Any good doctor knows the decision is yours to make. 2. Try not to use a doctor who starts you off with a salesman or other person who has nothing to do with the health occupations. You need a person with good training to show you all you need to make your mind up about the surgery. You do not need a person whose only agenda is to sell you on getting hair transplant procedures done. If the surgeon he sees is not in that ballpark, it may be wiser to look for another surgeon. If however, the surgeon estimates a similar number, just make sure all the grafts go onto the balding parts of your scalp. To calculate the number of grafts you need for hair transplant surgery, there are several factors to take into account. Next, the doctor looks over the hair transplant for quality control. He may take a good deal of time tweaking the placement of grafts before he is satisfied that they are all set properly into their receptor sites in a pleasing fashion. When he gives the ok, the surgical technicians again take over the patient's care. They will show you pictures that are not true examples of their own work. They might show you photos that they have taken using lighting tricks to make the hair look thicker and healthier than it is. It is often hard to spot such tricks, but knowing that some surgeons do them will help you to watch out for them. As long as the surgeon knows what she is doing, the scars are a minor consideration. Another aspect of scarring is when doctors go in for multiple hair transplant surgeries. A new strip of donor tissue has to be taken each time to supply the grafts for the new transplant. It would seem that this would lead to a large number of scars on the back and sides of the head. Cysts can come up in the areas where the hair is being transplanted to, also called the recipient areas. The cysts do not usually last more than a few weeks and are rarely more than the size of small pimples. 10. Scarring. If you have keloid scarring after hair transplant surgery, it is probably because you are genetically inclined to have it.