The Surgeon’s Knot is created by making two throws rather than a single throw over the loop. The second loop has only one throw, which is placed in a square-knot fashion, leaving the free ends in the same plane as the first loop.

How to Tie a Surgeon’s Knot

First Half of the Knot:

Begin by tying a knot in the same way you tie your shoelaces as follows:

Take the left thread or bundle over the right thread bundle twice. Pull snug.

Second half of the knot:

Final Knot:

Take the right thread or bundle over the left or complete a bow tie.