City Medical Centre · hair transplant clinicOpen 24/7

City Medical Centre

Hair Transplant in
Bilbao: FUE & DHI

0% instalments

from $367/mo

Talk it over, costed — $0.

Honest case

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

initial

12 months later on

No incisions, no stitches with FUE. Grafts and outcome forecast done for you, free of fee — 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 Bilbao: price and key facts

Hair transplant for patients from Bilbao 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 24 October 2026

Free online consultation on WhatsApp and Telegram

results

This is how hair looks
8–12 months later

No stock images: only genuine CMC patients.

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 graft transfer technologies are at work here: classic FUE, suture-free DHI and a combined protocol. Compare implantation technique, tissue trauma and graft survival, and choose your method.

FUE

Classic technique without incisions or stitches

Hair transplant with the FUE method
Discount through late October

$2,200

$2,700

Graft implantation technique

Forceps

Graft trauma

Minimal

The natural growth angle

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia

DHI

Suture-free placement with a Choi pen

Hair transplant with the DHI method
Discount through late October

$2,500

$2,900

Graft implantation technique

DHI, a Choi implanter

Graft trauma

Minimal

The natural growth angle

Natural

Graft survival

98–100%

Suitable for

Densification

Combined DHI/FUE

FUE for extraction, DHI implant

Combined DHI and FUE protocol
Discount through late October

$2,700

$2,900

Graft implantation technique

FUE extraction + DHI implantation

Graft trauma

Minimal

The 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.

Reserve an appointment

Notes from specialists and accounts from patients on hair transplants

Video about hair transplants at City Medical Centre, clip 1
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Video about hair transplants at City Medical Centre, clip 12
Video about hair transplants at City Medical Centre, clip 13
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Video about hair transplants at City Medical Centre, clip 17
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Video about hair transplants at City Medical Centre, clip 19
Video about hair transplants at City Medical Centre, clip 20
Reserve an appointment

about the clinic

Clinic, where you
will feel at ease

Up-to-date equipment, comfortable rooms, care for the patient

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

Questions? Any of the routes below work

Ask anything you need, and we will slot the consultation into your schedule

Message us on WhatsApp Get in touch

Some cases call for other answers

If the issue can be solved another way, the doctor says so at the consultation, and your budget is left alone. The situations in which a transplant is truly effective are listed below.

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

Situations that fit it

  • Androgenetic or diffuse alopecia
  • A receding hairline
  • A high hairline
  • Insufficient hair density
  • Genetic features of hair growth
  • Damage caused by a burn or injury
  • Hair loss post-illness
  • Shedding due to a hormonal imbalance

Still unsure where you stand?

Give a number to reach you on. A coordinator will request pictures of the thinning zone through a messenger, and a doctor reviews them and tells you whether a transplant would help. No fee, no obligation to book.

A doctor looking at a photo of a thinning area on a phone
Check whether it suits

services

You learn the price
before the surgery

Counting comes before pricing: both happen at the free consultation, and the contract fixes the price.

Discount through late October

FUE method

suture-free graft extraction

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

$2,200$2,700

or $367/mo — 0% instalments for 6 months

Set the price now
Discount through late October

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

or $417/mo — 0% instalments for 6 months

Set the price now
Discount through late October

DHI+FUE combo method

combined technique

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

$2,700$2,900

or $450/mo — 0% instalments for 6 months

Set the price now
Discount through late October

Our other work

The starting appraisalFree
Eyebrow transplant, FUE$1,700$1,600
Beard transplant, FUEinstalments $467/mo$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

Cover starts before surgery and lasts 12 months after.

Lifetime hair growth guarantee
Instalments available

The day of surgery adds nothing to the price.

two extra patches

Beard and eyebrow
transplants

The list is wider than the scalp. Donor grafts still come from the back of the head, and FUE is still the method.

Beard transplant

FUE method, free of cuts or stitches

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

Grafts are taken from the donor area at the back of the head and moved through micro-punctures of about 1 mm, so no scars are left. The doctor agrees the shape with you before the operation, taking your facial features into account. Transplanted hair grows for life: trim and style the beard as usual.

$2,800$3,000

or $467/mo — 0% instalments for 6 months

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

The eyebrow shape is drawn at the initial consultation by the surgeon: references are reviewed together and the design takes your facial features into account. The hairs are implanted at the right angle, so the eyebrows look natural. It also helps where years of plucking ended hair growth.

