City Medical Centre · hair transplant clinicOpen 24/7

City Medical Centre

Hair Transplant
in Bloemfontein

0% instalments

from $367/mo

Consultation and quote — $0.

Real case

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

before

12 months later

FUE, no incisions or sutures. Graft count and outcome forecast calculated free of charge — before you decide.

Message us on WhatsApp

Free online consultation · Reply within 15 minutes

Find out your price and number of
grafts

Free of charge, no surgery booking required

Message our coordinator

Free online consultation · Reply within 15 minutes

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

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

Price
$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

This is how it looks
8–12 months later

All cases: real City Medical Centre patients.

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

before

12 months later

2,800 grafts

FUE method

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

before

12 months later

3,500 grafts

FUE method

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

before

12 months later

2,600 grafts

FUE method

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

before

12 months later

3,000 grafts

FUE method

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

before

12 months later

2,700 grafts

FUE method

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

before

12 months later

3,300 grafts

FUE method

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

before

12 months later

2,900 grafts

FUE method

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

before

12 months later

2,500 grafts

FUE method

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

before

12 months later

3,400 grafts

FUE method

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

before

12 months later

2,500 grafts

FUE method

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

before

12 months later

3,100 grafts

FUE method

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

before

12 months later

3,600 grafts

FUE method

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

before

12 months later

4,000 grafts

FUE method

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

before

12 months later

3,200 grafts

FUE method

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

before

12 months later

3,000 grafts

FUE method

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

before

12 months later

3,700 grafts

FUE method

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

before

12 months later

2,700 grafts

FUE method

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

before

12 months later

3,800 grafts

FUE method

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

before

12 months later

3,300 grafts

FUE method

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

before

12 months later

2,800 grafts

FUE method

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

before

12 months later

2,500 grafts

FUE method

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

before

12 months later

3,900 grafts

FUE method

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

before

12 months later

3,500 grafts

FUE method

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

before

12 months later

3,800 grafts

FUE method

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

before

12 months later

2,900 grafts

FUE method

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

before

12 months later

3,600 grafts

FUE method

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

before

12 months later

2,600 grafts

FUE method

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

before

12 months later

2,700 grafts

FUE method

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

before

12 months later

3,700 grafts

FUE method

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

before

12 months later

3,200 grafts

FUE method

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

before

12 months later

3,000 grafts

FUE method

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

before

12 months later

2,800 grafts

FUE method

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

before

12 months later

4,000 grafts

FUE method

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

before

12 months later

3,400 grafts

FUE method

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

before

12 months later

2,900 grafts

FUE method

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

before

12 months later

3,100 grafts

FUE method

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

before

12 months later

2,600 grafts

FUE method

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

before

12 months later

3,300 grafts

FUE method

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

before

12 months later

3,900 grafts

FUE method

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

before

12 months later

3,500 grafts

FUE method

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

before

12 months later

2,700 grafts

FUE method

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

before

12 months later

3,800 grafts

FUE method

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

before

12 months later

3,200 grafts

FUE method

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

before

12 months later

3,000 grafts

FUE method

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

before

12 months later

2,800 grafts

FUE method

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

before

12 months later

3,100 grafts

FUE method

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

before

12 months later

3,600 grafts

FUE method

Comparison

Hair transplant methods
FUE and DHI

Graft transfer is done here by three technologies: classic FUE, suture-free DHI and a combined protocol. Look at the implantation technique, the tissue trauma and the graft survival before you choose.

FUE

Classic method requiring no cuts or sutures

Hair transplant with the FUE method
Discount until the end of November

$2,200

$2,700

Graft implantation technique

Forceps

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia

DHI

Implantation with a Choi pen, no sutures

Hair transplant with the DHI method
Discount until the end of November

$2,500

$2,900

Graft implantation technique

Choi implanter, DHI pen

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Densification

Combined DHI/FUE

FUE extraction, DHI pen implant

Combined DHI and FUE protocol
Discount until the end of November

$2,700

$2,900

Graft implantation technique

FUE extraction + DHI implantation

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Densification for androgenetic alopecia

These survival and trauma figures are averages for each method, meant as a guide: exact numbers depend on the transplant area and the patient's individual features and are clarified by the doctor at consultation.

