stock exchange upon which the 
Shares may then be listed.  Assuming such compliance, for income tax purposes 
the Shares shall be considered transferred to Optionee on the date on which 
the Option is exercised with respect to such Shares.

3.  OPTIONEE'S REPRESENTATIONS.  In the event the Shares purchasable pursuant 
to the exercise of this Option have not been registered under the Securities 
Act of 1933, as amended (the "SECURITIES ACT"), at the time this Option is 
exercised, Optionee shall, if required by the Company, concurrently with the 
exercise of all or any portion of this Option, deliver to the Company an 
investment representation statement in customary form, a copy of which is 
available for Optionee's review from the Company upon request.

4.  METHOD OF PAYMENT.  Payment of the Exercise Price shall be by any of the 
following, or a combination of the following, at the election of Optionee:  
(a) cash; (b) check; (c) surrender of other Shares of Common Stock of the 
Company that (i) either have been owned by Optionee for more than six (6) 
months on the date of surrender or were not acquired, directly or indirectly, 
from the Company, and (ii) have a Fair Market Value on the date of surrender 
equal to the aggregate exercise price of the Shares as to which said Option 
shall be exercised; (d) authorization from the Company to retain from the 
total number of Shares as to which the Option is exercised that number of 
Shares having a Fair Market value on the date of exercise equal to the 
exercise price for the total number of Shares as to which the Option is 
exercised; or (e) if there is a public market for the Shares and they are 
registered under the Securities Act, delivery of a properly executed exercise 
notice together with irrevocable instructions to a broker to deliver promptly 
to the Company the amount of sale or loan proceeds required to pay the 
exercise price.

5.  RESTRICTIONS ON EXERCISE.  This Option may not be exercised until such 
time as the Plan has been approved by the shareholders of the Company, or if 
the issuance of such Shares upon such exercise or the method of payment of 
consideration for such shares would constitute a violation of any applicable 
federal or state securities or other law or regulation, including any rule 
under Part 207 of Title 12 of the Code of Federal Regulations ("REGULATION 
G") as 


                                -2-
<PAGE>

promulgated by the Federal Reserve Board.  As a condition to the 
exercise of this Option, the Company may require Optionee to make any 
representation and warranty to the Company as may be required by any 
applicable law or regulation.

6.  TERMINATION OF RELATIONSHIP.  In the event of termination of Optionee's 
Continuous Status as an Employee or Consultant, Optionee may, to the extent 
otherwise so entitled at the date of such termination (the "TERMINATION 
DATE"), exercise this Option during the Termination Period set out in the 
Notice of Stock Option Grant.  To the extent that Optionee was not entitled 
to exercise this Option at the date of such termination, or if Optionee does 
not exercise this Option within the time specified in the Notice of Stock 
Option Grant, the Option shall terminate.

7.  DISABILITY OF OPTIONEE.  Notwithstanding the provisions of Section 6 
above, in the event of termination of Optionee's Continuous Status as an 
Employee or Consultant as a result of total and permanent disability (as 
defined in Section 22(e)(3) of the Code), Optionee may, but only within six 
(6) months from the date of termination of employment (but in no event later 
than the date of expiration of the term of this Option as set forth in 
Section 10 below), exercise the Option to the extent otherwise so entitled at 
the date of such termination.  To the extent that Optionee was not entitled 
to exercise the Option at the date of termination, or if Optionee does not 
exercise such Option (to the extent otherwise so entitled) within the time 
specified in this Agreement, the Option shall terminate.

