You do not need a person whose only agenda is to sell you on getting hair transplant procedures done. 3. You should start to get concerned if your doctor has no specific good stories to tell about hair transplant surgery they have done. You need to see before and after photos. You need a way to contact former patients. If a patient is known to suffer from keloid scarring, the first thing a reputable doctor will do before hair transplant surgery is to explain the possibility of unsightly scars. This requires a very honest surgeon, since the patient may decide the procedure is not worth the scarring it will cause. The next step with such a patient would be to discuss ways the keloid could be covered. It will most likely be a doctor's clinic or an outpatient surgery center. You will be made to feel as comfortable as possible. Unless you are one of a very tiny group, you will not have to stay in the hospital overnight. You will have time to discuss anesthesia with the doctor. She will probably tell you that you will be sedated and given a local anesthesia. Many people simply feel it as an uncomfortable feeling. If they do feel any pain, it is of a degree that can be taken care of with a few doses of Tylenol. On the other hand, some people who have had hair transplant procedures done do not feel that there is any pain involved at all. They tolerate the injections of the local anesthetic well. 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. These plugs were both conspicuous and unsightly. If family members cannot be present, the doctor might ask for photos. One trick of doctors, who work to give young people hair transplant surgeries, is to guide them in setting the hairline. A young person will usually want a fairly low hairline. He remembers the way it was just a few short years ago and wants to duplicate the image.