City Medical Centre · hair transplant clinicOpen 24/7

City Medical Centre

Hair Transplant
in Barcelona

FUE · DHI

from $2,200

The advice and a price — $0.

Real patient

Hair transplant: photo of a patient before the operation and 12 months later

initial

12 months later on

The FUE method: no incisions, no stitches. Graft count and forecast measured up and never billed — before you decide.

Message us on WhatsApp

Free online consultation · Reply within 15 minutes

Find out your price and number of
grafts

Costs nothing, no surgery booking required

Message our coordinator

Free online consultation · Reply within 15 minutes

Message us on Telegram

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Hair transplant (hair restoration) in Barcelona: price and key facts

Hair transplant for patients from Barcelona at City Medical Centre starts at €2,000 (from $2,200). The first online consultation is free; the doctor names the final price and it is fixed in the contract.

Price
€2,000 (from $2,200)
Performed by
Anastasia A. Kolesnik, hair transplant doctor
Anesthesia
local
Stay
one day at the clinic
Final result
12–18 months after surgery
How it works
Send photos on WhatsApp or Telegram, get a free doctor assessment and the price, then confirm the plan and dates before anything is booked.

How it works · Hair transplant prices

Information current as of 5 November 2026

Free online consultation on WhatsApp and Telegram

results

Here is how hair looks
8–12 months later

Genuine patients only, with nothing staged.

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

initial

12 months later on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

initial

12 months later on

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

initial

12 months later on

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

initial

12 months later on

3,000 grafts

FUE method

Beard transplant: photo before and 12 months later, 2700 grafts, FUE method

initial

12 months later on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

initial

12 months later on

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

initial

12 months later on

2,900 grafts

FUE method

Beard transplant: photo before and 12 months later, 2500 grafts, FUE method

initial

12 months later on

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3400 grafts, FUE method

initial

12 months later on

3,400 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2500 grafts, FUE method

initial

12 months later on

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

initial

12 months later on

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

initial

12 months later on

3,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 4000 grafts, FUE method

initial

12 months later on

4,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

initial

12 months later on

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

initial

12 months later on

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3700 grafts, FUE method

initial

12 months later on

3,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

initial

12 months later on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

initial

12 months later on

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

initial

12 months later on

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

initial

12 months later on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2500 grafts, FUE method

initial

12 months later on

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3900 grafts, FUE method

initial

12 months later on

3,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

initial

12 months later on

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

initial

12 months later on

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

initial

12 months later on

2,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

initial

12 months later on

3,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

initial

12 months later on

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

initial

12 months later on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3700 grafts, FUE method

initial

12 months later on

3,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

initial

12 months later on

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

initial

12 months later on

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

initial

12 months later on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 4000 grafts, FUE method

initial

12 months later on

4,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3400 grafts, FUE method

initial

12 months later on

3,400 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

initial

12 months later on

2,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

initial

12 months later on

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

initial

12 months later on

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

initial

12 months later on

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3900 grafts, FUE method

initial

12 months later on

3,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

initial

12 months later on

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

initial

12 months later on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

initial

12 months later on

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

initial

12 months later on

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

initial

12 months later on

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

initial

12 months later on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

initial

12 months later on

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

initial

12 months later on

3,600 grafts

FUE method

Comparison

Hair transplant methods
FUE and DHI

Three technologies transfer the grafts: classic FUE, suture-free DHI and a combined protocol. Study the implantation technique, the tissue trauma and the graft survival, and make an informed choice.

FUE

Classic technique without incisions or stitches

Hair transplant with the FUE method
Discount through late November

$2,200

$2,700

Graft implantation technique

Forceps

Graft trauma

Minimal

A natural growth angle

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia

DHI

Stitch-free implantation with a Choi pen

Hair transplant with the DHI method
Discount through late November

$2,500

$2,900

Graft implantation technique

DHI, a Choi implanter

Graft trauma

Minimal

A natural growth angle

Natural

Graft survival

98–100%

Suitable for

Densification

Combined DHI/FUE

Extraction by FUE, DHI implant

Combined DHI and FUE protocol
Discount through late November

$2,700

$2,900

Graft implantation technique

FUE extraction + DHI implantation

Graft trauma

Minimal

A natural growth angle

Natural

Graft survival

98–100%

Suitable for

Densification for androgenetic alopecia

Survival and trauma values are average figures for each method, shown as a guide: the exact numbers depend on the transplant area and the patient's own features, and the doctor confirms them at the consultation.

