United States securities and exchange commission logo December 23, 2020 Nora Brennan Chief Financial Officer TELA Bio, Inc. 1 Great Valley Parkway, Suite 24 Malvern, Pennsylvania 19355 Re: TELA Bio, Inc. Registration Statement on Form S-3 Filed December 18, 2020 File No. 333-251505 Dear Ms. Brennan: This is to advise you that we have not reviewed and will not review your registration statement. Please refer to Rules 460 and 461 regarding requests for acceleration. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Please contact Laura Crotty at 202-551-7614 with any questions. Sincerely, Division of Corporation Finance Office of Life Sciences cc: Rachael Bushey