Book a consultation

Inside the hair transplant: expert breakdowns, patient stories

Video about hair transplants at City Medical Centre, clip 1
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Video about hair transplants at City Medical Centre, clip 3
Video about hair transplants at City Medical Centre, clip 4
Video about hair transplants at City Medical Centre, clip 5
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Video about hair transplants at City Medical Centre, clip 10
Video about hair transplants at City Medical Centre, clip 11
Video about hair transplants at City Medical Centre, clip 12
Video about hair transplants at City Medical Centre, clip 13
Video about hair transplants at City Medical Centre, clip 14
Video about hair transplants at City Medical Centre, clip 16
Video about hair transplants at City Medical Centre, clip 17
Video about hair transplants at City Medical Centre, clip 18
Video about hair transplants at City Medical Centre, clip 19
Video about hair transplants at City Medical Centre, clip 20
Book a consultation

about the clinic

A centre where you
will feel at ease

Modern equipment, comfortable rooms and care for all patients

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

Contact us in whichever way suits you

We will answer your questions and find you a convenient consultation time

Message us on Telegram Message us on WhatsApp Choose a messenger

A transplant won't suit all

The doctor will tell you right at the consultation if your case can be solved without surgery — so you will not waste your money. Below are the conditions in which a transplant really works.

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

Where a transplant helps

  • Androgenetic or diffuse alopecia
  • Bald patches and a receding hairline
  • A high hairline
  • Insufficient hair density
  • Genetic traits of hair growth
  • Consequences of an injury or a burn
  • Shedding after an illness
  • Hair loss from hormonal imbalance

Not sure which group you are in?

Drop your number. A coordinator collects photos, the doctor says if a transplant suits you. Free of charge, no surgery booked.

A doctor looking at a photo of a thinning area on a phone
Find out if it suits me

services

You learn the price
before the surgery

The cost is quoted at the free consultation once the grafts are counted, and fixed in the contract.

Discount until the end of November

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

Lock in the price
Discount until the end of 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

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

Lock in the price
Discount until the end of November

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

Lock in the price
Discount until the end of November

Other services

Initial consultationFree
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
Lock in the price

all included

What is included
in $2,200

From getting ready for surgery to 12 months after.

Lifetime growth, guaranteed
Instalments available

No surprise costs on the day of the surgery.

two more areas

Beard and eyebrow
transplants

Not only on the scalp: the same grafts from the back of the head, the same FUE method — only the area changes.

Beard transplant

FUE method, no incisions 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 — no scars are left. The doctor discusses the shape with you before the operation, taking your facial features into account. Transplanted hair grows for life: the beard can be trimmed and styled as usual.

$2,800$3,000

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

Lock in the price

Eyebrow transplant

FUE method, no incisions or stitches

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

At the initial consultation the surgeon draws the eyebrow shape, you look through references 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 plucking has stopped hairs growing.

$1,600$1,700

an outpatient procedure under local anaesthesia

Lock in the price

Find your price and number of grafts

The doctor will evaluate your donor area, count the grafts and show what result your case allows. The cost is named 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

One day at the clinic —
and you go home

Modern equipment, comfortable rooms and care for all patients

Initial consultation — hair transplant at City Medical Centre
1

Initial consultation

The doctor opens the process with a free consultation, explaining the FUE and DHI techniques, answering questions, and shaping a plan built around your specific needs.

Booking the surgery date
2

Fixing the surgery date

A deposit, paid by card at the clinic or transferred online, locks in the surgery date, and the arrangement is written into a medical services contract.

