Surgeon’s knot

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Surgeon’s knot
Surgeon's knot

The surgeon’s knot before tightening showing the two twists in the bottom and the one on top
Names Surgeon’s knot, Ligature knot
Category Binding
Category 2 Bend
Related reef knot, Double overhand knot
ABoK #461, #463, #1209

The surgeon’s knot is a surgical knot and 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.[1] This knot is commonly used by surgeons in situations where it is important to maintain tension on a suture, giving it its name.[2]

Surgeon’s knots are also used in fly fishing, in tying quilts, and for tying knots with twine; it is particularly useful in tying raw meat with butcher’s twine, as the wet meat creates similar risks of loosening as with surgery. Some sources categorize the surgeon’s knot as a bend, since it can be effective as such.[3]

Like the reef knot, the surgeon’s knot capsizes and fails if one of the working ends is pulled away from the standing end closest to it.

Additional image

  • A surgeon's knot tied in nylon rope and tightened
    A surgeon’s knot tied in nylon rope and tightened
  • Diagram of a surgeon's knot
    Diagram of a surgeon’s knot
  • Diagram of a reef knot
    Diagram of a reef knot

See also

References

  1. Day, Cyrus Lawrence (1986). The Art of Knotting and Splicing (4th ed.). Annapolis: Naval Institute Press. p. 42. ISBN 978-0870210624.
  2. Ashley, Clifford W. (1944). The Ashley Book of Knots. New York: Doubleday. p. 75. ISBN 978-0385040259. {{cite book}}: ISBN / Date incompatibility (help)
  3. Budworth, Geoffrey (1999). The Ultimate Encyclopedia of Knots. London: Hermes House. p. 54. ISBN 9781859679111.


This article is adapted from “Surgeon's knot” on Wikipedia, written by its contributors, and used under CC BY-SA 4.0. Text on this page is available under the same licence. Source snapshot: Wikipedia via Kiwix, 2026-07-20.