8.  DEATH OF OPTIONEE.  In the event of the death of Optionee:

          (a)  during the term of this Option and while an Employee of the 
Company and having been in Continuous Status as an Employee or Consultant 
since the date of grant of the Option, the Option may be exercised, at any 
time within six (6) months following the date of death (but in no event later 
than the date of expiration of the term of this Option as set forth in 
Section 10 below), by Optionee's estate or by a person who acquired the right 
to exercise the Option by bequest or inheritance, but only to the extent of 
the right to exercise that would have accrued had Optionee continued living 
and remained in Continuous Status as an Employee or Consultant three (3) 
months after the date of death, subject to the limitation contained in 
Section 2(i)(d) above in the case of an Incentive Stock Option; or

          (b)  within thirty (30) days after the termination of Optionee's 
Continuous Status as an Employee or Consultant, the Option may be exercised, 
at any time within six (6) months following the date of death (but in no 
event later than the date of expiration of the term of this Option as set 
forth in Section 10 below), by Optionee's estate or by a person who acquired 
the right to exercise the Option by bequest or inheritance, but only to the 
extent of the right to exercise that had accrued at the date of termination.

9.  NON-TRANSFERABILITY OF OPTION.  This Option may not be transferred in any 
manner otherwise than by will or by the laws of descent or distribution.  The 
designation of a beneficiary does not constitute a transfer.  An Option may 
be exercised during the lifetime of Optionee only by Optionee or a transferee 
permitted by this section.  The terms of this Option shall be binding upon 
the executors, administrators, heirs, successors and assigns of Optionee.


                                -3-
<PAGE>

10.  TERM OF OPTION.  This Option may be exercised only within the term set 
out in the Notice of Stock Option Grant, and may be exercised during such 
term only in accordance with the Plan and the terms of this Option.

11.  NO ADDITIONAL EMPLOYMENT RIGHTS.  Optionee understands and agrees that 
the vesting of Shares pursuant to the Vesting Schedule is earned only by 
continuing as an Employee or Consultant at the will of the Company (not 
through the act of being hired, being granted this Option or acquiring Shares 
under this Agreement).  Optionee further acknowledges and agrees that nothing 
in this Agreement, nor in the Plan which is incorporated in this Agreement by 
reference, shall confer upon Optionee any right with respect to continuation 
as an Employee or Consultant with the Company, nor shall it interfere in any 
way with his or her right or the Company's right to terminate his or her 
employment or consulting relationship at any time, with or without cause.

12.  TAX CONSEQUENCES.  Optionee acknowledges that he or she has read the 
brief summary set forth below of certain federal tax consequences of exercise 
of this Option and disposition of the Shares under the law in effect as of 
the date of grant.  OPTIONEE UNDERSTANDS THAT THIS SUMMARY IS NECESSARILY 
INCOMPLETE, AND THE TAX LAWS AND REGULATIONS ARE SUBJECT TO CHANGE.  OPTIONEE 
SHOULD CONSULT HIS OR HER OWN TAX ADVISER BEFORE EXERCISING THIS OPTION OR 
DISPOSING OF THE SHARES.

          (a)  EXERCISE OF INCENTIVE STOCK OPTION.  If this Option is an 
Incentive Stock Option, there will be no regular federal income tax liability 
upon the exercise of the Option, although the excess, if any, of the fair 
market value of the Shares on the date of exercise over the Exercise Price 
will be treated as an item of alternative minimum taxable income for federal 
tax purposes and may subject Optionee to the alternative minimum tax in the 
year of exercise.

          (b)  EXERCISE OF NONSTATUTORY STOCK OPTION.  If this Option does 
not qualify as an Incentive Stock Option, Optionee may incur regular federal 
income tax liability upon the exercise of the Option.  Optionee will be 
treated as having received compensation income (taxable at ordinary income 
tax rates) equal to the excess, if any, of the fair market value of the 
Shares on the date of exercise over the Exercise Price.  In addition, if 
Optionee is an employee of the Company, the Company will be required to 
withhold from Optionee's compensation or collect from Optionee and pay to the 
applicable taxing authorities an amount equal to a percentage of this 
compensation income at the time of exercise.