$1,600$1,700

a day-clinic operation, the scalp numbed first

Set the price now

Learn what it costs and how many grafts

The doctor reads your donor zone, counts the grafts available and shows what result is within reach. A figure is given at the consultation and committed to 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 —
and home you go

From consultation to going home — all in one day

The starting appraisal — hair transplant at City Medical Centre
1

The starting appraisal

Patients in Bilbao are given a full account of DHI and of FUE, answers to anything they ask, and an examination of the donor area.

Deciding when it happens
2

Deciding when it happens

Once you're ready, the surgery date is reserved with a deposit, paid either by card at the clinic or online, and the terms are fixed in a medical services contract.

Groundwork ahead of the operation — hair transplant at City Medical Centre
3

Groundwork ahead of the operation

You are given the full set of test requirements by the clinic, with directions attached, so preparation is straightforward.

Kept comfortable – the anaesthetic works — hair transplant at City Medical Centre
4

Kept comfortable – the anaesthetic works

A local anaesthetic makes sure the surgical work passes without any pain.

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

One follicle at a time, they are removed

The donor supply lies behind the head or around the temples, and grafts come from there without any stitching.

Planting out the units in the treated zone — hair transplant at City Medical Centre
6

Planting out the units in the treated zone

For patients in Bilbao, this step means the surgeons implant the grafts into the balding zone.

What to expect while everything mends — hair transplant at City Medical Centre
7

What to expect while everything mends

Nothing about healing is left vague: the clinic provides the supplies and explains their use in full.

Healing after a hair transplant, 0-10 days
8

0-10 days — Downtime

Scabs clear off, the swelling settles, the skin returns to normal

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

2-4 weeks — Hairs shed from the treated zone

Normal stage. Only the hairs fall out, the follicles remain in place

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

3-4 months — Growth starts

Hair thickens gradually and you can see the difference

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

6-9 months — Volume returns

The hair gets denser, the main volume and contour are visible

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

12-18 months — Finished result

The finished volume shows, with a naturally drawn edge

At the consultation the doctor will say how many grafts you personally need and explain how the transplant will go

A doctor's appointment at City Medical Centre

Free, before surgery and with zero obligations.

Reserve an appointment

doctors

Our doctors

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years in practice

The surgeon who will do your case is present at the consultation.

Donor zone examined, grafts calculated, outcome explained in plain words.

Reserve an appointment

coordinators

Who will help you

You get a personal coordinator who guides you from the first enquiry through to recovery.

Svetlana, patient care specialist

Svetlana

Care team coordinator

Will support you before and after surgery

Will chase the papers and hold your slot

Ekaterina, patient care specialist

Ekaterina

Care team coordinator

Will support you before and after surgery

Will chase the papers and hold your slot

Maria, patient care specialist

Maria

Care team coordinator

Will support you before and after surgery

Will chase the papers and hold your slot

Yulia, patient care specialist

Yulia

Care team coordinator

Will support you before and after surgery

Will chase the papers and hold your slot

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

You could be next — the consultation costs nothing

Ask anything you need, and we will slot the consultation into your schedule

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

Points people raise

We cover 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. Anyone from a different city, or a different country, can be treated, and the consultation itself can happen online.

FUE costs $2,200 (≈ €2,000), DHI costs $2,500 (≈ €2,250), and the combined DHI+FUE method costs $2,700 (≈ €2,450). The exact amount is confirmed at a free consultation after your grafts are counted, and it is fixed in the contract.

Expect one day in total; nobody needs to stay the night.

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.

No pain is felt, as the zone is numbed locally beforehand.

FUE is cut-free graft extraction by tweezer. DHI is direct implantation with a Choi pen, skipping channel-making. The combined technique takes grafts by FUE and places them using the DHI method.

You will learn the exact figure from the doctor at the free consultation, which rests on the donor area.

0–10 days: healing. 2–4 weeks: the transplanted hairs shed, which is normal. 3–4 months: growth resumes. 6–9 months: density becomes noticeable. 12–18 months: the result is complete.

A lifetime guarantee of hair growth is included, confirmed in your contract.

All of it can be checked
before you pay

The clinic works under a medical licence, and care meets the standards and clinical guidelines

per Ministry of Health.

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

Open access to the qualification papers of the surgeons

Browse the documents

AKC POMOSHCH LLC

the firm's legal entity

1057746096924

OGRN

7728536872

INN

The answer to hair loss for Bilbao patients

The two methods offered to a patient in Bilbao, FUE and DHI, leave no cuts and no stitches, work under local anaesthesia and finish within one day. Graft survival is 98-100 %, and a price from $2,200 (≈ €2,000) is fixed in the contract after a free graft count.

