Dave LaCourse wrote

A surgeon's knot is going to leave four ends: 1 is your leader or
"first length of mono", the 2nd is the long piece which will be your
tippet, and 3 the tag end of your leader, 4 tag end of your tippet.
If I use this method (and I have and don't like it), I tie the
dropper on the tag end of the leader (first length of mono) which is
"pointing downwards," and parallel to your long pice of tippet
material.

Not sure what you meant by "this method". You mean Czech nymphing in
general or do you mean tying a fly to a surgeon's knot tag so the fly
stands off the main leader?

-dnc-