Rather than growing in groups of one to four hairs, they are simply single strands of hair. You can see this if you look carefully in the mirror at your eyebrows. Hair transplant methods have to take this fact into account. When doctors do hair transplant surgery to replace eyebrows, they have to make sure that they put the hairs in so that they will point in the natural hair direction. These people do not strike up conversations with the opposite sex or seek them out. It is only with drastic measures, such as counseling, that these people can get past their timidity. Hair transplant surgery can give them more confidence as well. 6. Will having hair transplant surgery change anything? Another important factor for hair transplant is the color of the hair in contrast to the color of the skin. For a light-skinned man with light-colored hair, or a dark-skinned man with dark colored hair, it takes a certain amount of hair to cover the baldness. However, a light-skinned man with very dark hair will need much more hair to provide the same amount of coverage. Often people have sensitive scalps and the thought of someone making cuts there seems hard to think about for these people. There is disagreement as to whether hair transplant surgery is painful, though. Some say that hair transplant surgery is similar to a visit to the dentist. This does not seem like a description of something that is pain-free. Previously, when hair plugs were used, doctors did the hair transplant surgeries much differently. They used an instrument called a trephine to cut circular grafts from 2mm to 5mm in diameter. These plugs were inserted into the balding area. Now, a multi-bladed knife can be used to cut long thin strips of donor tissue. 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.