The Toothache fly is a simple nymph that I started tying last season for steelhead and it quickly become my go to patterns. It is tied on an Ahrex FW550 which does have a barb on it, typically I pinch the barb, but you can also tie it on any barbless jig hook you want. I also tie this in much smaller sizes for trout and so far, they seem to enjoy it as well. This particular one is tied in pink, but I have also tied it in Chartreuse, Blue, Orange, and Black.

Most of the time I fish this pattern under and indicator as my point fly with something a little more nature as my second fly, you can also fish this as your anchor fly on a euro set up or drop it off the back of a large dry fly for a stealthier approach.