Learn more

Everything on hair transplants: specialist answers and first-hand accounts

Video about hair transplants at City Medical Centre, clip 1
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Video about hair transplants at City Medical Centre, clip 12
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Video about hair transplants at City Medical Centre, clip 20
Learn more

about the clinic

A spot where you
will feel settled

Comfort in the room, quality equipment, attention to the patient

The City Medical Centre team with a patient after a hair transplant

Message us wherever you feel at home

You ask, we explain, and the consultation is scheduled when it works for you

Message us on Telegram Message us on WhatsApp Get in touch

Wanting it does not make it right

If your case can be solved without surgery, you will hear that right at the consultation — and you will not waste your money. Below are the conditions where a transplant really works.

A man with thinning hair at a consultation: a case where a hair transplant helps

When the answer is yes

  • Androgenetic or diffuse alopecia
  • A receding hairline
  • A high hairline
  • Insufficient hair density
  • Genetic traits of hair growth
  • Aftermath of a burn or an injury
  • Hair loss post-illness
  • Shedding from a hormonal imbalance

Find it hard to judge your own?

Just leave a number. The coordinator asks for photos of the affected area in a messenger, a doctor looks at them and tells you whether a transplant would help you. No fee and nothing to book.

A doctor looking at a photo of a thinning area on a phone
Am I a good candidate?

services

You learn the price
before the surgery

Grafts are counted at the free consultation, then the cost is named and fixed in the contract.

Discount through late November

FUE method

suture-free graft extraction

Hair transplant with the FUE method — operating room at City Medical Centre

$2,200$2,700

The advice and a price — $0.

Set the price now
Discount through late November

DHI method

implantation without channels

Hair transplant with the DHI method and a Choi pen — operating room at City Medical Centre

$2,500$2,900

The advice and a price — $0.

Set the price now
Discount through late November

DHI+FUE combo method

combined technique

Combined DHI and FUE hair transplant — operating room at City Medical Centre

$2,700$2,900

The advice and a price — $0.

Set the price now
Discount through late November

Other treatments

Your first meetingFree
Eyebrow transplant, FUE$1,700$1,600
Beard transplant, FUE$3,000$2,800
Hair trichopigmentation$2,000$1,700
PRP therapy / session$200
Set the price now

all included

What is included
in $2,200

From the first preparations to 12 months of follow-up.

Growth guarantee, lifelong

No extra charges appear on the day of surgery.

two more patches

Beard and eyebrow
transplants

Beyond the scalp too: the same grafts from the back of the head, the same FUE method — only the area changes.

Beard transplant

FUE method, free of cuts or stitches

A surgeon marking the beard line before a transplant at City Medical Centre

From the donor area at the back of the head the grafts are taken and moved through micro-punctures of about 1 mm; no scars remain. The doctor discusses the shape with you before the operation and takes your facial features into account. Transplanted hair grows for life: the beard is trimmed and styled as usual.

$2,800$3,000

The advice and a price — $0.

Set the price now

Eyebrow transplant

FUE method, free of cuts or stitches

A surgeon marking the eyebrow shape before a transplant at City Medical Centre

First comes the drawing, which the surgeon makes at the first consultation: you look at example photos together and your facial proportions shape the curve. Hairs are angled exactly as they should grow, so the brows look natural. It also helps where years of plucking stopped growth.

$1,600$1,700

a same-day procedure with the scalp area numbed

Set the price now

Work out the grafts and the cost

The doctor will look at your donor area, count the grafts and show the result achievable in your case. The cost is quoted at the consultation and fixed in the contract.

