Perforated teat wounds in eight lactating Holstein-Friesian cows were closed by four suture patterns with or without low level laser therapy (LLLT). Wound healing was evaluated by laser Doppler flowmetry (LDF), tensiometry and hydroxyproline analysis, and compared with histopathological examination. The three-layer pattern provided the best healing of the entire teat. Mucosal hyperplasia was observed in Gambee and continuous two-layer pattern while eversion of the skin, presence of suture tracts and a greater amount of granulation tissue were observed with the continuous and interrupted two-layer patterns. The epidermis in LLLT groups more closely resembled the normal epidermis, and collagen fibres were denser, thicker and better arranged in LLLT than in non-LLLT groups. LDF, tensiometry and hydroxyproline analysis correlated well with histopathological examination. The results suggest that LDF, a more rapid, less invasive and painless procedure, can replace tensile strength measurement or hydroxyproline analysis to assess the progress of teat wound healing.