I tried the top knot with Gidget and she would have nothing to do with it. It stayed in maybe 2 seconds and she worked and worked until it came off. Doesn't mind he dresses, t-shirts and nightgowns but will have nothing to do with bows or top knots in hair. She's potty trained, loves visiting at the nursing home, doesn't make a sound when in a restaurant. So no top knot is fine with me.