Operating room at City Medical Centre

Message our coordinator

Free online consultation · Reply within 15 minutes

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Process

A day at the clinic —
then go home

From consultation to going home — all in one day

Your first meeting — hair transplant at City Medical Centre
1

Your first meeting

At this first meeting, the doctor walks you through both the FUE and DHI methods, addresses any questions you have, and designs a surgical plan built around your case — at no cost.

Locking in the chosen day
2

Locking in the chosen day

This step reserves your surgery date through a deposit, paid by card at the clinic or online, with terms captured in a medical services contract.

Clearing the way for the grafting — hair transplant at City Medical Centre
3

Clearing the way for the grafting

Preparation for the surgery includes a set of tests, and the clinic makes the process easy with a full list and instructions.

The injections – and then nothing hurts — hair transplant at City Medical Centre
4

The injections – and then nothing hurts

Local anaesthesia is applied before the procedure begins, so patients in Barcelona feel no pain during surgery.

One follicle at a time, they are removed — hair transplant at City Medical Centre
5

One follicle at a time, they are removed

This stage extracts grafts from the back of the head or the temples using a technique that requires no stitches.

Where each of the harvested grafts ends up — hair transplant at City Medical Centre
6

Where each of the harvested grafts ends up

The team implants the harvested grafts into the balding zone at this stage.

From fresh dressings to fully healed skin — hair transplant at City Medical Centre
7

From fresh dressings to fully healed skin

This final step covers recovery, with the clinic giving you everything required and detailed instructions to speed healing.

Healing after a hair transplant, 0-10 days
8

0-10 days — Settles in

The crusts are shed, the swelling recedes, the skin heals over

Shedding of the transplanted hairs after a hair transplant, 2-4 weeks
9

2-4 weeks — Transplanted hairs shed

The follicles stay; only the hair shafts fall out

Growth begins after a hair transplant, 3-4 months
10

3-4 months — Growth sets in

Hair thickens gradually and you can see the difference

Visible density after a hair transplant, 6-9 months
11

6-9 months — Cover fills in

Growth fills out; the hair gains body and its shape can be seen

Final result after a hair transplant, 12-18 months
12

12-18 months — The full effect

The result reaches full thickness with a believable hairline

At the consultation the doctor calculates how many grafts you personally need and explains how the transplant goes

A doctor's appointment at City Medical Centre

Free, before the operation, no strings at all.

Learn more

doctors

Our doctors

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years in practice

At the consultation the operating surgeon answers you directly.

The doctor will look at your donor area, count the grafts and say what result you can get.

Learn more

coordinators

The clinic's helpers

You are looked after by one coordinator from your first message right through recovery.

Svetlana, patient care specialist

Svetlana

Patient services lead

In touch until you have healed

Handles the paperwork and your bookings

Ekaterina, patient care specialist

Ekaterina

Patient services lead

In touch until you have healed

Handles the paperwork and your bookings

Maria, patient care specialist

Maria

Patient services lead

In touch until you have healed

Handles the paperwork and your bookings

Yulia, patient care specialist

Yulia

Patient services lead

In touch until you have healed

Handles the paperwork and your bookings

How it actually
happens

How a hair transplant goes, clip 1
How a hair transplant goes, clip 2
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story

If that is what you want — the consultation is free

You ask, we explain, and the consultation is scheduled when it works for you

Message us on Telegram Message us on WhatsApp Get in touch

Reviews

Patient reviews

  • ★★★★★
    Sang Tran
    I was having trouble with my hair. I came here and got a hair transplant. The results was awesome thank you

    Review on Google

  • ★★★★★
    Илья Вячеславович
    І experienced hair loss due to COVID and turned to this clinic; they helped me and performed a hair transplant, moving hair from the back of my head to my temples. Thank you.

    Review on Google

  • ★★★★★
    ilya svyatoslavovich
    I traveled to City Medical Centre, where they helped me overcome hair loss through a transplant to the balding areas of my scalp. I am grateful to the doctors for performing the procedure painlessly.

