How to Tie the Surgeon’s Knot: Step-by-Step Guide for Fly Fishing

The surgeon’s knot is one of the quickest and easiest fishing knots to tie when joining two lines of a similar diameter. It’s an evolution of a reef knot used in sailing which is now widely used in fly fishing to create a leader or attach a tippet.

We are going to look at how to tie the double surgeon’s knot, which is known as just- a surgeon’s knot. There are also other variations such as the triple surgeon’s knot and we’ll discuss this knot later on too.

How To Tie A Double Surgeon’s Knot

Tying the double surgeon’s knot is incredibly easy, requires no tools, and consists of pretty much a few overhand knots. It only stays strong when tied with lines of two similar diameters, so don’t use lines with unequal diameters or the knot will slip.

how to tie a surgeons knot

Step 1

Lay your two fishing lines out so that they overlap by about 6-8 inches, for example, your leader and your tippet line. Fold the line together to form a loop in the lines.

Step 2

Now take the tag end of your tippet and the entire main line of the leader and pass them through the loop two times. This will form a double overhand knot.

Step 3

Moisten the line with saliva or water and start pulling all 4 line ends in the opposite direction to seat the knot. It’s that easy and as you’re pulling you’ll notice a neat knot starting to form.

Step 4

You now can trim the tag ends if you were attaching a tippet to a leader or you can leave the tag ends long so they may be used as a dropper rig for fly fishing or conventional fishing.

Triple Surgeon’s Knot -How to tie

Triple Surgeon's Knot - How to tie

Tying the triple surgeon’s knot is just as easy and instead of doing two overhand knots, that’s two passes through the loop of the tag end and the entire main line of the leader, you do three, so a triple overhand knot. The finish the same, trim the tag end for a smooth leader, or not if you’re making a dropper rig to attach a nymph fly to.


  • When tying the surgeon’s knot, you can add as many passes through the loop as you like, even up to 8. The more passes you tie in the loop the stronger the knot will be but it will be a lot bulkier.
  • The best tip I can give you is to never use two lines of unequal diameter as joining them won’t work and the smaller line will slip under pressure.
  • Also, avoid these knots when attaching braid to mono or fluoro, it will slip, and the FG or double uni knot is best for this.

Here is a video showing you how to tie the surgeon’s knot.


What is the purpose of a surgeon knot?

The surgeon knot is a type of knot used to secure sutures (stitches) during surgery. It is a square knot that is tied over two separate strands, creating a more secure and tighter knot than a regular square knot.

The surgeon knot is typically used in medical procedures such as suturing and securing a bandage.

How good is a surgeons knot?

The surgeon’s knot is a very secure knot and is generally considered one of the best knots for medical procedures. It is strong, secure, and reliable, making it an ideal knot for medical applications.

What is the difference between a square knot and a surgeons knot?

The main difference between a square knot and a surgeon knot is that a surgeon knot is tied over two separate strands, creating a more secure and tighter knot than a regular square knot.

The square knot is a simple knot that is tied using two strands, whereas the surgeon knot is tied over two separate strands. The surgeon knot is usually used in medical procedures such as suturing and securing a bandage.

Which is stronger blood knot or surgeon’s knot?

The surgeon’s knot is generally considered to be stronger than the blood knot. The surgeon’s knot is tied over two separate strands and is more secure and tighter than a regular square knot. The blood knot is a more basic knot that is tied using two strands and is not as secure or tight as the surgeon’s knot.

How strong is a surgeon’s knot?

When tied correctly the surgeon’s knot is very strong and can achieve 100% knot strength. This means if you’re fly fishing with a 10lb line connected to a 12lb line with a surgeon’s knot, it will break at 10lbs.

What is a surgeon’s knot used for?

We have already touched on this, but I’ll say it again – it’s most useful and effective for tying two lines of similar diameter to make a leader.

It’s also one of the best knots for tying a dropper rig. You can add as many surgeon’s knots as you like to your tippet and if you keep the ends long enough, you can add a fly to each of the ends, so you can fish more than one fly.

I’m always tying this knot and fish at least 2 nymphs wherever I am.

How strong is a triple surgeon’s knot?

This knot is just as strong as a double surgeon’s knot when both are tied correctly hitting 100% knot strength. The main difference is that the triple has less chance of slipping due to the extra turns through the loop during the tying process.

For a step by step guide, you can see our post here on tying the surgeons loop knot fishing.

What is the best knot to tie a leader to a fly line?

What is the best knot to tie a leader to a fly line?

Tying a leader to a fly line correctly is critical if you want to end up landing any fish at the end of the day. The top knot for it depends if your fly line has a welded loop attached to the end and how big a fish you’re after.

If your fly line does have a loop and you’re fishing in saltwater, tie a bimini to create a loop and then make a loop-to-loop connection to the fly line. If you’re in freshwater without a welded loop tie a nail knot using your tools. Do not use the surgeon’s knot.

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Jamie Melvin

Growing up fly fishing on trout streams in Kenya and the UK, Jamie has traveled the world in search of fly fishing nirvana. From his time managing bonefish lodges in the Bahamas and running fishing safaris in East Africa, all the way to guiding on the flats of Seychelles, there aren't many species or environments he hasn't experienced firsthand.

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