The surgeon's knot tied with one hand.

We describe herein a technique for tying the surgeon's or friction knot with one hand. With practice, this method provides a smooth, rapid way to tie a strong and slip-resistant ligature in relatively inaccessible areas. We especially recommend using this method for tying slippery synthetic suture materials and for ligating structures with inherent elasticity which prevent the surgeon from achieving adequate tightness with a simple square knot.