To sew a scrub cap, cut the crown and band, make the back as a drawstring tie or gathered elastic, join the crown to the band, then add the ties. A tie-back scrub cap fits most hair lengths because you adjust it at the back. The Sewzy scrub cap pattern comes in four sizes by head measurement, with a tie-back style and a gathered-crown style, and takes about an hour.
TL;DR
- Time: about an hour. Difficulty: intermediate.
- Sizes by head: small (20 to 21½ in), medium (22 to 23 in), large (23½ to 24½ in), extra large (25 to 26½ in).
- Seam allowance: ⅜ in (1 cm), included on every piece.
- Two styles: A is a tie-back with a drawstring or ties; B has a gathered crown with back elastic.
- Fabric: quilting cotton, poplin, lawn or light cotton-poly broadcloth. Add a terry or flannel sweatband if you like.
- The scrub cap pattern is in the Sewzy app, with all four sizes.
Which scrub cap style should I sew?
Pick the style by how you wear your hair:
- Style A, tie-back. The back has a hemmed channel with a drawstring or ties, so you can loosen it over a bun or a lot of hair. This is the easier of the two.
- Style B, gathered crown. The crown is gathered into a band with elastic across the back for a rounder, fitted shape. It takes a little longer because of the gathering.
What you need
- Main fabric: quilting cotton, cotton poplin, lawn or a light cotton-poly broadcloth. Style A needs two fat quarters or ½ yd; style B needs one fat quarter plus a scrap about 8 by 15 in for the band linings.
- Optional sweatband: cotton terry, bamboo terry or flannel across the forehead.
- ⅜ in knit elastic (the cutting chart in the app gives the length for your size), or 22 in of ¼ in cord for the style A drawstring.
- Thread, pins, and a safety pin or tube turner for the ties.
- Optional: two ⅝ to ¾ in buttons at the sides for mask loops, so a mask pulls on the buttons instead of your ears.
| Size | Head measurement |
|---|---|
| Small | 20 to 21½ in |
| Medium | 22 to 23 in |
| Large | 23½ to 24½ in |
| Extra large | 25 to 26½ in |
Measure around your head where the cap will sit, just above the ears and across the mid forehead, then pick the size that matches.
How to sew a tie-back scrub cap step by step
- Cut. Cut the crown on the fold, the band outer and lining, and the two ties, all in your size.
- Hem the channel. Hem the back edge of the crown to make a channel for the drawstring, or press the ties ready to attach.
- Ties. Fold and sew each tie into a long tube, turn it right side out with a tube turner, and press.
- Band. Sew the band outer to the lining along the long edge, catching the ties at the ends, then turn and press.
- Band to crown. Pin the band to the front of the crown, matching centers, and sew. For style B you gather the crown into the band and add the back elastic first.
- Finish and wear. Topstitch the band, thread the drawstring or settle the elastic, and tie it on at the back.
Both styles join a shaped crown to a band, which is the same idea as a Santa hat, so the construction will feel familiar if you have made one.
Common mistakes to avoid
- Guessing the size. A scrub cap that is too tight leaves a mark and slips. Measure your head and match the chart before cutting.
- Heavy fabric. Thick cotton makes a bulky, hot cap. Keep to quilting cotton or a light poplin, and save the terry for just the sweatband.
- Elastic sewn without a pin. Hold both ends of the elastic with a pin before you sew, so it does not twist inside the channel. Our elastic guide shows the trick.
- Forgetting the sweatband. If you wear the cap all shift, a terry or flannel strip across the forehead keeps it comfortable.
Can a beginner sew a scrub cap?
The tie-back style A is the friendlier starting point because it skips the gathering. If you can sew a straight seam and turn a tube right side out, you can make it. Style B adds a gathered crown, which is worth trying once you are comfortable easing fabric onto a band. Either way, slow down at the band, where the layers stack up.
How many should I make?
Scrub caps are washed hard and often, so a wearer likes to rotate several. Two or three in different prints is a practical set, and they cut fast once you have the size dialed in. Press each seam as you go so the finished cap sits flat under a mask or a pair of loupes.
A thoughtful gift for the medical team
A set of scrub caps in fun prints is a welcome gift for a nurse, a tech or a vet, and the mask-loop buttons save their ears on a long shift. Pair it with other quick makes from our gifts to sew for nurses, or add a calming eye pillow and a sleep mask from the self-care gifts to sew. The scrub cap pattern is in the Sewzy app in all four sizes.



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