City Medical Centre · hair transplant clinicOpen 24/7

City Medical Centre

FUE & DHI
Hair Transplant in London

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 method, cuts and stitches excluded. Grafts and the 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 London: price and key facts

Hair transplant for patients from London at City Medical Centre starts at £1,700 (from $2,200). The first online consultation is free; the doctor names the final price and it is fixed in the contract.

Price
£1,700 (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

Hair looks like this
8–12 months later

All cases come from real CMC 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

We perform graft transfer by three technologies: classic FUE, suture-free DHI and a combined protocol. Compare implantation technique, tissue trauma and graft survival to make an informed choice.

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

Hair's natural angle

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia

DHI

No-stitch implantation with a Choi pen

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

Hair's natural angle

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

Hair's natural angle

Natural

Graft survival

98–100%

Suitable for

Densification for androgenetic alopecia

Figures for survival and trauma are method averages and serve as a guide: the exact numbers rest on the transplant area and the patient's individual features, and the doctor explains them at the consultation.

Book a consultation

Expert breakdowns and patient stories about 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 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
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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 be at ease

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

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

Contact us in whichever way suits you

We will answer what you ask and arrange a consultation at a convenient time

Message us on Telegram Message us on WhatsApp Choose a messenger

A transplant is not for everyone

If your case can be managed without surgery, the doctor will say so at the consultation — and 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 spots and a receding hairline
  • A high hairline
  • Insufficient hair density
  • Hair growth's genetic features
  • Consequences of an injury or a burn
  • Shedding post-illness
  • Shedding from a hormonal imbalance

Not sure which group you are in?

Drop your number: photos in a messenger to the coordinator, then the doctor's answer on whether a transplant helps. Free, no booking.

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 comes at the free consultation, after the graft count, and is fixed in the contract.

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

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

Lock in 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

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

Lock in 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

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

Lock in the price
Discount runs to 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 pre-surgery preparation to 12-month follow-up.

Lifelong growth, guaranteed
Instalments available

No add-on charges on the day of your surgery.

two more areas

Beard and eyebrow
transplants

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

Beard transplant

The FUE method, no incisions used

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

Grafts taken from the back of the head, the donor area, move through micro-punctures of about 1 mm, with no scars left. The doctor discusses the shape with you before the operation, taking your facial features into account. The hair grows for life once transplanted; 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

The FUE method, no incisions used

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

The eyebrow shape is drawn by the surgeon at the initial consultation: you review references together and the design takes your facial features into account. Hairs are implanted at the correct angle, so the brows look natural. It also helps where hairs no longer grow after years of plucking.

$1,600$1,700

an outpatient procedure under local anaesthesia

Lock in the price

Find out how many grafts and the price

The doctor will assess your donor area, count the grafts and show what you can achieve. The cost is quoted at the consultation and fixed in the contract.

Operating room at City Medical Centre

Message our coordinator

Free online consultation · Reply within 15 minutes

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Process

One day at the clinic —
then go home

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

Initial consultation — hair transplant at City Medical Centre
1

Initial consultation

This first step, offered free of charge, is where the doctor explains FUE and DHI, answers your questions, and drafts an individual plan for the operation.

Booking the surgery date
2

Fixing the surgery date

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.

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

Getting ready for hair transplant

This stage involves getting the required tests done, with the clinic providing both the list and the instructions you need.

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

Anaesthesia – a painless hair transplant

The treatment area is numbed with local anaesthesia, so the entire surgery is pain-free.

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

Collecting grafts for the hair transplant

At this stage, grafts are taken from the donor area — back of the head or temples — through a stitch-free method.

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

Placing grafts into the balding area

Grafts are carefully implanted into the area of hair loss by the surgeons.

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

Recovery after the transplant procedure

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

Healing after a hair transplant, 0-10 days
8

0-10 days — Heal

The crusts fall away, the swelling subsides, the area slowly recovers

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

2-4 weeks — The grafted hairs shed

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 — Growth starts

New hairs appear bit by bit, the result shows

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

6-9 months — More density

The hair becomes thicker, and the volume and contour are visible

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

12-18 months — Final result

Final density arrives, the hairline looks natural

The doctor will calculate at the consultation how many grafts you personally need, and explain how the transplant goes

A doctor's appointment at City Medical Centre

Free, before the surgery and without obligation.

