I have used and trusted the double surgeon's knot for years/decades, never had a problem until this year. I typically use a double surgeon knot to tie 4X down to 5X from a furled leader and use a Turle knot at the fly. This month I've had two breakoffs at the double surgeon knot. Both breaks were on big LL Salmon, perhaps 3-5 lbs. It just may be that the size of these two fish was too much for the knot but it does have me looking for alternatives in material (this was Orvis Super Strong) and knots.
Al