From home in Bilbao you get the same first step as anyone: a free online consultation, photos of the thinning area for the doctor, and a count of the grafts. The clinic answers 24/7, and there is no charge for that conversation.

Healing occupies 0-10 days. At 2-4 weeks the transplanted hairs shed, which is normal and temporary. Growth starts at 3-4 months, density by 6-9 and the final result at 12-18. Your personal coordinator checks progress by photo at 1, 3, 6, 9 and 12 months, with a lifetime growth guarantee.

Hair Transplant in Bilbao: 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

Stories told by well-known

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

All stories about this operation →

Page medically reviewed by Anastasia A. Kolesnik, hair transplant doctor. Review date: .

Sea air, drizzle and a scalp that is rarely dry

Bilbao sits about 16 km south of the Bay of Biscay, in a river valley ringed by two modest mountain chains of around 400 m. The highest point, Mount Ganeta, reaches 689 m. The official mean altitude of the city is only 19 m, so the sea's influence reaches the streets without much obstruction. The climate is classed as oceanic (Cfb), and for a person who has had a hair transplant this means the scalp lives in damp, mild air for most of the year, not in dry heat or hard frost.

The 1991-2020 weather-station normals show annual precipitation of 1,158 mm spread over 124.4 days, and average relative humidity of 71 %. The very fine drizzle known locally as sirimiri is the weather that matters most here. It does not soak you like a downpour, but it settles on hair and skin and can leave a cap or hood damp after a short walk. Your recovery plan should account for that, because the first days after the procedure are when the treated area needs the most careful handling. The doctor will give you instructions on washing, on sleep and on headwear, and you can ask during the online consultation how those instructions apply to a rainy week in Bilbao.

The practical point is simple. A hat that is warm but wet is not a good choice for the early healing period, and a hat that is dry but tight is not either. In the consultation, the doctor will explain what kind of headwear is acceptable in the first days. Then you can match it to the forecast: a loose, breathable cover if the day is mild and humid, a dry one kept ready if the sky is grey and unpredictable. Bring up the sirimiri, and ask how to manage it, instead of assuming an umbrella will do the whole job.

Spain also sets a general framework for health services. In the common portfolio of the national health system (RD 1030/2006), techniques with the aim of "mere aesthetic or cosmetic improvement" are not publicly financed. Procedures with an aesthetic purpose unrelated to an accident, illness or congenital malformation are excluded from specialised public care. Why does this matter for a hair transplant? Because the first step is a private, online assessment. You send photos to the coordinator on WhatsApp or Telegram, the doctor looks at your donor area and counts the grafts, and you decide before anything is booked.

Sun, wind and cold: what each season asks of a healing scalp

Bilbao is not a sunny city by Spanish standards. About 1,640 hours of sun a year are recorded, which is 36 % of those possible. December and January have only 81 hours each, while July reaches 186. For a graft-growth plan this seasonal swing is useful, because it tells you when the strongest light will fall on the treated area and when you can relax.

Summer is the demanding season for the scalp. July and August are the warmest months: the average maximum in August is 26.3 °C and the minimum 16.1 °C, with July at 25.4 °C and 15.8 °C. Those are comfortable numbers, yet the record is a reminder that extremes happen: 44.0 °C was measured on 23 August 2023. Even in a city where cloud is common, a bright summer day can be a very different matter from the grey average. During the early recovery, you should follow what the doctor says about sun exposure and headwear, and not rely on a cloudy forecast to decide for you.

Winter asks for the opposite. January and February are the coldest months, with maximums of 13.5 °C and 14.2 °C and minimums of 5.3 °C and 5.1 °C. That is cool, not harsh. The all-time low of −8.6 °C dates from 3 February 1963, and snow falls on an average of just 1.7 days a year. So the cold itself is rarely the issue for a transplant in Bilbao. Damp and wind are more relevant, since a wet head in a cool breeze is uncomfortable. If you plan the procedure for the cooler months, ask the doctor how to protect the area from both rain and wind in the first days, and what is fine to wear once the early healing phase is behind you.

