This paper is devoted to the classification of flag-transitive 2-(v, k, 2) designs. We show that apart from two known symmetric 2-(16, 6, 2) designs, every flag-transitive subgroup G of the automorphism group of a nontrivial 2-(v, k, 2) design is primitive of affine or almost simple type. Moreover, we classify the 2-(v, k, 2) designs admitting a flag transitive almost simple group G with socle PSL(n, q) for some n 3. Alongside this analysis we give a construction for a flag-transitive 2-(v, k − 1, k − 2) design from a given flag-transitive 2-(v, k, 1) design which induces a 2-transitive action on a line. Taking the design of points and lines of the projective space PG(n − 1, 3) as input to this construction yields a G-flag-transitive 2-(v, 3, 2) design where G has socle PSL(n, 3) and v = (3 n − 1)/2. Apart from these designs, our PSL-classification yields exactly one other example, namely the complement of the Fano plane.