Book a consultation

doctors

Specialists

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years in practice

At the consultation you speak directly to the operating doctor.

The doctor will assess your donor area, count the grafts and name an achievable result.

Book a consultation

coordinators

Clinic coordinators

A personal coordinator leads you from your very first enquiry through to recovery.

Svetlana, patient care specialist

Svetlana

Patient care specialist

Will be there before and after the surgery

Will help with papers and appointments

Ekaterina, patient care specialist

Ekaterina

Patient care specialist

Will be there before and after the surgery

Will help with papers and appointments

Maria, patient care specialist

Maria

Patient care specialist

Will be there before and after the surgery

Will help with papers and appointments

Yulia, patient care specialist

Yulia

Patient care specialist

Will be there 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 — book a free consultation

We will answer what you ask and arrange a consultation at a convenient 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 answer 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.

Prices start at $2,200 (≈ £1,700) for FUE, $2,500 (≈ £1,900) for DHI, and $2,700 (≈ £2,050) for the combined method. Your final price is set after a free graft count and locked into the contract.

The procedure is completed within a single day, after which you head home.

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.

Your graft count is worked out for free by the doctor during the consultation, based on the donor zone.

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.

Hair growth is covered by a lifetime guarantee, fixed in the signed contract.

You can check everything
before you pay

The clinic runs on a medical licence, care follows the standards and clinical guidelines

of Ministry of Health.

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

Diplomas and certificates of the operating surgeons

View the documents

AKC POMOSHCH LLC

our clinic's legal entity

1057746096924

OGRN

7728536872

INN

Thinking about a hair transplant in London?

Someone in London needs no hospital stay for this: FUE and DHI go without cuts or stitches, under local anaesthesia, and the whole operation takes one day. Graft survival is 98-100 %, and a price from $2,200 (≈ £1,700) is set in the contract after a free graft count.

Begin with a photo, not with paperwork, if you are in London: the free online consultation gives the doctor a view of the thinning area and a graft count. The clinic is in touch 24/7, so the answer is never delayed for long.

The head heals in 0-10 days, the transplanted hairs fall at 2-4 weeks as a normal part of the cycle, growth starts at 3-4 months, density arrives at 6-9 and the result is final at 12-18. Photo check-ups with a personal coordinator at 1, 3, 6, 9 and 12 months, plus a lifetime growth guarantee.

Hair Transplant in London: price and what is included

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

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Hair Transplant from London: what patients ask us

How does the doctor estimate my grafts online?

From photos you send in the chat: front hairline, top, crown and the back of the head (donor area). Add your age and any previous transplant; the graft count and the price follow from the review.

Can I choose the date of my hair transplant consultation from London?

Yes. Write to us with the dates that suit you. You can start the free first consultation online, so you can do it from home: after the doctor reviews your details, the clinic offers its nearest free dates.

How far ahead should I plan a hair transplant?

If you want a visible result for a date, plan about a year ahead: growth starts at 3–4 months, thickens by 6–9 and is final at 12–18 months. Healing alone takes 0–10 days.

What should a patient from London plan for after a hair transplant?

One day for the procedure, after which you leave the same day, and then healing of 0–10 days. The healing check-ups are part of the price.

Can I get a hair transplant consultation without leaving London?

Yes. The first consultation is free and starts online: send your details and photos on WhatsApp or Telegram, and the doctor reviews them and explains the options and the price.

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 →

Nine million Londoners, one regulator worth knowing

London has a population of about 9.1 million (2025 estimate), so a patient here is never short of choice, and the real difficulty is sorting offers from one another. A hair transplant is a surgical procedure on a body part you will carry for decades. That is a good reason to slow down and ask for evidence before you ask about timing.