          (c)  DISPOSITION OF SHARES.  If this Option is an Incentive Stock 
Option and if Shares transferred pursuant to the Option are held for more 
than one year after exercise and more than two years after the Date of Grant, 
any gain realized on disposition of the Shares will be treated as long-term 
capital gain for federal income tax purposes.  If Shares purchased under an 
Incentive Stock Option are disposed of before the end of either of such two 
holding periods, then any gain realized on such disposition will be treated 
as compensation income (taxable at ordinary income rates) to the extent of 
the excess, if any, of the lesser of (i) the fair market value of the Shares 
on the date of exercise, or (ii) the sales proceeds, over the Exercise Price. 
If this Option is 


                                -4-
<PAGE>

a Nonstatutory Stock Option, then gain realized on the disposition of Shares 
will be treated as long-term or short-term capital gain depending on whether 
or not the disposition occurs more than one year after the exercise date.

          (d)  NOTICE OF DISQUALIFYING DISPOSITION.  If the Option granted to 
Optionee in this Agreement is an Incentive Stock Option, and if Optionee 
sells or otherwise disposes of any of the Shares acquired pursuant to the 
Incentive Stock Option on or before the later of (i) the date two years after 
the Date of Grant, or (ii) the date one year after transfer of such Shares to 
Optionee upon exercise of the Incentive Stock Option, Optionee shall notify 
the Company in writing within thirty (30) days after the date of any such 
disposition. Optionee agrees that Optionee may be subject to income tax 
withholding by the Company on the compensation income recognized by Optionee 
from the early disposition by payment in cash or out of the current earnings 
paid to Optionee.

13.  SIGNATURE.  This Stock Option Agreement shall be deemed executed by the 
Company and Optionee upon execution by such parties of the Notice of Stock 
Option Grant attached to this Stock Option Agreement.


                                -5-
<PAGE>

                             EXHIBIT A

                         NOTICE OF EXERCISE

To:       General Surgical Innovations, Inc.

Attn:     Stock Option Administrator

Subject:  NOTICE OF INTENTION TO EXERCISE STOCK OPTION

     This is official notice that the undersigned ("OPTIONEE") intends to 
exercise Optionee's option to purchase __________ shares of General Surgical 
Innovations, Inc. Common Stock, under and pursuant to the Company's 1992 
Stock Option Plan and the Stock Option Agreement dated ___________, as 
follows:

           Grant Number:         ________________________________

           Date of Purchase:     ________________________________

           Number of Shares:     ________________________________

           Purchase Price:       ________________________________

           Method of Payment
           of Purchase Price:    ________________________________

     Social Security No.:  ________________________________

     The shares should be issued as follows:

           Name:       ________________________________

           Address:    ________________________________


           Signed:     ________________________________

           Date:       ________________________________





<PAGE>

                         GENERAL SURGICAL INNOVATIONS, INC.
                                          
                     NOTICE OF NONSTATUTORY STOCK OPTION GRANT

Optionee's Name and Address:


Gregory D. Casciaro
General Surgical Innovations, Inc.
10460 Bubb Road
Cupertino, CA  95014

     You have been granted an option to purchase Common Stock of General
Surgical Innovations, Inc. (the "Company"), as follows:

     Board Approval Date:                    April 6, 1998

     Date of Grant (Later of Board
          Approval Date or
          Commencement of
          Employment/Consulting):            April 6, 1998       

     Exercise Price Per Share:               $4.00

     Total Number of Shares Granted:         25,000

     Total Price of Shares Granted:          $100,000

     Term/Expiration Date:                   April 6, 2008

     Vesting Commencement Date:              October 6, 2001

     Vesting Schedule:                       4,166 of the shares subject
                                             to the option shall become
                                             exercisable each month 
                                             beginning on October 6, 
                                             2001 with all options
                                             vested as of April 6, 2002.
          
     Termination Period:                     Option may be exercised for
                                             a period of 30 days after
                                             termination of employment 
                                             or consulting relationship 
                                             with the Company except as 
                                             set out in Sections 7 and 8 
                                             of the Nonstatutory Stock 
                                             Option Agreement (but in 
                                             no event later than the 
                                             Expiration Date).

