City Medical Centre · hair transplant clinicOpen 24/7

City Medical Centre

Hair Transplant
in Cologne

FUE · DHI

from $2,200

Assessment plus figure — $0.

Real person

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

before op

just 12 months on

The FUE method: no cuts, no sutures. Grafts and outcome forecast checked over at no charge — before you decide.

Message us on WhatsApp

Free online consultation · Reply within 15 minutes

Find out your price and number of
grafts

At no charge, 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 Cologne: price and key facts

Hair transplant for patients from Cologne 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

This is how it looks
8–12 months later

All cases are real patients of our clinic.

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

before op

just 12 months on

2,800 grafts

FUE method

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

before op

just 12 months on

3,500 grafts

FUE method

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

before op

just 12 months on

2,600 grafts

FUE method

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

before op

just 12 months on

3,000 grafts

FUE method

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

before op

just 12 months on

2,700 grafts

FUE method

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

before op

just 12 months on

3,300 grafts

FUE method

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

before op

just 12 months on

2,900 grafts

FUE method

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

before op

just 12 months on

2,500 grafts

FUE method

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

before op

just 12 months on

3,400 grafts

FUE method

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

before op

just 12 months on

2,500 grafts

FUE method

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

before op

just 12 months on

3,100 grafts

FUE method

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

before op

just 12 months on

3,600 grafts

FUE method

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

before op

just 12 months on

4,000 grafts

FUE method

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

before op

just 12 months on

3,200 grafts

FUE method

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

before op

just 12 months on

3,000 grafts

FUE method

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

before op

just 12 months on

3,700 grafts

FUE method

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

before op

just 12 months on

2,700 grafts

FUE method

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

before op

just 12 months on

3,800 grafts

FUE method

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

before op

just 12 months on

3,300 grafts

FUE method

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

before op

just 12 months on

2,800 grafts

FUE method

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

before op

just 12 months on

2,500 grafts

FUE method

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

before op

just 12 months on

3,900 grafts

FUE method

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

before op

just 12 months on

3,500 grafts

FUE method

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

before op

just 12 months on

3,800 grafts

FUE method

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

before op

just 12 months on

2,900 grafts

FUE method

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

before op

just 12 months on

3,600 grafts

FUE method

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

before op

just 12 months on

2,600 grafts

FUE method

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

before op

just 12 months on

2,700 grafts

FUE method

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

before op

just 12 months on

3,700 grafts

FUE method

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

before op

just 12 months on

3,200 grafts

FUE method

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

before op

just 12 months on

3,000 grafts

FUE method

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

before op

just 12 months on

2,800 grafts

FUE method

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

before op

just 12 months on

4,000 grafts

FUE method

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

before op

just 12 months on

3,400 grafts

FUE method

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

before op

just 12 months on

2,900 grafts

FUE method

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

before op

just 12 months on

3,100 grafts

FUE method

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

before op

just 12 months on

2,600 grafts

FUE method

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

before op

just 12 months on

3,300 grafts

FUE method

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

before op

just 12 months on

3,900 grafts

FUE method

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

before op

just 12 months on

3,500 grafts

FUE method

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

before op

just 12 months on

2,700 grafts

FUE method

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

before op

just 12 months on

3,800 grafts

FUE method

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

before op

just 12 months on

3,200 grafts

FUE method

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

before op

just 12 months on

3,000 grafts

FUE method

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

before op

just 12 months on

2,800 grafts

FUE method

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

before op

just 12 months on

3,100 grafts

FUE method

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

before op

just 12 months on

3,600 grafts

FUE method

Comparison

Hair transplant methods
FUE and DHI

We use three technologies to transfer grafts: classic FUE, suture-free DHI and a combined protocol. Compare the implantation technique, the tissue trauma and the graft survival, and choose knowingly.

FUE

Classic technique without incisions or stitches

Hair transplant with the FUE method
Discount runs to 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 runs to end of November

$2,500

$2,900

Graft implantation technique

DHI pen (Choi implanter)

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Densification

Combined DHI/FUE

FUE for extraction, DHI implant

Combined DHI and FUE protocol
Discount runs to 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

Androgenetic alopecia and densification

Survival and trauma figures are method averages and only a guide: the exact numbers depend on the transplant area and the patient's individual features, and the doctor clarifies them at the consultation.

Set up an assessment

Straight talk on hair transplants, from specialists and from patients

Video about hair transplants at City Medical Centre, clip 1
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Video about hair transplants at City Medical Centre, clip 20
Set up an assessment

about the clinic

A spot where you
will be at ease

Reliable equipment, a comfortable room, attention to each patient

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

Choose however you would rather talk

We will answer the questions you have and find a convenient consultation time

Message us on Telegram Message us on WhatsApp Submit a request

Not every kind of hair loss calls for a transplant

If surgery is avoidable in your case, you will hear it from the doctor at the consultation — and you will not waste your money. Below are the conditions in which a transplant really works.

