Fishermen in the Four Corners feel the barbs of their own hooks just like the salmon fishermen in Alaska.
Fortunately, fly-fishing hooks are smaller. Much smaller.
But fish-hook incidents still send a steady stream of Four Corners anglers into clinics and emergency rooms like Durango Urgent Care.
"Yes, this can be very common in Durango," said Nancy Holesapple, a registered nurse at Durango Urgent Care.
"Here in a sports-oriented place, we see a lot of ... hooks. It's not something you see in a big-city ER (emergency room)."
She said Durango Urgent Care treats one or two fish-hook patients every week during the height of the summer fishing season.
"I've seen people with hooks in their ear. The last one we treated had a hook in his chin. He was in the backcountry fishing. He waited six hours ... finished fishing and then he came in," Holesapple said.
She said that even small hooks have barbs that can be problematic during removal.
Doctors sometimes numb the area in distress and then work the hook out, she said.
Other times, the barb might have to be clipped off before the hook can be pulled back out.
But, she said, many fly-fishermen want the hook/fly back after the doctor removes it from their chin or ear or eyebrow.
"They want to keep it. They don't want the doctor to damage the fly. Sometimes, they've tied their own flies, and they want to keep them," she said.
The hooked fishermen offer a variety of reactions, she said.
"Some people are pretty embarrassed. For others - the old hands - it's no big deal."