A single instrument head loading device for use in needlescopic surgery comprises a shaft having maneuverable structure on a proximal end for use in correctly positioning an instrument head at a distal end thereof through manipulation of at least one wire engaged to a distal end loader within which the instrument head is held by maneuvering the maneuverable structure at the proximal end, to which a proximal end of the at least one wire is attached, the at least one wire traversing the length of the shaft and the distal end loader being positioned in a suitable position allowing engagement of the instrument head under continuous direct visualization to a distal end of a cooperating shaft of a surgical instrument as well as allowing for disengagement of the instrument head back into the distal end loader under continuous direct visualization, the engagement and disengagement taking place within a body cavity.