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Step 1 The Double Surgeon's Knot requires the leader and tippet to be placed side-by-side so they overlap (for about 6") with ends facing in opposite directions.
Step 2 - Pinch the standing leader and tippet tag end with the left thumb and forefinger and use the right hand to tie an overhand knot with the leader tag end and the tippet.
Step 3 -The entire length of the tippet must be passed completely through the overhand knot loop; even tough the leader tag end is only about 5" long. Don't tighten the completed overhand knot!
Step 4 - Grasp the completed loop with the left hand and make another pass through the same overhand knot, passing the full length of the tippet and the leader tag end through a second time.
Draw the loop down by simultaneously pulling on leader and tippet. Moisten the loop; grasp the leader and tippet tag on the left with your left hand, and the tippet and leader tag on the right with your right hand. Pull all four ends simultaneously to snug the knot tight. Trim tag ends.
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