How to Tie Scrub Pants So They Stay Up

Scrub pants are designed for comfort and mobility, but their adjustable drawstrings often present a challenge in maintaining a secure fit during active use. The constant bending, lifting, and swift movements common in many professions can cause a standard knot to loosen, leading to frequent adjustments. Understanding how to properly cinch the waistband and select the right knotting technique is the most effective way to ensure the pants remain comfortably in place by creating sufficient friction in the knot.

The Standard Bow Tie Method

The foundation of securing scrub pants is the basic bow knot, which provides a balance between holding power and ease of release. To begin, draw both sides of the string firmly around the waist to establish the initial tension. Cross the two string ends over each other, then pass one end underneath the other to form a simple overhand knot pulled taut against the waistband. This initial knot locks the drawstring’s tension and prevents the pants from slipping.

Next, form a loop, or “ear,” with one of the drawstring tails. Wrap the second tail around the base of this first loop, then push a portion of the second tail through the resulting opening to create the second loop. Pull both loops simultaneously to tighten the bow, ensuring the knot is centered and symmetrical. This common shoelace-style tie is effective for moderate activity, but the single wrapping can easily slip when subjected to repeated motion and stress.

Securing the Waistband with Advanced Knots

When the standard bow tie loosens repeatedly, a more friction-intensive knotting technique is necessary. The first step involves incorporating a double overhand knot, often called a surgeon’s throw, before creating the bow. Instead of passing one string under just once for the initial tightening, pass it under a second time before pulling the knot snug. This modification significantly increases surface contact, generating greater friction and preventing the knot from slipping.

Following the double overhand knot, proceed with the standard bow formation by creating the two loops and passing one through the other. The increased resistance from the base knot transfers to the final bow, locking it more securely against the waistband. This double-tie method is the most reliable way to secure the drawstring without resorting to complicated knots. The superior holding power is achieved while still allowing the knot to be released by simply pulling the free ends of the string.

Managing Drawstring Variations and Length

Some scrub pants feature a full drawstring as the sole means of support, while others combine a drawstring with an internal elastic band. When an elastic band is present, the drawstring functions primarily to provide customized snugness rather than acting as the main structural support. In these cases, advanced knots are still useful for preventing slippage, but the elastic helps keep the pants positioned even if the knot loosens slightly.

Drawstrings that are excessively long can become a nuisance, snagging on equipment or dangling into work areas. One solution is to trim the excess length, leaving about 12 inches of string on each side after the knot is tied, and then knotting the ends to prevent fraying. Alternatively, the long tails can be managed by tucking them completely into the waistband channel after the knot is secured, keeping them contained and out of the way. This prevents the ends from catching, which could pull on the knot and compromise the tension.