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

Hair loss it suits best

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

Find it hard to judge your own?

Leave your number and get the photos checked: a coordinator asks in a messenger, the doctor says if a transplant helps. Free, no booking.

A doctor looking at a photo of a thinning area on a phone
See if this is for me

services

You learn the price
before the surgery

You are told what it will cost at the free consultation, after the counting, and the contract secures that figure.

Discount runs to 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

Assessment plus figure — $0.

Secure the price
Discount runs to 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

Assessment plus figure — $0.

Secure the price
Discount runs to 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

Assessment plus figure — $0.

Secure the price
Discount runs to end of 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
Secure the price

all included

What is included
in $2,200

Planning beforehand and 12 months of follow-up after.

Lifetime hair growth guarantee

On surgery day the price stays where it was.

two more areas

Beard and eyebrow
transplants

A hair transplant is not only for the scalp. Same grafts from the back of the head, same FUE method — only the area changes.

Beard transplant

FUE method, no 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

Assessment plus figure — $0.

Secure the price

Eyebrow transplant

FUE method, no cuts or stitches

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

The surgeon draws the eyebrow shape right at the initial consultation: you look through references together and the design takes your facial features into account. Hairs are implanted at the right angle, so the eyebrows look natural. It also helps when years of plucking stopped the growth.

$1,600$1,700

a procedure done with local anaesthesia only

Secure the price

Your graft count and your cost, calculated

The doctor looks at your donor area, counts the grafts and shows what result is achievable in your case. The price 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 go on home

From consultation to going home — all in one day

Your first meeting — hair transplant at City Medical Centre
1

Your first meeting

The first step is a free, no-obligation consultation where the doctor explains how FUE and DHI work, answers whatever you ask, and creates a plan tailored to your case.

Picking the operation day
2

Picking the operation day

Booking involves reserving the surgery date with a deposit — card payment at the clinic or an online transfer — under a medical services contract.

The week before your operation — hair transplant at City Medical Centre
3

The week before your operation

Before the hair transplant, the necessary tests are completed using the list and instructions the clinic provides.

Why none of it hurts – the anaesthetic — hair transplant at City Medical Centre
4

Why none of it hurts – the anaesthetic

This step uses local anaesthesia to make sure the operation is completely painless.

Harvesting the grafts — hair transplant at City Medical Centre
5

Harvesting the grafts

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

Putting grafts where they are needed most — hair transplant at City Medical Centre
6

Putting grafts where they are needed most

Surgeons implant the collected grafts into the area where hair loss has occurred.

Recovery in the months that follow — hair transplant at City Medical Centre
7

Recovery in the months that follow

Everything you need for recovery, plus complete instructions, comes from the clinic at this final stage.

Healing after a hair transplant, 0-10 days
8

0-10 days — Repair

Scabs drop away, the swelling eases, the skin heals bit by bit

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

2-4 weeks — The transplanted hairs shed

A predictable phase: hair shafts drop while the roots stay

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

3-4 months — Hair pushes up

Hair returns little by little, and the change is obvious

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

6-9 months — Fullness arrives

Growth thickens, the main volume and the hairline appear

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

12-18 months — Finished state

Full volume and a finished, natural hairline

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 the operation and committing you to nothing.

Set up an assessment

doctors

Our doctors

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years of experience

At the consultation you talk to the person who will operate.

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

Set up an assessment

coordinators

The team behind it

Your own coordinator handles everything from the first enquiry to full recovery.

Svetlana, patient care specialist

Svetlana

Your patient adviser

Will see you through before and after surgery

Sees your papers through and books slots

Ekaterina, patient care specialist

Ekaterina

Your patient adviser

Will see you through before and after surgery

Sees your papers through and books slots

Maria, patient care specialist

Maria

Your patient adviser

Will see you through before and after surgery

Sees your papers through and books slots

Yulia, patient care specialist

Yulia

Your patient adviser

Will see you through before and after surgery

Sees your papers through and books slots

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 result? The consultation is free

We will answer the questions you have and find a convenient consultation time

Message us on Telegram Message us on WhatsApp Submit a request

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

Things people ask

Here is 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 — City Medical Centre regularly treats patients from other cities and countries, starting with an online consultation.

Pricing starts from $2,200 (≈ €2,000) for FUE, $2,500 (≈ €2,250) for DHI, and $2,700 (≈ €2,450) for combined DHI+FUE. The exact figure is confirmed for free after a graft count and written into the contract.

The whole operation is completed in one day, with no overnight stay needed.