<PAGE>

By your signature and the signature of the Company's representative below, you
and the Company agree that this option is granted under and governed by the
terms and conditions of the Nonstatutory Stock Option Agreement attached and
made a part of this document.

GREGORY D. CASCIARO                GENERAL SURGICAL INNOVATIONS, 
                                   INC.



                                   By:                      
- -------------------------             -----------------------------
Signature

                                   Title:                        
- -------------------------                ---------------------------
Print Name






                             -2-

<PAGE>


                    GENERAL SURGICAL INNOVATIONS, INC.
                                       
                   NONSTATUTORY STOCK OPTION AGREEMENT
                                          
       1.     GRANT OF OPTION.  General Surgical Innovations, Inc., a 
California corporation (the "COMPANY"), hereby grants to the Optionee named 
in the Notice of Stock Option Grant attached to this Agreement ("OPTIONEE"), 
an option (the "OPTION") to purchase the total number of shares of Common 
Stock (the "SHARES") set forth in the Notice of Stock Option Grant, at the 
exercise price per share set forth in the Notice of Stock Option Grant (the 
"EXERCISE PRICE") subject to the terms, definitions and provisions of this 
Nonstatutory Stock Option Agreement (the "Agreement").

              This Option is intended to be a Nonstatutory Stock Option.

       2.     EXERCISE OF OPTION.  This Option shall be exercisable during its
term in accordance with the Vesting Schedule set out in the Notice of Stock
Option Grant as follows:

              (a)    RIGHT TO EXERCISE.

                     (i)    This Option may not be exercised for a fraction of a
share.

                     (ii)   In the event of Optionee's death, disability or
other termination of employment, the exercisability of the Option is governed by
Sections 6, 7 and 8 below, subject to the limitations contained in paragraph
(iii) below.

                     (iii)  In no event may this Option be exercised after the
date of expiration of the term of this Option as set forth in the Notice of
Stock Option Grant.

              (b)    METHOD OF EXERCISE.

                     (i)    This Option shall be exercisable by delivering to
the Company a written notice of exercise (in the form attached as EXHIBIT A)
which shall state the election to exercise the Option, the number of Shares in
respect of which the Option is being exercised, and such other representations
and agreements as to the holder's investment intent with respect to such Shares
of Common Stock as may be required by the Company.  Such written notice shall be
signed by Optionee and shall be delivered in person or by certified mail to the
Secretary of the Company.  The written notice shall be accompanied by payment of
the Exercise Price.  This Option shall be deemed to be exercised upon receipt by
the Company of such written notice accompanied by the Exercise Price. 


<PAGE>


                     (ii)   As a condition to the exercise of this Option,
Optionee agrees to make adequate provision for federal, state or other tax
withholding obligations, if any, which arise upon the exercise of the Option or
disposition of Shares, whether by withholding, direct payment to the Company, or
otherwise.

                     (iii)  No Shares will be issued pursuant to the exercise of
an Option unless such issuance and such exercise shall comply with all relevant
provisions of law and the requirements of any stock exchange upon which the
Shares may then be listed.  Assuming such compliance, for income tax purposes
the Shares shall be considered transferred to Optionee on the date on which the
Option is exercised with respect to such Shares.

       3.     OPTIONEE'S REPRESENTATIONS.  In the event the Shares purchasable
pursuant to the exercise of this Option have not been registered under the
Securities Act of 1933, as amended (the "SECURITIES ACT"), at the time this
Option is exercised, Optionee shall, if required by the Company, concurrently
with the exercise of all or any portion of this Option, deliver to the Company
an investment representation statement in customary form, a copy of which is
available for Optionee's review from the Company upon request.

