The Surgeon Knot is Used to attach the tippet section to the leader
Lay the leader and tippet together, with the leader's tag pointing right and the tippet's tag pointing left.
Form a loop in the center, with the leader's tag section in front as shown.
Bring the leader's tag section and the standing tippet section over and through the back of the loop. What you are doing is making a simple overhand knot with the sections doubled.
Bring the leader's tag section and the standing tippet around a second time. This will give you a double surgeon's knot. You can go around a third time, which will give you a triple surgeon's knot. The triple is stronger, so it may be a good idea to take the extra step. To tighten this knot, you must pull on all four pieces of line at the same time. Snug it down, lubricate it, and then tighten. Finally, trim both tag ends.
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