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 — local anaesthesia keeps the whole procedure pain-free.

FUE relies on tweezer harvesting with no incisions or stitches. DHI relies on Choi-pen implantation without channels. The combined DHI+FUE approach harvests by FUE and implants by DHI.

Graft count is calculated by the doctor at no cost, based on an assessment of your donor zone.

Healing takes 0–10 days. Transplanted hair sheds at 2–4 weeks, which is normal. New growth starts at 3–4 months, with noticeable density at 6–9 months and the final result at 12–18 months.

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

All of it can be checked
before you pay

We hold a medical licence, and care is provided to the standards and clinical guidelines

of the Ministry of Health.

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

Diplomas and certificates of the doctors who will operate

View our paperwork

AKC POMOSHCH LLC

the firm's legal entity

1057746096924

OGRN

7728536872

INN

The procedure in plain words for Cologne

A patient in Cologne will find the requirements modest: FUE and DHI ask for no cuts, no stitches and no more than local anaesthesia, and the whole operation is behind you by the end of one day.

Getting an answer in Cologne takes no appointment at all: the online conversation is free of charge, the doctor reviews pictures of the thinning area and tells you whether a transplant helps. The clinic works 24/7.

It takes 0-10 days for everything to heal. At 2-4 weeks the transplanted hairs shed, a normal phase that is described to every patient beforehand. Growth begins at 3-4 months without any extra effort.

Hair Transplant in Cologne: 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 →

A written checklist for the first conversation about a transplant

The state statistics database of North Rhine-Westphalia gives Cologne 1,025,523 residents at the end of 2025 (city proper). Searching for information is free. Deciding is the harder part, and paperwork is what makes it easier: what you asked for, what you were told, and what you received in writing, each answer kept with its date in one place.

This text is built as a list of things to request from any clinic before you pay a deposit. It does not tell you where to have surgery and it does not assume that you will. It simply gives you a way to compare. Print it, or copy it into your phone, and tick off each line as the answers arrive. A clinic that answers in writing, without irritation, is already showing you something about how it works.

The World Health Organization lists breakdowns of communication with patients among the contributing factors to harm, and treats patient engagement as part of safe care. A checklist is a modest, practical way to be one. You can begin from home in Cologne: the first online consultation is free and books nothing, and a coordinator answers round the clock on WhatsApp or Telegram.

Begin with the basics. Ask for the clinic's medical licence and its number, the name of the legal entity that provides the medical services, and the names of the doctors who will see you. The clinic's own wording is that you can check everything before you pay, including the diplomas and certificates of the doctors, so ask to see them before any payment. A reputable team expects the question.

Reading the contract line by line

Reserving a surgery date involves a deposit, which can be paid by card at the clinic or online, and the terms are recorded in a medical services contract. Ask for that contract as a document, not as a summary in a chat window, and ask for it early, long before you need to decide. Read it with a pen.

First, look for what the contract says about the method. A hair transplant can be done by FUE, extracting grafts with forceps and without incisions or stitches; by DHI, implanting with a Choi pen so that no channels need to be cut; or by a combined protocol in which grafts are taken by FUE and placed by DHI. The contract should name the one that was agreed with you, not leave the choice for the morning of the operation.

Second, look for the sum and what it covers. The price is set at the consultation, after the grafts have been counted, and it is fixed in the contract. Ask for a list of what that sum includes: the dressings and healing checks, a care plan for the transplanted and donor areas, guidance on washing the hair, on sleep and on headwear, a plan for returning to sport, contact with a personal coordinator and photo exchange as things change, and follow-up checks. If any of these is missing from the document, ask why.

Third, look for the graft count and the area. The doctor studies the donor zone, counts the grafts and explains the achievable outcome. Those numbers belong in the paper you sign. A figure that exists only in a conversation cannot be compared with what you actually receive.

Who a transplant suits, and the questions that bring out a polite no

A good consultation can end with the sentence 'this is not for you'. The doctor has no reason to send anyone into the operating theatre unnecessarily, and the situations in which a transplant truly helps are fairly specific. Androgenetic or diffuse alopecia, bald areas and a receding frontal area are the usual good reasons to go ahead.

Other situations point the other way. Written contraindications include trichotillomania, body dysmorphic disorder, cancer, being under 18, intolerance to anaesthetics, epilepsy, serious heart conditions, diabetes mellitus, a pacemaker, HIV/AIDS, hepatitis B or C, and pulmonary embolism. Insufficient hair density can also mean that surgery is not the right answer. Ask the clinic to show you this list in full and to tell you in writing which of the items, if any, applies to you.