       4.     METHOD OF PAYMENT.  Payment of the Exercise Price shall be by any
of the following, or a combination of the following, at the election of
Optionee:  (a) cash; (b) check; (c) surrender of other Shares of Common Stock of
the Company that (i) either have been owned by Optionee for more than six (6)
months on the date of surrender or were not acquired, directly or indirectly,
from the Company, and (ii) have a Fair Market Value on the date of surrender
equal to the aggregate exercise price of the Shares as to which said Option
shall be exercised; (d) authorization from the Company to retain from the total
number of Shares as to which the Option is exercised that number of Shares
having a Fair Market value on the date of exercise equal to the exercise price
for the total number of Shares as to which the Option is exercised; or (e) if
there is a public market for the Shares and they are registered under the
Securities Act, delivery of a properly executed exercise notice together with
irrevocable instructions to a broker to deliver promptly to the Company the
amount of sale or loan proceeds required to pay the exercise price.

       5.     RESTRICTIONS ON EXERCISE.  This Option may not be exercised if the
issuance of such Shares upon such exercise or the method of payment of
consideration for such shares would constitute a violation of any applicable
federal or state securities or other law or regulation, including any rule under
Part 207 of Title 12 of the Code of Federal Regulations ("REGULATION G") as
promulgated by the Federal Reserve Board.  As a condition to the exercise

                             -2-

<PAGE>

of this Option, the Company may require Optionee to make any representation 
and warranty to the Company as may be required by any applicable law or 
regulation.

       6.     TERMINATION OF RELATIONSHIP.  In the event of termination of
Optionee's employment or consulting relationship with the Company, Optionee may,
to the extent otherwise so entitled at the date of such termination (the
"TERMINATION DATE"), exercise this Option during the Termination Period set out
in the Notice of Stock Option Grant.  To the extent that Optionee was not
entitled to exercise this Option at the date of such termination, or if Optionee
does not exercise this Option within the time specified in the Notice of Stock
Option Grant, the Option shall terminate. The Optionee's employment or
consulting relationship shall not be considered terminated in the case of sick
leave, military leave, or any other leave of absence approved by the Company's
Board of Directors; provided, however, either that such leave must be for a
period of not more than ninety (90) days or that re-employment upon the
expiration of such leave must be guaranteed by contract or by statute, or is
provided pursuant to Company policy adopted from time to time.  For purposes of
this Agreement, a change in status from an Employee to a Consultant or from a
Consultant to an Employee shall not constitute a termination of relationship.

       7.     DISABILITY OF OPTIONEE.  Notwithstanding the provisions of
Section 6 above, in the event of termination of Optionee's employment or
consulting relationship with the Company as a result of total and permanent
disability (as defined in Section 22(e)(3) of the Internal Revenue Code),
Optionee may, but only within six (6) months from the date of termination of
such relationship (but in no event later than the date of expiration of the term
of this Option as set forth in Section 10 below), exercise the Option to the
extent otherwise so entitled at the date of such termination.  To the extent
that Optionee was not entitled to exercise the Option at the date of
termination, or if Optionee does not exercise such Option (to the extent
otherwise so entitled) within the time specified in this Agreement, the Option
shall terminate.

       8.     DEATH OF OPTIONEE.  In the event of the death of Optionee:

              (a)    during the term of this Option and while an employee or
consultant of the Company and having been an employee or consultant of the
Company since the date of grant of the Option, the Option may be exercised, at
any time within six (6) months following the date of death (but in no event
later than the date of expiration of the term of this Option as set forth in
Section 10 below), by Optionee's estate or by a person who acquired the right to
exercise the Option by bequest or inheritance, but only to the extent of the
right to exercise that would have accrued had Optionee continued living and
remained as a director of the Company three (3) months after the date of death,
subject to the limitation contained in Section 2(i)(d) above in the case of an
Incentive Stock Option; or

              (b)    within thirty (30) days after the termination of Optionee's
employment or consulting relationship with the Company, the Option may be
exercised, at any time within six (6) months following the date of death (but in
no event later than the date of expiration of the term of this Option as set
forth in Section 10 below), by Optionee's estate or by a person who

                             -3-

<PAGE>

acquired the right to exercise the Option by bequest or inheritance, but only 
to the extent of the right to exercise that had accrued at the date of 
termination.

