AIMS--To describe a method of securing indwelling O'Donohughe's lacrimal tubes in dacryocystorhinostomy using two 3-4 mm Watski sleeves. METHODS--The operative technique used to secure the sleeves into position on the lacrimal tubes is described. Forty seven procedures with a follow up ranging from 3 to 30 months (mean 10 months) are reviewed. RESULTS--The tubes and sleeves were well tolerated. Upward prolapse of the tubes occurred only once and the tubes were easily repositioned in this case. CONCLUSION--Securing lacrimal tubes with Watski sleeves in dacryocystorhinostomy is a simple, cheap, and effective procedure.