You do not need to be sure that you qualify before you write. A coordinator asks only for a phone number and for photographs of the areas where your hair has thinned. A doctor reviews them and says whether a transplant would help. It costs nothing, and nothing is booked.

Questions worth asking at this stage: what exactly is the diagnosis, which method is recommended for my case and why, what would you advise if I decided not to have surgery, and how many grafts do you expect to use. Notice whether the answer changes depending on how you ask.

The online consultation, then the method: what to settle and in what order

A conversation by messenger is enough for a first picture, and not for everything. It can tell you whether a transplant is a realistic idea, which method looks most suitable, what the contract is likely to contain and which tests you will be asked to complete. It cannot replace the doctor's own study of the donor zone, because the graft count rests on that study.

Prepare photographs before you write. Take pictures of the areas where your hair has thinned, from the top, the front, the sides and the back, and add a short note on when the thinning began. A coordinator passes this set to the doctor, who replies on whether a transplant would help. You are not asked to book anything for that.

Use the first call to learn the process, not to hear a sales speech. Ask how the consultation ends: with an individual plan tailored to your operation, with the graft count and with the sum fixed in the contract. Ask what you will receive in writing afterwards, and by when. Write down the name of the coordinator, since one person accompanies you from the first enquiry through recovery.

Finally, decide in advance what would make you say no. Perhaps it is a refusal to put a figure in writing, an unclear answer about who operates, or pressure to pay quickly. Having that line on paper before the call makes it easier to hold afterwards.

The three techniques are described as follows. In FUE the grafts are taken from the donor zone, the back of the head or the temples, without cuts and stitches, and the hair keeps its natural angle. In DHI each graft is placed straight into the scalp with a pen, so there is no separate step of making channels. In the combined protocol the first technique does the extraction and the second does the implantation, which is used for densification in androgenetic alopecia.

The comparison tables give averages for guidance only. The exact figures depend on the area being transplanted and on your individual features, and the doctor sets them out at the consultation. Ask for exactly that: your figures, in writing, for your area. Ask also who performs each step, since the doctor at the consultation is the doctor in the operating room, and the contract should say so.

On the day, the operation is done in a single day under local anaesthesia, and you go home afterwards. Ask what tests are needed beforehand and when they should be done. The clinic outlines the list and gives instructions to help you complete them, so ask for that list in writing, together with the instructions for completing each test, and keep both in your folder.

Keep the written answers from both sources side by side, the consultation and the contract, and look for any place where they differ. A difference in method, count or area is worth one more message before you pay.

Keeping your own record of the year that follows

Growth is slow, and memory of how things looked in month two is unreliable. The timetable runs like this: in the first ten days the crusts shed and the swelling goes down; between two and four weeks the transplanted hairs fall out, which is a normal stage and the follicles stay in place; from three to four months new hair begins to appear; from six to nine months volume returns; and from twelve to eighteen months the hair reaches its full volume and a natural edge.

The follow-up checks fall at 1, 3, 6, 9 and 12 months. Put those dates in your calendar on the day of surgery. Take photographs of the same areas each time, date each file and send the set to your coordinator, who stays with you through recovery and takes photos as things change.

Write down what you were told on each check. Note the instructions on washing, sleeping and headwear, the plan for getting back to sport and hair care, and any question you did not get to ask. A simple notebook is enough. In month five, when someone says that nothing has happened yet, you will have an honest answer in front of you.

What should I ask for before agreeing to any date?

Ask for the licence number, the name of the legal entity, the names and diplomas of the doctors, the written method, the graft count and the contract with its list of inclusions. Ask for copies of everything you sign.

Can I send photos before I commit to anything?

Yes. A coordinator asks for a phone number and for pictures of the thinning areas, a doctor reviews them and says whether a transplant makes sense. The first online consultation is free and books nothing.

How do I tell whether a quote is complete?

Compare it with the list of inclusions: dressings and healing checks, a care plan, guidance on washing, sleep and headwear, a plan for sport, coordinator contact and the checks at 1, 3, 6, 9 and 12 months. A gap in the list is a question for the clinic.

What if the doctor advises against surgery?

That is a legitimate outcome of a consultation. The doctor says so openly, which spares you money and a procedure that would not help.

Is a combined DHI and FUE protocol always better?

Not by default. The method belongs to your individual plan, so ask the doctor for the reason behind the choice, and ask for it in writing.

Why do the transplanted hairs fall out?

Shedding at two to four weeks is a normal stage. The hairs fall out while the follicles stay in place, and new growth begins at three to four months.

Which tests come before the operation?

The clinic outlines exactly which tests are needed and gives instructions to help you complete them. Ask for the list in writing.

What should I photograph for the online consultation?

Pictures of the areas where your hair has thinned, from the top, the front, the sides and the back, plus a short note on when the thinning began.