       9.     NON-TRANSFERABILITY OF OPTION.  This Option may not be transferred
in any manner otherwise than by will or by the laws of descent or distribution. 
The designation of a beneficiary does not constitute a transfer.  An Option may
be exercised during the lifetime of Optionee only by Optionee or a transferee
permitted by this section.  The terms of this Option shall be binding upon the
executors, administrators, heirs, successors and assigns of Optionee.

       10.    TERM OF OPTION.  This Option may be exercised only within the term
set out in the Notice of Stock Option Grant, and may be exercised during such
term only in accordance with the terms of this Option.

       11.    NO ADDITIONAL EMPLOYMENT RIGHTS.  Optionee understands and agrees
that the vesting of Shares pursuant to the Vesting Schedule is earned only by
continuing as an employee or consultant of the Company at the will of the
Company (not through the act of being hired, being granted this Option or
acquiring Shares under this Agreement).  Optionee further acknowledges and
agrees that nothing in this Agreement shall confer upon Optionee any right with
respect to continuation as an employee or consultant of the Company, nor shall
it interfere in any way with his or her right or the Company's right to
terminate his or her employment or consulting relationship at any time, with or
without cause.

       12.    ADJUSTMENTS UPON CHANGES IN CAPITALIZATION CORPORATE TRANSACTIONS.

              (a)    CHANGES IN CAPITALIZATION.  Subject to any required action
by the Shareholders of the Company, the number of shares of Common Stock covered
by the Option and the price per share of Common Stock covered by this
Option, shall be proportionately adjusted for any increase or decrease in the
number of issued shares of Common Stock resulting from a stock split, reverse
stock split, stock dividend, combination or reclassification of the Common
Stock, or any other increase or decrease in the number of issued shares of
Common Stock effected without receipt of consideration by the Company; provided,
however, that conversion of any convertible securities of the Company shall not
be deemed to have been "effected without receipt of consideration."  Such
adjustment shall be made by the Board of Directors, whose determination in that
respect shall be final, binding, and conclusive.  Except as expressly provided
herein, no issuance by the Company of shares of stock of any class, or
securities convertible into shares of stock of any class, shall affect, and no
adjustment by reason thereof shall be made with respect to, the number or price
of shares of Common Stock subject to this Option.

              (b)    CORPORATE TRANSACTIONS.  In the event of the proposed
dissolution or liquidation of the Company, the Option will terminate immediately
prior to the consummation of such proposed action, unless otherwise provided by
the Board of Directors.  The Board of Directors may, in the exercise of its sole
discretion in such instances, declare that this Option shall terminate as of a
date fixed by the Board of Directors and give the Optionee the right to exercise
his Option as to all or any part of the Optioned Stock, including Shares as to
which the Option would not otherwise be exercisable.  In the event of a proposed
sale of all or substantially

                             -4-

<PAGE>

all of the assets of the Company, or the merger of the Company with or into 
another corporation, the Option shall be assumed or an equivalent option 
shall be substituted by such successor corporation or a parent or subsidiary 
of such successor corporation, unless the Board of Directors determines, in 
lieu of such assumption or substitution, that the Optionee shall have the 
right to exercise the Option as to some or all of the Optioned Stock, 
including Shares as to which the Option would not otherwise be exercisable.  
If the Board of Directors makes an Option exercisable in lieu of assumption 
or substitution in the event of a merger or sale of assets, the Board of 
Directors shall notify the Optionee that the Option shall be exercisable for 
a period of fifteen (15) days from the date of such notice, and the Option 
will terminate upon the expiration of such period.

       13.    TAX CONSEQUENCES.  Optionee acknowledges that he or she has read
the brief summary set forth below of certain federal tax consequences of
exercise of this Option and disposition of the Shares under the law in effect as
of the date of grant.  OPTIONEE UNDERSTANDS THAT THIS SUMMARY IS NECESSARILY
INCOMPLETE, AND THE TAX LAWS AND REGULATIONS ARE SUBJECT TO CHANGE.  OPTIONEE
SHOULD CONSULT HIS OR HER OWN TAX ADVISER BEFORE EXERCISING THIS OPTION OR
DISPOSING OF THE SHARES.