The sensible way to think about the calendar is to separate the stages of recovery from the seasons. The service describes these stages: the first 0-10 days are for healing, as crusts fall away and swelling subsides. At 2-4 weeks the transplanted hairs shed, which is a normal stage, with only the hairs shedding and the follicles staying in place. First growth appears at 3-4 months, density shows at 6-9 months, and the final result arrives 12-18 months after the procedure. Lay those stages over the weather, and you can see which season will hold which stage.

A worked calendar: from November 2026 to the first anniversary

An example makes this concrete. Suppose the procedure is set for 9 November 2026. The service involves one day at the clinic, with local anaesthesia and the FUE method, which uses no cuts and no stitches. November is the wettest month in Bilbao's normals, with 171 mm over 13.7 days, so the first 0-10 days of healing would fall in the dampest weeks of the year. That is not a reason to avoid the month, but it is a reason to organise the first week well: a dry space to rest, covers that you can change as instructed, and a clear plan with the coordinator.

The shedding stage would come in late November and December. At 2-4 weeks after the procedure, the transplanted hairs fall out while the follicles remain. That is when many people feel they have taken a step backwards, and it is useful that it coincides with the months of least sunshine: December and January each have only 81 hours of sun. Dull light and cool days make it easier to keep a low profile, and the winter pace gives the scalp a calm stretch.

First growth is expected at 3-4 months, which would be roughly February to March 2027. In Bilbao, February is still among the coldest months, so a new growth stage may begin under a scarf-and-cap type of weather. By May 2027, about six months after the procedure, you enter the 6-9 month window when the density shows and the main volume and contour become visible. That window runs to about August 2027.

August matters here for another reason. The city's Aste Nagusia (Semana Grande) lasts nine days, starting on the first Saturday after 15 August, and begins with the chupinazo from the Teatro Arriaga. In 2026 it runs from 22 to 30 August, and it follows the same rule in later years. If you want your hair to look as dense as possible at a given event, count backwards: an August event is reached by about nine months after a November procedure, which sits at the end of the density window and not at the end of the full process. The final result is expected 12-18 months after the procedure, so for a November 2026 date that means a span from November 2027 to May 2028.

The follow-up visits fit this frame too. The service includes follow-ups at 1, 3, 6, 9 and 12 months, with progress tracked by photo through a personal coordinator. Because these are online, the weather in Bilbao does not decide whether a check happens. A rainy afternoon is no obstacle to sending photos, and the doctor can compare them with earlier ones.

Fitting the plan around work, study and the pace of a large metropolitan area

Bilbao has 347,342 inhabitants in the municipality according to the INE figure for 2024, and the metropolitan area has 1,037,847. The city covers about 40.65 km2, so it is compact for its population. The Nervión and the Ibaizábal meet in Basauri and form the ría of Bilbao, around 15 km long, with an average flow of about 25 m3/s. The Cadagua is its main tributary. These details describe the geography, and what they mean for you is a practical matter: many people live in or around the city and combine work, study and family life, so recovery needs to be planned around a normal timetable.

The University of the Basque Country (UPV/EHU) has its Bizkaia campus in Leioa, 11 km from the centre. It traces its origin to the University of Bilbao of 1968, and the figure of 44,921 students dates from 2009-10. If you are a student or university employee, think about how the first 0-10 days of healing fit with your teaching or exam calendar. The procedure itself takes one day, and the recovery is supported by instructions, dressings and healing checks. Still, the visible phase of crusts and swelling is the stage you may want to spend away from crowded rooms, and your coordinator can help you choose the week.

For people who work with the public, the shedding stage at 2-4 weeks is the one to plan around. The hairs that fall out are the transplanted shafts, not the follicles, but it is natural to want the most noticeable part of the process to happen during a quiet stretch of the year. A person whose job brings peak workload in a certain month can ask the coordinator to propose dates on either side of it. Because the consultation is online and the coordinators answer 24/7 on WhatsApp and Telegram, a late-evening question after a shift is as welcome as a morning one.

It also helps to think of the full year as a series of small decisions. In the first days, you wash and protect the area as instructed. Within the first weeks you adjust headwear to the weather. After that, the main job is patience, because density appears gradually. A Bilbao calendar with grey winters and a brighter, warmer August fits this pattern well, as long as you keep the sun-protection advice in mind once the summer months arrive.

Public waiting lists, cosmetic exclusions and why a quote comes first

Anyone who looks at health services in Spain will meet waiting-list statistics, and they are relevant to how you plan. At the end of 2025, the Basque Country had 24,069 patients on structural surgical waiting lists, 10.81 per 1,000 inhabitants, with an average wait of 64 days, one of the shortest in the national health system. Nationally, the figures were 853.509 patients and an average of 121 days, with 21.6 % waiting more than six months. A note of rectification was later published because of data from Castilla-La Mancha, so treat the national numbers as an initial publication.

