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. You will be told to use your normal shampoo before the hair transplant surgery. No special scalp treatment will be needed. Do not worry about any scraggly hair on top of your head. The doctor will blend it in with the grafts as he goes. It may seem odd, but once the grafted hairs are set, they are just as strong as the rest of your hair. They were not only unbecoming, they were also permanent. Improvements were made in hair transplant surgery in the 1980s. Mini-grafts were better, but they still had the appearance of plugs, albeit smaller plugs. These were made up of 5-8 hairs each. This size of plugs is still being used by some surgeons even today. Hair transplant surgery is surely less painful than it was in earlier times when larger sections of scalp were excised. This involved more cutting to take out the donor hair and more cutting to insert the donor hair into the recipient site. Hair transplant surgery was a very painful procedure in the past. It is often hard to spot such tricks, but knowing that some surgeons do them will help you to watch out for them. You will get some good advice if you go to certain associations for assistance. The International Alliance of Hair Restoration Surgeons will give you information on surgeons that are affiliated with them. Of course, there are also physicians with poor skills who create large scars and people who are prone to scarring. Hair transplant scars are a sore subject for man people. 4. Uneven hairlines. Some people who have hair transplant surgery end up with uneven hairlines. This is caused by the oversight of negligent doctors.