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How to Tie a Surgeon's Knot

Easy
🎣 Fly Fishing🐟 Leader join🌊 Saltwater

The surgeon's knot is the fastest and most reliable way to join two fishing lines of different diameters — a must-know for connecting tippet to leader on any fly fishing setup.

How to Tie a Surgeon's Knot Step by Step

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Written Instructions — Surgeon's Knot

  1. Overlap the lines Lay both lines parallel with 6 inches of overlap, tag ends pointing the same direction.
  2. First overhand with both lines Treating both as one strand, tie an overhand knot — pass both tag ends through the loop once.
  3. Second pass — the surgeon's step Pass both tag ends through the same loop a second time.
  4. Pull all four ends Wet thoroughly and pull both main lines and both tag ends simultaneously to cinch tight.
  5. Trim tags Cut both tag ends to about 1/4 inch.

Tips for Tying a Surgeon's Knot

  • Two passes is the minimum — the double wrap is what distinguishes this from a weaker overhand join.
  • Pulling all four ends simultaneously is critical for even seating.
  • Works for lines from 1 lb to 30 lb — the most versatile line-to-line knot for fishing.
  • Leaves longer tag ends than the blood knot — trim close to prevent catching on guides.

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