    Review on Google

  • ★★★★★
    Мансур Касанбаев
    I am sharing my experience, because before the operation I went through a pile of reviews myself and was looking for real stories. I had a beard transplant six months ago. Honestly, in the first days after the procedure I felt a little jittery: my face looked unfamiliar, there was slight swelling and small scabs. In the first couple of months the hair partly fell out, as the doctor had warned. But now the result truly makes me very happy) From about the 4th month active, even growth began. The transplanted hair took very well, the beard now looks as natural as possible, no bald patches are left. The beard became much thicker and denser, with the shape I had thought about for a long time. All in all, I recommend the clinic, the doctor was polite and explained everything 👍 The result is definitely worth it!

    Review on Google

  • ★★★★★
    Dinh Nguyen
    I traveled to this clinic and do hair transplant, very good quality and cheap. Good doctors

    Review on Google

  • ★★★★★
    Hải Cao
    I do hair transplant here very good doctors!!

    Review on Google

What people ask

We share what people
ask before booking

People often say hair implants, but no artificial hair is used. In a hair transplant the doctor moves your own follicles (grafts) from the donor area to thinning or bald areas using FUE or DHI.

City Medical Centre doctors

Yes — patients from other cities and countries are welcome, and you can start with a free online consultation.

FUE: $2,200 (≈ €2,000). DHI: $2,500 (≈ €2,250). Combined: $2,700 (≈ €2,450). A free consultation and graft count gives you the final, contract-fixed price with no hidden extras.

It is a one-day procedure — you leave for home right after.

It helps with stable pattern hair loss and a receding hairline when there are enough donor grafts. Some types of alopecia need treatment first; the doctor checks this at the consultation.

It isn't painful: local anaesthesia is used throughout the surgery.

FUE is the classic method: grafts are harvested with tweezers, with no cuts or stitches. DHI implants grafts without channels, using a Choi pen. A combined method harvests grafts by FUE and implants them with the DHI pen.

The doctor calculates the exact number of grafts at a free consultation, based on your donor area.

0–10 days for healing, 2–4 weeks for normal shedding of transplanted hair, 3–4 months for new growth to start, 6–9 months for real density, and 12–18 months for the final result.

The clinic provides a lifetime guarantee on hair growth, stated in the contract.

All of it can be checked
before you pay

The clinic works under a medical licence; care follows the standards and clinical guidelines

of Ministry of Health.

Diploma of a City Medical Centre doctor
Certificate of a City Medical Centre doctor

Certificates of the doctors who perform the operation

Look at the documents

AKC POMOSHCH LLC

the firm's legal entity

1057746096924

OGRN

7728536872

INN

Hair transplant for patients in Barcelona: what it looks like

The method suits a patient in Barcelona because it asks so little: FUE and DHI, no cuts, no stitches, local anaesthesia and one day of your time. Graft survival is 98-100 %, and a price from $2,200 (≈ €2,000) is put into the contract after a free count of the grafts.

The beginning in Barcelona is photos and a conversation, and both are free: the doctor examines the thinning area on the pictures and counts the grafts. The clinic stays in touch 24/7, so you write when the day allows it.

Healing needs 0-10 days; the transplanted hairs shed at 2-4 weeks and the follicles stay in place; growth starts at 3-4 months, density builds by 6-9 and the final result comes at 12-18. A personal coordinator keeps photo control at 1, 3, 6, 9 and 12 months under a lifetime growth guarantee.

Hair Transplant in Barcelona: price and what is included

Prices are in US dollars; the amount in brackets is an approximate conversion to EUR at the rate of 02.10.2026. The final price is fixed in your contract.

