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. In rare situations, the bleeding does not stop this way. In that case, it might be necessary for the surgeon to do some extra stitching to close the wounds. 3. Pain. There is actually very little pain with hair transplant surgery. About half of the people who have the procedure done will not need any pain relievers at all. Many will try to fool you into believing they are more experienced than they are. Sometimes, they will try to make you believe they do better work than they do. They will show you pictures that are not true examples of their own work. They might show you photos that they have taken using lighting tricks to make the hair look thicker and healthier than it is. 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? You have to look long and hard at your life to answer this question. You have to determine whether the baldness is really the problem or not. 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. Micro grafts hold about three or four hair follicles. Older style hair grafts often held more like a dozen hair roots. These new micro grafts are only possible because skilled surgeons have refined the methods of extracting them. Micro grafts are useful in hair transplant surgery because they can give the hair a quite natural appearance.