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. Before you are approved for a hair transplant procedure, the doctor will have to sign off on you. You must be deemed appropriate for the surgery. It may seem that everyone would be approved, but there are several reasons why you may not be. The doctor will explore both the hair loss you have suffered, and the hair growth you still have. If you have hair transplant surgery, you might be alarmed if you notice that the hair you already did have is getting thinner. This is a normal post-operative condition. The thickness comes back within a few months after surgery. It will be just as full as it ever was. 2. Bleeding. The hair transplant surgery will likely cause some bleeding. The thing that all these women have in common is that they all have healthy areas of hair follicles that can be used as donor sites. For example, women with mechanical or traction Alopecia have lost their hair because they have scratched their head for a long period of time, they have used tight rollers or their hair has been pulled or stretched in any manner. The hope is that only a few will be lost and the overall result will not suffer. The reality is that is what usually happens. 7. Hair transplant treatments do not cost as much as you think. For example, you might reasonably spend $12,000 on a hair transplant. If you got it done at age 30 and died at age 70, you would have the transplant 40 years. The doctor will show you before and after pictures of his past hair transplant patients. Do not be discouraged if they all seem to have the same plain haircut in the after pictures. This is often the case when the doctor is trying to be truthful. He will have the patients pose with their hair sans hair styling products like mousse or gel.