By messaging us, you agree to our Privacy Policy

Written by Anastasia A. Kolesnik, plastic surgeon, hair transplant doctor

Medically reviewed by Ellina V. Goncharova, dermatovenereologist, trichologist, surgeon. Review date:

Sources and further reading

  1. NHS — Hair transplant
  2. American Academy of Dermatology — Hair loss: hair transplants
  3. International Society of Hair Restoration Surgery (ISHRS) — Treatments for hair loss
  4. PubMed / NCBI — Follicular Unit Extraction for Hair Transplantation: An Update (Actas Dermosifiliogr, 2017)
  5. PubMed / NCBI — Donor site healing in follicular unit extraction hair transplantation (Cell Mol Biol, 2025)

How we prepare and review medical content · Medical disclaimer

Stories of well-known people

Well-known people who spoke openly about this operation, in their own words.

All stories about this operation →

Two registers worth opening before any booking

Barcelona is home to roughly 1,713,247 people (2025 estimate, city). Before technique comes the question of how to tell one doctor from another, and two public registers help. The Col·legi Oficial de Metges de Barcelona, which describes itself as founded in 1894, lists a Registre de Metges col·legiats among its services, along with a membership-verification service for health centres and organisations. Nationally, the Consejo General de Colegios Oficiales de Médicos publishes a Registro de Colegiados and a Buscador de Colegiados.

Treat the registers as a second pair of eyes. Get from the clinic the full name of whoever would carry out your transplant, then look at how that name and specialty are recorded. The hair team here combines a hair transplant doctor and trichologist, a dermatovenereologist and trichologist and a plastic surgeon, and every licence, diploma and certificate may be inspected before any payment.

Put four requests into one message: the medical licence and its number, the legal name of the organisation giving care, the credentials of each doctor, and the contract for medical services. Honest teams reply without fuss. File each reply with its date.

None of this means going anywhere. The first assessment happens online, costs nothing and reserves nothing, and your coordinator replies on WhatsApp or Telegram whenever you write, even late at night.

Three ways to move a graft: what to ask about each

Think of the three methods as three ways of moving a graft. With FUE, a doctor lifts follicular units out with forceps, leaving no cuts or sutures, and the hairs keep their own natural angle. With DHI, a Choi pen carries each unit directly into the skin, so channels are never opened beforehand. The combined route extracts by FUE and implants by DHI, and it is positioned as a way of densifying hair affected by androgenetic alopecia.

The clinic sets them side by side on implantation technique, trauma to the graft and angle of the hair, and for FUE it quotes graft survival of 98 to 100 per cent. Treat these as averages for orientation. Actual figures depend on the zone being treated and on your own features, and the doctor spells them out at the consultation.

Carry that comparison into your own conversation. Which of the three fits your donor zone and your pattern of loss? Ask for the reasoning in one sentence you can keep, and ask what would change the recommendation. Ask who performs each stage as well; the doctor at the consultation is the one in the operating room, and you can have that confirmed in writing.

Then comes the count. After studying the donor zone, the doctor arrives at a number of grafts and describes what is realistic. Insist that the figure appears in the contract. A number you cannot find on paper cannot be compared later with what you actually received.

Beard and eyebrow work follows the same logic, with the destination changing but not the source at the back of the head. For beards the grafts pass through micro-punctures of roughly 1 mm. For eyebrows the surgeon first draws the line and reviews reference pictures with you, so shape comes before individual hairs. Put the same questions to any combination you consider.

Two quotations can only be compared when four things match: the method, the number of grafts, the area to be covered and the person who performs the work. Make a small grid with those four rows and one column per clinic, then fill it from written answers. A column with gaps tells you where the next question goes, and a quotation that cannot name its method or its count is not yet an offer.

Preparing a photo set that the doctor can actually use

To begin, the coordinator needs just a phone number and pictures of the thinning areas. A doctor reviews them and says whether a transplant would be useful. A weak set slows everything down, so give it ten careful minutes.

Shoot in daylight, dry hair parted as usual, plain background, no flash. Capture the crown, the front, both temples and the back, plus a clear image of the donor zone. An old photograph showing earlier density is a useful extra.

Beneath the pictures, write four short lines: when the loss began, how fast it moved, whether relatives share it, and what you have already tried. Add one sentence of medical history, especially anything on the list in the next section.

