Guarded surgical knife handle

A guarded surgical knife handle includes a lower handle portion, an upper handle postion, and a button. The lower handle portion includes a blade holder, a proximal pair of lateral shelves, and a distal pair of lateral shelves. The upper handle portion includes a guard portion, a proximal post between the proximal pair of shelves with a first widened post portion wider than the lateral spacing between the shelves, and a distal post between the distal pair of shelves with a second widened post portion wider than the lateral spacing between the shelves. The button has a button waist narrower than the second lateral spacing and a widened button portion below the button waist wider than the second lateral spacing. A bias member connected to the button and at least one of the handle portions provides an upward force on the button.