Preparing for the hair transplant — hair transplant at City Medical Centre
3

Getting ready for the transplant

This step is dedicated to pre-surgery preparation: completing the tests the clinic lists, following its instructions closely.

Anaesthesia – a painless hair transplant — hair transplant at City Medical Centre
4

Anaesthesia, so the surgery is painless

Because local anaesthesia is used, patients in Bloemfontein experience no pain during the operation.

Harvesting grafts for the hair transplant — hair transplant at City Medical Centre
5

Collecting grafts for the hair transplant

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

Implanting grafts into the area of alopecia — hair transplant at City Medical Centre
6

Implanting grafts into the area of alopecia

The implantation stage places the grafts into the area of hair loss, handled by the surgeons.

Recovery after the transplant procedure — hair transplant at City Medical Centre
7

Healing after the transplant procedure

The clinic makes recovery straightforward, offering everything necessary and complete instructions for fast healing.

Healing after a hair transplant, 0-10 days
8

0-10 days — Heals

The crusts disappear, the swelling goes down, the area recovers

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

2-4 weeks — Transplanted hair shedding

A normal stage: only the hairs fall out, the follicles stay in place

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

3-4 months — New growth

Gradually new hairs appear and the result shows

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

6-9 months — Visible density

The hair is becoming thicker, the volume and contour are visible

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

12-18 months — Final result

A natural hairline and the final density take shape

At the consultation the doctor counts how many grafts you personally need and explains the course of the transplant

A doctor's appointment at City Medical Centre

Free, ahead of surgery and with no obligations.

Book a consultation

doctors

Specialists

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years in practice

Your consultation is held by the person who will operate.

The doctor will check your donor area, count the grafts and say what result is achievable.

Book a consultation

coordinators

Clinic coordinators

We assign you a personal coordinator: they guide you from the first enquiry to recovery.

Svetlana, patient care specialist

Svetlana

Patient care specialist

Will support you before and after the surgery

Will help with papers and appointments

Ekaterina, patient care specialist

Ekaterina

Patient care specialist

Will support you before and after the surgery

Will help with papers and appointments

Maria, patient care specialist

Maria

Patient care specialist

Will support you before and after the surgery

Will help with papers and appointments

Yulia, patient care specialist

Yulia

Patient care specialist

Will support you before and after the surgery

Will help with papers and appointments

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

Want the same — free consultation to start

We will answer your questions and find you a convenient consultation time

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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

Frequent questions

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. The clinic works with patients from other cities and countries, and an online consultation is available first.

The base prices are $2,200 (≈ R37,000) (FUE), $2,500 (≈ R42,000) (DHI) and $2,700 (≈ R45,500) (combined). The precise cost is determined at a free consultation and graft count, then fixed in your contract.

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.

No — the procedure is done under local anaesthesia and is painless.

In FUE, grafts are harvested with a tweezer, no cuts or stitches involved. In DHI, a Choi pen implants grafts without opening channels first. The combined method pairs FUE harvesting with DHI implantation.

At the free consultation, the doctor counts the grafts you need according to your donor area.

The timeline is: 0–10 days healing, 2–4 weeks shedding (normal), 3–4 months new growth, 6–9 months visible density, and 12–18 months for the final result.

A contract-backed, lifetime guarantee of hair growth comes with every procedure.

Yes — 0% instalments for 6 months, from $367/mo.

Everything can be checked
before you pay

The clinic works under a medical licence, care is provided to the standards and clinical guidelines

per Ministry of Health.

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

Diplomas and certificates of the doctors who operate you

View the documents

AKC POMOSHCH LLC

the firm's legal entity

1057746096924

OGRN

7728536872

INN

A patient in Bloemfontein: from a free consultation to the result

The procedure is built to fit a working life in Bloemfontein: FUE and DHI need neither cuts nor stitches, local anaesthesia is enough, and everything fits into one day. Graft survival is 98-100 %, and a price from $2,200 (≈ R37,000) is fixed in the contract after a free count.