Decide beforehand what you would regard as success. A fuller front, a covered crown, thicker beard or stronger eyebrows are different aims with different graft needs, and a doctor can only advise on the aim you state. Write it as one sentence and read it back the day after.

Finally, keep what you receive. Plan, method, graft count, answers and contract go into a single folder, each file named with its date.

Remember what pictures cannot do. They show the pattern of loss, but the doctor arrives at the graft count only after studying the donor zone, and then explains what outcome is realistic. Any figure quoted from photographs alone is provisional; the number that counts is the one given at the consultation and written into the contract.

When the honest answer is no

Nobody gains from sending a patient into an operating room needlessly, and the clinic says as much. The situations where a transplant clearly helps are androgenetic or diffuse alopecia, bald areas and a receding frontal area.

The cautionary list is longer and deserves a full read. It covers cancer, epilepsy, diabetes mellitus, a pacemaker, serious heart conditions, pulmonary embolism, hepatitis B or C, HIV or AIDS, intolerance to anaesthetics, being younger than eighteen, and two psychiatric diagnoses, trichotillomania and body dysmorphic disorder. Thin donor density, inherited growth traits, burn or injury damage, and shedding after illness or from hormonal imbalance also call for a frank talk.

A refusal accompanied by a reason marks a careful team. If the doctor says surgery would not help, ask what does fit your situation, and request the answer in writing.

You need not be sure of qualifying before you write. Send pictures, hear the verdict, then decide. The assessment is free and books nothing.

One more practical point belongs here: if you are unsure whether a medicine you take or a condition you have not mentioned matters, mention it anyway. A doctor who has the whole picture can give a plain yes or no, and a sentence you leave out cannot be weighed.

Eighteen months as a follow-up spreadsheet

Hair grows slowly and the memory of month two fades fast, so treat the coming eighteen months as a table with dated rows. In the first ten days the crusts come off and puffiness subsides. Between weeks two and four the implanted hairs drop out, which is expected and leaves the follicles where they are.

Fresh hairs begin appearing around month three or four. Thickness returns from months six to nine, and the full volume with a natural edge arrives somewhere between months twelve and eighteen. If month five looks unchanged to you, the table answers: that is still the stage of waiting for the first new hairs.

Checks are placed at 1, 3, 6, 9 and 12 months. Put them in your calendar on the day of surgery, photograph identical areas in identical light before each, and forward the set to the coordinator, who accompanies you throughout recovery.

Included are dressings and healing checks, a care plan for the grafted and donor areas, advice on washing, sleep and headwear, and a plan for returning to sport and hair care. Request every item as written instructions.

Surgery is a single-day procedure under local anaesthesia and you return home the same day. Ask which tests precede it, and get the list with instructions for each one.

Give yourself a decision rule before talking to anyone. Pick a date before which you will pay nothing, and write down the two or three things that would make you say yes and the two or three that would make you say no. When the answers arrive, check them against that page rather than against your mood on the day. A transplant is slow to show results, and a calm choice made on paper is the best protection against regret in month five.

How can I confirm that a doctor is registered?

Obtain the full name from the clinic and compare it with the Registre de Metges col·legiats of the Col·legi Oficial de Metges de Barcelona and the national Buscador de Colegiados.

What can I inspect before paying?

The medical licence, the legal entity and the doctors' diplomas and certificates.

What belongs in the photo set?

Daylight pictures of the crown, front, temples and back, one of the donor zone, and a note about when the thinning began.

Is a beard transplant a separate operation?

It follows the FUE method with the same donor area at the back of the head; grafts are moved through micro-punctures of about 1 mm.

Who counts my grafts?

The doctor, who inspects the donor zone at the consultation and sets out what is achievable.

May the doctor decline to operate?

Yes. If a transplant would not help, or a contraindication applies, the doctor says so openly.

When are the control visits?

At 1, 3, 6, 9 and 12 months, with photographs exchanged with your coordinator in between.