Why Some People Do Not Want To Have Hair Transplant Surgery Hair transplant surgery is not for everyone. In fact, some people have been so disappointed and even angered about their results that they have filed class action lawsuits against hair transplant surgeons and clinics. There are several reasons they give for their dissatisfaction. 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. The surgery will be explained to you in detail so that it will be fresh in your mind before you make that final commitment. She will go over any problems she sees that might come up during the hair transplant procedure. Then, you will be given instructions to make your hair transplant surgery go better. On the other hand, if the doctor talks about how little it will cost and how quick and easy it will be, be suspicious of that too. The answer should lie somewhere in the middle. 7. Not all hair transplant stories are good ones. If the doctor you consult with claims that his are, you cannot trust what he says. This will give an idea of whether there is hope for a good result that will last for a fair amount of time. You will also need to reveal to the doctor if you have had any hair replacement surgery before. To get an idea of how you will react to having a hair transplant procedure done, the doctor will ask many questions. 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. As time has gone by, the graft used by most surgeons has gone down.