Everything starts online for a patient in Bloemfontein: a free consultation, photos of the thinning area, and a graft count made by the doctor from those photos. The clinic is available 24/7, so there is no guessing when to write.

Recovery runs 0-10 days; the transplanted hairs shed at 2-4 weeks and this frightens nobody who was warned; growth returns at 3-4 months, density at 6-9, the finished result at 12-18. A personal coordinator keeps photo control at 1, 3, 6, 9 and 12 months, and the growth guarantee is for life.

Hair Transplant in Bloemfontein: price and what is included

Prices are in US dollars; the amount in brackets is an approximate conversion to ZAR 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 of Well-Known People

Public accounts from well-known people about the operation: hair transplant.

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

Photographs first, appointments later

Bloemfontein had 256,185 residents at the 2011 census (city area), and the Mangaung Metropolitan Municipality around it had 811,431 in 2022 (the whole metropolitan municipality). On either side of that boundary the opening move is identical: pick up a phone. The online consultation costs nothing and commits you to nothing. Messages are read on WhatsApp or Telegram day and night, and the clinic promises an answer within 15 minutes.

A doctor judges thinning by looking at it, so give the doctor something to look at. Take sharp pictures in even daylight of the crown, the top, the front and each temple, then one of the rear of the scalp, the area that supplies the grafts. A doctor studies the set and writes back whether a transplant is worth considering for you. A negative answer is a useful answer, and it costs you nothing.

Beneath the pictures, write a few ordinary sentences. Roughly when did the thinning begin? Is baldness common among your relatives? Did the loss follow an illness, a hormonal change or a knock to the head? Which tablets do you take, and is there a long-term condition? The doctor asks about shedding after illness and about hormones because the cause of the loss shapes the advice you get.

Bring three questions of your own to that first exchange: what graft number the doctor expects, which technique fits your scalp and why, and which follow-up checks are written into the plan. Nobody should quote a graft number from a web form. The clinic's doctor studies the donor area first and only then names a figure, and the plan is explained afterwards.

Save every reply in a single phone folder with its date. Written answers can be compared line by line, shown to a relative or carried to another doctor, and they close the slow gap between what was said in week one and what you recall in week five. Do the same with your own photographs, so that you always know which picture was sent when.

FUE, DHI or both: what really separates them

Classic FUE lifts follicular units individually with forceps. Nothing is cut open and nothing is sewn. The clinic describes the trauma to each graft as minimal and the finished hair as sitting at its natural angle. Androgenetic alopecia, the usual pattern of gradual thinning, is named as the case it suits.

DHI implants through a Choi pen, a stitch-free way of placing hair that leaves out the preliminary step of opening channels. The combined route marries the two: extraction by FUE, then implantation with the DHI pen, described as a way to thicken areas affected by androgenetic alopecia.

Rates of survival and trauma appear in the comparison table as per-method averages, offered for orientation. The real numbers vary with the zone being treated and with your own characteristics, which the doctor discusses with you in the consultation. Whenever a percentage reaches you, ask which figure belongs to your case.

Donor hair is collected from the rear of the scalp or from the temples by a technique that leaves no scars. Ask where yours will come from, how that zone will be looked after, and what the care plan says about it compared with the treated side. The clinic lists a care plan for the transplanted zone and another for the donor zone.

Beard and eyebrow transplants rely on FUE too, with grafts taken from the rear scalp. If you are thinking about more than one zone, mention it at the start so that the count and the order of work are planned together.

Fair candidates and people who should wait

The clinic admits that a transplant is no remedy for every kind of hair loss, and promises that the doctor will advise against the operation when it would not help. Good reasons to proceed include androgenetic or diffuse alopecia and bald areas where the hair has receded from the front.

Written contraindications cover trichotillomania and body dysmorphic disorder, cancer, being under 18, intolerance of anaesthetics, epilepsy, severe heart disease, diabetes mellitus, a pacemaker, HIV or AIDS, hepatitis B or C and pulmonary embolism. Should any of these describe you, write it in line one of your first message; the doctor will otherwise have to ask, and a day is lost.

