How to Tie a Surgeon’s Knot

The Surgeon’s Knot is a quick, strong knot used to join two lines, especially fishing lines of different diameters. It’s ideal for monofilament and tippet-to-leader connections and is also used in medical sutures and ropework where a permanent, compact join is needed.

Pros and Cons

✅ Pros❌ Cons
Very strong (near 100% line strength)Hard to untie once loaded
Easy to tie, even for beginnersRequires threading the full length of line
Works with different diameter linesNot ideal for long or thick ropes
Compact and low profileJams under load
Surgeon’s Knot

Similar or Alternative Knots

KnotKey UseNotes
Blood KnotFishing, similar line diametersSlim profile, stronger with similar lines
Double Fisherman’sClimbing, rope joiningVery secure, jams heavily
Flemish BendGeneral rope joiningStrong and easier to untie than surgeon’s
Flat Overhand BendClimbing, rappel systemsSimple and less snag-prone
Square KnotBasic joining of ropes/threadsWeaker, only for low-load uses

Step-By-Step Guide: How to Tie a Surgeon’s Knot

Surgeon’s Knot

A step-by-step guide on how to tie a Surgeon’s Knot.

Step 1:

Surgeon’s Knot Step 1

Place both fishing lines (or ropes) next to each other, with the ends overlapping in opposite directions. The shortest line (leader or tippet) should be placed on the right side.

Step 2:

Surgeon’s Knot Step 2

Make a loop with both lines.

Step 3:

Surgeon’s Knot Step 3

Pass the shortest end through the loop two times.

Step 3a:

Surgeon’s Knot Step 3

Lubricate and tighten to finish the Surgeon’s Knot.

About the author
Oscar is a freelance writer who writes about traveling, hiking, and the outdoors. In his free time, he enjoys trekking in the mountains and camping in remote areas all across Europe.

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