In England, providers of health and social care are registered, inspected and rated by the CQC, an independent regulator. Its site includes a search for services, so a provider's registration status can be looked up before you reply to anything. Make that your first check on any clinic that approaches you, whether it is in London or elsewhere.

The NHS publishes advice for anyone considering a cosmetic procedure. It tells you to choose a qualified practitioner with experience of the specific procedure and with insurance to put right anything that goes wrong, to ask questions about the procedure and its risks, and to take time over the decision. It adds that you should be offered a cooling-off period after any consultation. Treat those lines as a script for your own questions.

The first online assessment with City Medical Centre costs nothing and books nothing. A coordinator is reachable on WhatsApp and Telegram round the clock, so you can send photographs whenever it suits you. Nothing needs to be decided in that first exchange.

Send the first message in your own words. Say where the thinning is, when it began, and what you hope to see in the mirror in a year. Short, specific sentences get shorter, more specific replies.

Put these eight items in writing

Whatever clinic you are weighing, ask it to confirm the following in a message or document you can keep. First, the number of the medical licence and the full legal name of the organisation providing care. Second, the name and qualifications of every doctor who will take part, with the diplomas and certificates available for inspection. Third, the method proposed and the reasoning behind it.

Fourth, the number of grafts the doctor expects to move, counted after the donor zone has been examined, not guessed from a photograph. Fifth, the area to be treated. Sixth, who performs each stage; at this clinic the doctor at the consultation is the doctor in the operating room, and you can have that stated in writing. Seventh, what the agreed sum includes. Eighth, the schedule of check-ups after surgery.

Place two clinics' answers side by side in a grid, with one column per clinic and one row per item. An empty cell tells you where the next question goes. A quotation that cannot name its method, its graft count and its surgeon is not yet an offer.

Sentences from a chat are notes; the contract for medical services is the document that binds both sides. The clinic holds a date after the deposit arrives, which can be paid by card at the clinic or online, and records the conditions in the contract. Read that text before you pay, and ask about anything that differs from what you were told.

If you want a second opinion, ask a different clinic the same eight questions rather than a different set. Answers become comparable only when the questions match.

A last practical test: could a friend read your folder and explain, without your help, what was agreed? If the plan, the method, the count, the surgeon, the inclusions and the dates are all there in black and white, the answer is yes, and you are ready to compare clinics fairly.

Do you need a transplant at all?

A transplant is not for everybody, and the doctor says so plainly at the consultation instead of booking an operation that would not help. The clinic names three reasons that point in its favour: androgenetic or diffuse alopecia, bald patches, and a receding front of the scalp.

The cautionary list is organised around risk. Medical entries: cancer, epilepsy, diabetes mellitus, a pacemaker, serious heart disease, pulmonary embolism, hepatitis B or C, HIV or AIDS and intolerance to anaesthetics. Psychological entries: trichotillomania and body dysmorphic disorder. Under 18 is excluded. Then come factors tied to the hair, which call for a frank conversation before any booking: thin donor density, inherited growth traits, damage from burns or injuries, shedding that follows an illness or a hormonal imbalance, and patchy alopecia.

Notice how many entries are about causes rather than appearance. The clinic lists shedding after an illness or from a hormonal imbalance among the cases that need a frank conversation, which is why the doctor looks at the history before the scalp. Write a paragraph on the order in which things happened: when thinning began, whether it came with a health event, whether relatives are affected.

If you take regular medication, or have a condition that is not on the list, say so anyway. The clinic's rule is simple: nobody should be sent to the operating room unless it helps, and a refusal with reasons is a sign of careful practice.

Think about who in your life should hear this plan before it is final. A relative who has known your hair for decades can confirm how quickly it changed, and a second pair of eyes sometimes notices a question you forgot. Ask the coordinator whether they are welcome to join the online call.

FUE, DHI and the two combined

Think of the methods by what happens to one graft. Under FUE it leaves the donor zone in forceps, with no cut and no stitch, and is placed at the hair's natural angle; for this method the clinic quotes graft survival of 98 to 100 per cent and recommends it for androgenetic alopecia. DHI skips the channel stage, because a Choi pen carries each unit straight into the skin. The third route lifts grafts by FUE and sets them with the DHI pen, a pairing aimed at densification.

