How Hair Is Inserted in Hair Transplant Surgery Hair transplant surgery begins, after anesthesia is applied, with removing donor tissue. Follicular units are then extracted from the tissue using a stereomicroscope. This is all done by skilled nurses and technicians. The insertion of the hair into the receptor sites comes later. If you know someone who has had hair transplant surgery, you have at least one person to whom you can go for advice. You will know from looking at their hair whether the job was done well. You can ask the person whether you were treated professionally. That person will also know how much the total cost was, and if there were any hidden fees. This is one reason why you should ask a lot of questions when you look for a hair transplant surgeon. Up-to-date techniques for hair transplant use only the follicular unit and not a large amount of surrounding tissue for the donor grafts. This cuts down considerably on the amount of pain experienced. If you do not have the cash, your doctor can usually point you to several different financing methods. That way, you do not have to come up with the money all at once. Discuss healing with your hair transplant surgeon. Because you may be having plugs removed, you have more healing to do than someone who is having a routine hair transplant. This is an interesting question, because one would think that looking in the mirror would be more a problem of people who have already had hair transplant surgery. Actually, quite the opposite is true. When people are concerned about balding, they spend much time looking into a mirror to double-check and re-comb their hair to make it look like it covers more of their heads. If you put pressure on the area, the bleeding will usually stop. In rare situations, the bleeding does not stop this way. In that case, it might be necessary for the surgeon to do some extra stitching to close the wounds. 3. Pain. There is actually very little pain with hair transplant surgery. About half of the people who have the procedure done will not need any pain relievers at all.