Anaesthesia is local, the work is finished within one day, and you return home afterwards. Mention any previous reaction to an anaesthetic, however mild, and list every medicine you take. A short list written the evening before beats a long memory at the moment somebody asks.

Looking up a South African doctor, and who carries the cost

The Health Professions Council of South Africa is a statutory body created in 1974 under the Health Professions Act, and registration with it is required to use protected professional titles. Anyone may look a practitioner up through the council's iRegister search on its website. Request the full name of the doctor who will perform the operation and run that search yourself before any money moves.

A second body looks at establishments rather than people. The Office of Health Standards Compliance carries out compliance inspections in health establishments, handles certification and enforcement, and accepts complaints through an online form or a toll-free call centre.

Medical schemes often list cosmetic surgery among the conditions they will not pay for, and such exclusions do not apply to prescribed minimum benefits. A transplant chosen for appearance should therefore be budgeted as a private expense, and a single call to your scheme answers the question in a few minutes.

Keep that private character in mind while you read the contract. The total is fixed after the grafts are counted and is recorded in the document, and a surgery date is held when a deposit arrives. Read how the deposit is treated, and what happens to it if you change your mind, before you pay.

What to hold in writing, and what the year looks like

Before any deposit, request these items in a message. First, the registration details of the doctor who will operate, together with confirmation that the doctor who sees you at the consultation is the one who operates. That is how the clinic describes its practice, so it should be easy to put on paper. Second, the clinic's medical licence and the full legal name of whoever signs the contract. Third, the graft count and the technique, each with the doctor's reasoning.

Next comes the draft contract and its inclusions. The clinic lists dressings and healing checks, a plan for the treated and donor zones, instructions on washing, sleeping and headwear, a route back to sport and hair care, a personal coordinator who accepts your photographs, and check-ups after 1, 3, 6, 9 and 12 months. Tick each line off, and mark anything that has only been promised aloud. If another doctor disagrees with the clinic, set the two statements side by side and ask for an answer to each difference.

Ask also for the instructions on tests before the operation. The clinic names the examinations and helps you complete them, so find out where each can be done close to home and how recent the results must be.

Healing runs in stages. In the first 0 to 10 days crusts fall away and swelling settles. From 2 to 4 weeks the transplanted hairs are shed, an expected stage during which the follicles remain in place. Regrowth begins at 3 to 4 months, density comes back between 6 and 9 months, and the end result is expected at 12 to 18 months. Photograph yourself on matching dates, in matching light, from matching angles. The shedding stage unsettles people most, so decide ahead of time whom you will message when it arrives.

Which register should I search before I agree to a doctor?

In South Africa the Health Professions Council runs the iRegister search on its website. Ask the clinic for the doctor's full name, search it yourself, and keep a dated screenshot.

Does the Office of Health Standards Compliance approve individual doctors?

It deals with health establishments: inspections, certification, enforcement and complaints. A doctor's registration is a separate question and belongs to the Health Professions Council.

Will my medical scheme refund a transplant chosen for appearance?

Medical schemes often list cosmetic surgery among the conditions they will not pay for, and such exclusions do not apply to prescribed minimum benefits. Ask your scheme in writing before you decide.

What should my first message from Bloemfontein contain?

Daylight photographs of the crown, top, front, temples and rear scalp, a few lines on the start of the thinning, your regular medicines and any long-term condition.

Can I set the clinic's advice beside a second opinion?

Yes. Ask for the graft count and method in writing, place them next to the other opinion, and ask the doctor to explain each difference.

Whom do I message when I worry between check-ups?

Your coordinator. Send a photograph and a sentence describing what you see; the coordinator is on WhatsApp and Telegram round the clock.

What if the consultation shows a transplant would not help?

The doctor says so openly, with nothing booked or paid. The consultation is free and carries no obligation.