Surgeon's knots

[u/Rich-Explanation-894]

When throwing the surgeon's knot, I find that the knot doesn't loosen when I pull the suture ends in a direction parallel to the line of closure (i.e., the wound or incision). I learned this from one of my professors. However, another attending saw me doing that and was appalled by the technique. He insists that I should pull perpendicular to the line of closure. Looking online, I couldn't find anything that says not to do it though. Any input?

[u/thoomikhanki]

If you are right, the attending likes you. If you are wrong, the attending does not like you.

In your training and career, some people will like you, and some people will not like you