For plastic surgery as a specialty, the average wait in the national system was 269 days, the longest of any specialty at the end of 2025. For first specialist consultations, the average wait was 102 days nationally. These numbers apply to public care for conditions covered by the portfolio. As noted above, techniques with a purely cosmetic aim are outside it. So a hair transplant for androgenetic alopecia is not a procedure you would queue for in the public system, and you do not need to compare timelines. The decision is about how and when you prefer to do it privately.

That leads to the reason the sequence begins with a free online consultation. You send photos, the doctor assesses the donor area, counts the grafts and shows the result that may be achievable in your case. The cost is quoted at that consultation and fixed in the contract. Nothing is booked before you confirm the plan and the dates. The consultation also covers whether a transplant is the right approach: some cases can be solved without a procedure, and the doctor will say so. The service lists conditions where a transplant is not suitable, such as trichotillomania, body dysmorphic disorder, cancer, epilepsy, serious heart conditions, diabetes mellitus, a pacemaker, hepatitis B or C, pulmonary embolism and age under 18, so be ready to speak honestly about your medical history.

Finally, there is the question of which method fits. FUE uses forceps, DHI uses a Choi implanter pen, and a combined protocol extracts with FUE and implants with DHI. The service notes that survival and trauma figures are averages for each method and that the doctor clarifies the precise numbers at consultation, depending on the transplant area and the patient's features. The sample cases on the service involve between 2,500 and 4,000 grafts, which gives a sense of range, though your own count will be set after the doctor sees your photos.

Does Bilbao's damp weather affect how I look after the transplanted area?

Humidity averages 71 % and rain falls on about 124 days a year, with sirimiri drizzle common. That makes headwear and washing routines worth discussing. During the online consultation, ask the doctor how to keep the area clean and dry in the first 0-10 days, which cover is acceptable on a wet day, and how to change it. The service includes advice on washing your hair, on sleep and on headwear, so use it with the local weather in mind.

Which months of the year bring the most sun to a healing scalp in Bilbao?

Sunshine peaks in July at 186 hours, with August the warmest month at an average maximum of 26.3 °C. December and January have only 81 hours each. If your recovery overlaps the brightest months, follow the doctor's advice on sun exposure and headwear, because a record of 44.0 °C in August 2023 shows that strong heat can occur.

If I have the procedure in November 2026, when would I expect each stage?

Taking 9 November 2026 as an example, the first 0-10 days of healing fall in the wettest month of the year. Shedding of the transplanted hairs follows at 2-4 weeks, around late November and December. First growth is expected at 3-4 months, so around February to March 2027. Density shows at 6-9 months, roughly May to August 2027, and the final result is expected 12-18 months after the procedure, between November 2027 and May 2028.

Can I plan the process around Aste Nagusia?

Yes, as long as you count the stages. Aste Nagusia lasts nine days from the first Saturday after 15 August, and in 2026 it runs from 22 to 30 August. With a November 2026 procedure, an August 2027 event falls about nine months after, at the end of the 6-9 month density window, not at the final result. Your coordinator can help you choose dates so the visible stages fall away from events you care about.

Does the Spanish public health system cover a hair transplant?

The common portfolio of the national health system excludes techniques with the aim of mere aesthetic or cosmetic improvement, and aesthetic procedures unrelated to an accident, illness or congenital malformation are outside specialised public care. So a hair transplant for androgenetic alopecia is arranged privately. The free online consultation lets you learn what is suitable and the quoted cost before you decide.

Will the public waiting times in the Basque Country matter for my plan?

Not directly. The Basque Country had an average surgical wait of 64 days at the end of 2025, and plastic surgery had the longest national average at 269 days, but these figures describe public care for covered conditions. A private procedure is scheduled after you confirm the plan: you send photos, receive the assessment and the quote, then agree the dates with the coordinator.

I study or work in the Bilbao area; how should I time the first weeks?

Think about the stages you want to spend away from busy settings. The procedure takes one day at the clinic, then crusts and swelling subside during the first 0-10 days, and shedding follows at 2-4 weeks. If your calendar has a heavy week, tell the coordinator, who can suggest dates around it. Follow-ups at 1, 3, 6, 9 and 12 months are done by photo, so they fit around a timetable.