The survival and trauma figures describe averages per method. Your own result depends on the treated area and your features, and the doctor writes it out at the consultation. Ask which method is proposed and why, in one sentence, and then ask which fact would reverse the advice.

Grafts come from the back of the head or the temples. Local anaesthesia numbs the area before anything starts, the whole operation fits into a single day, and you leave on that day. Ask the coordinator for the list of tests that precede surgery and the instructions that come with each.

A beard uses the same donor zone at the back of the head: grafts pass through micro-punctures about a millimetre wide and leave no scars. For eyebrows the surgeon sketches the line first, reviews reference photographs and your facial proportions, and only then places hairs at the growth angle. Eyebrow work is a day-case operation under local anaesthesia.

Photographs cannot show the density of the donor zone or the number of grafts required. These are judged by the doctor at the consultation, which is why any figure quoted from pictures alone is provisional and the one written into the contract is the one that counts.

What the next eighteen months look like, and what the NHS does not cover

The British Association of Plastic, Reconstructive and Aesthetic Surgeons states that purely cosmetic surgery is heavily rationed on the NHS, that what is available varies from area to area, and that a visit to your GP comes first. In practical terms, plan on a private route for a hair transplant and ask the NHS only about medical causes of hair loss.

Use the cooling-off period the NHS mentions as a working tool. After the consultation, close the folder for two or three days, then reread the written plan and ask yourself three questions: do I understand what will be done, do I know who will do it, and can I find every promise on paper? If one answer is no, send that question to the coordinator before anything else.

Hair works to a slow clock, so expect nothing dramatic early on. Days 0 to 10 are for soothing: crusts shed and swelling falls. In weeks 2 to 4 the implanted hairs drop out, a normal stage that leaves the follicles where they are. If month five looks unchanged, remember that new growth starts at 3 to 4 months, thickness returns at 6 to 9, and volume with a natural edge is complete at 12 to 18 months.

Five appointments are planned over the year: at 1, 3, 6, 9 and 12 months. Write them in your diary on the day of surgery. Ahead of each, take the same pictures under the same light and pass them to your coordinator, who stays in touch between visits. Ask for the aftercare package to be itemised: dressings, healing checks, a plan for the donor and recipient areas, washing and sleeping advice, headwear, and the route back to exercise.

Before the first call, write your own rule for saying yes. Choose a day until which no money changes hands, then note two or three conditions that would persuade you and two or three that would send you elsewhere. When the replies come in, hold them up against that note rather than against your mood that evening. Since results take months to show, a decision made calmly on paper is your best insurance against doubt later.

How can I check that a provider is registered in England?

The CQC registers, inspects and rates health and social care providers in England and offers a search for services on its site. Ask the clinic for the legal name of the organisation and the licence number, and compare them with what you find.

Will the NHS fund a hair transplant for appearance?

The professional body for plastic surgeons says that purely cosmetic surgery is heavily rationed on the NHS, with availability varying by area and a visit to your GP as the first step.

What does the NHS advise before a cosmetic procedure?

To choose a qualified practitioner with experience of the procedure and with insurance, to ask about the procedure and its risks, and to take time to decide, with a cooling-off period offered after any consultation.

What should my first message to the coordinator contain?

Photographs of every area that has thinned, taken in daylight, a note about when and how fast the thinning began, any illness, medicines or conditions on the cautionary list, and the date by which you would like to decide.

Can I get a second opinion on the plan?

Yes. Send the same photographs to another clinic and ask it the same questions, then compare method, graft count, area, surgeon and inclusions side by side.

Who actually carries out the operation?

The doctor who sees you at the consultation is the doctor in the operating room, a point worth asking the clinic to put in writing.

What documents should I keep?

The plan, the method, the graft count, every written answer, the contract and the dates of the check-ups, in one folder with each file named by date.

Does a refusal from the doctor mean the clinic is not interested in me?

No. A transplant is not right for everyone, and a refusal with reasons, which you can ask to have in writing, is part of an honest assessment.