If you do not have enough hair, you cannot have a normal hair transplant surgery. However, there are other surgeries that can be used in conjunction with hair transplant to achieve similar results. The difference is that these procedures are generally more painful. 6. The grafts may not survive. Few surgeons will divulge to you the fact that hair grafts do not always survive after hair transplant surgery. This would settle the issue of whether hair transplant would work by those methods. After their trials, they got the answer: the hair follicles themselves made the difference in the life of the hair and not where they were placed on the scalp. They termed this phenomenon Donor Dominance. Hair transplant surgery was on the horizon. 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. It certainly does not seem like a relaxing experience. Yet some feel that there is that degree of pain involved. The surgeon may want to take them out, break them up into smaller units, and reinsert them. If your plugs are smaller, he may just want to add some new donor hair to lessen the effect of the doll head look. If cost is an issue with you, discuss it with your surgeon. Cost is a very real problem for many who want to have bad hair transplants fixed. All hair transplant surgery will create small scars. Some people find them unacceptable. They want to wear their hair short, and they see the scar peeking out from under their hair, even if no one else does. Of course, there are also physicians with poor skills who create large scars and people who are prone to scarring. Actually, quite the opposite is true. When people are concerned about balding, they spend much time looking into a mirror to double-check and re-comb their hair to make it look like it covers more of their heads. 5. Do I feel comfortable around the opposite sex? People who have serious balding issues often feel as if members of the opposite sex look at them with contempt.