The Surgeon's Knot is a simple modification to the Reef Knot. It adds an extra twist when tying the first throw, forming a Double Overhand Knot. The additional turn provides more friction and can reduce loosening while the second half of the knot is tied. Commonly used in Fly Fishing, the Surgeon's Knot is easy to tie and is useful to join two lines of moderately unequal size, e.g., a tippet to a leader. Always moisten your line with saliva or water before pulling tight. This is especially important on fl
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