Men with this pattern of balding will have donor hair that survives the hair transplant process and flourishes long afterward. That is because a naturally-occurring enzyme in the body combines with testosterone to create a chemical called DHT. This chemical is responsible for the hair loss on the tops of men's heads when they have male pattern baldness. Doctors started doing hair transplant procedures immediately. They began with a method that was somewhat flawed. While they did use their idea about moving hair from the sides and back of the head to the balding areas, they did not have pleasing results. These hair transplant procedures in the 1960s and 1970s used a method where 15-25 hairs were grafted in a round plug pattern. 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. Most others take a mild pain reliever such as Tylenol for a few days, and that seems to be enough for them. 4. Itching. It is not unusual for itching to occur on areas affected by hair transplant surgery. This will be enough to help you relax and keep pain from being a part of the hair transplant procedure. You will only feel pressure on your scalp. Finally, you will be told to make arrangement to be taken home on the day of the hair transplant surgery. You will not be fit to drive because of the sedation; at least, it would not be wise to do so. Micro grafts are useful in hair transplant surgery because they can give the hair a quite natural appearance. The hair emerges from the scalp in the most natural way, with the same number of hairs that nature intended. If the procedure is done correctly, no one can tell the difference. Natural looking hairlines have been difficult to achieve with hair transplant surgery. First of all, the surgeon must be very skilled in choosing the site of the path where he harvests the donor tissue for the hair transplant. Its width should be no more than one centimeter in most instances. This allows the scalp to close completely when sutured back into place. If the hair transplant procedure is done well, the scar will not be noticeable even if the patient likes to wear his hair in a short style.