              (a)    EXERCISE OF NONSTATUTORY STOCK OPTION.  Optionee may incur
regular federal income tax liability upon the exercise of the Option.  Optionee
will be treated as having received compensation income (taxable at ordinary
income tax rates) equal to the excess, if any, of the fair market value of the
Shares on the date of exercise over the Exercise Price.  In addition, if
Optionee is an employee of the Company, the Company will be required to withhold
from Optionee's compensation or collect from Optionee and pay to the applicable
taxing authorities an amount equal to a percentage of this compensation income
at the time of exercise.

              (b)    DISPOSITION OF SHARES.  Gain realized on the disposition of
Shares will be treated as long-term or short-term capital gain depending on
whether or not the disposition occurs more than one year after the exercise
date.

       14.    AMENDMENT OF OPTION.  In addition to any changes or adjustments
that may be made pursuant to Section 12 above, the Company's Board of Directors
shall have the authority to make the following determinations with respect to,
and amendments to, the Option without the consent of Optionee:  (a) waiver of
any restriction applicable to the Option or the Shares; (b) reduction in the
exercise price of the Option to the Fair Market Value of shares of the Company's
Common Stock as of the date of such reduction in price; (c) extension of the
exercise periods set forth in Section 5, 6 and 7 above; and (d) any other
amendment or adjustment that does not materially and adversely affect Optionee's
rights hereunder.

       15.    SIGNATURE.  This Stock Option Agreement shall be deemed executed
by the Company and Optionee upon execution by such parties of the Notice of
Stock Option Grant attached to this Stock Option Agreement.

                             -5-

<PAGE>

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                             -6-

<PAGE>

                                 EXHIBIT A
                                          
                             NOTICE OF EXERCISE

To:           General Surgical Innovations, Inc.
Attn:         Stock Option Administrator
Subject:      NOTICE OF INTENTION TO EXERCISE NONSTATUTORY STOCK OPTION

       This is official notice that the undersigned ("OPTIONEE") intends to
exercise Optionee's option to purchase __________ shares of General Surgical
Innovations, Inc. Common Stock, under and pursuant to the Nonstatutory Stock
Option Agreement dated ___________, as follows:

       Grant Number: ________________________________

       Date of Purchase:    ________________________________

       Number of Shares:    ________________________________

       Purchase Price:      ________________________________

       Method of Payment
       of Purchase Price:   ________________________________

       
Social Security No.: ________________________________

The shares should be issued as follows:

       Name:    ___________________________

       Address: ____________________________
                                           
                ____________________________

                ____________________________

       Signed:  ____________________________

       Date:    ____________________________



<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          JUN-30-1999
<PERIOD-START>                             JUL-01-1998
<PERIOD-END>                               DEC-31-1998
<CASH>                                          14,501
<SECURITIES>                                    15,091
<RECEIVABLES>                                      991
<ALLOWANCES>                                       163
<INVENTORY>                                      2,836
<CURRENT-ASSETS>                                27,322
<PP&E>                                           2,434
<DEPRECIATION>                                   1,546
<TOTAL-ASSETS>                                  36,899
<CURRENT-LIABILITIES>                            3,431
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            13
<OTHER-SE>                                      33,334
<TOTAL-LIABILITY-AND-EQUITY>                    36,899
<SALES>                                          2,947
<TOTAL-REVENUES>                                 2,947
<CGS>                                          (1,815)
<TOTAL-COSTS>                                  (1,815)
<OTHER-EXPENSES>                               (9,142)
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                (10)
<INCOME-PRETAX>                                (7,075)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                            (7,075)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                   (7,075)
<EPS-PRIMARY>                                    (.53)
<EPS-DILUTED>                                    (.53)
        

</TABLE>


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