When the confirmation line of a Head & Shoulders pattern breaks to the downside, a large amount of volume should occur as well.
The chart below of General Electric (GE) shows a sharp increase in volume when the confirmation line of the Head & Shoulders pattern was broken:

The same concept applies to a Reverse Head & Shoulders pattern, the break of the confirmation line should be accompanied by an increase in volume.
The chart below of Gold futures illustrates a rise in volume when the confirmation line was pierced:

| 1. Head & Shoulders Chart Pattern | 2. Volume and the Head & Shoulders Pattern |
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