This document provides instructions on how to write a sestina, a poetic form consisting of six stanzas with a fixed end-word pattern and a three-line envoy. It explains the rotating end-word structure and provides tips for choosing end words. To demonstrate, the author begins writing a humorous sestina about having a sore throat, starting with the three-line envoy and working backwards. The nearly-completed sample sestina follows the form while incorporating wordplay and narrative progression.