Surgical methods of dealing with hair loss are becoming increasingly sophisticated, although there are still many "questionable" outfits cashing in on the business. It is important to thoroughly check the reputation of the place you go to and have a thorough consultation with the Medical Doctor (not just a sales person or "so-called" expert).

You should also be aware of the potential risks of surgery (including infection and bleeding) and have realistic expectations of the results.

Hair Transplants

Hair transplants, if performed by an experienced professional, appear to be the most effective way of combating hair loss. They involve taking a strip of hair—including the skin, hair and its roots—from areas such as the side or back of the head and transplanting it to the balding area. The result (sometimes after more than one graft) is usually quite natural looking.

Hair Plugs

Hair plugs are becoming less popular as they involve transplanting "plugs" of hair to a bald site. They can, however, leave a tufty, unnatural look, especially at the hairline.

Scalp Reduction

Scalp reduction is basically where a bald area on the back, or top part of the scalp, is surgically reduced. There are many different ways of doing this, but be aware that many scalp reductions do not give satisfactory results.

Scalp Flaps

Scalp flaps involve cutting a piece of skin with hair and rotating it into an area from which bald skin has been removed. There are many different procedures that all involve general anaesthetic and require a reliable professional, and a realistic expectation of outcome.

Ref.: Hitszig, Gary S. M.D.; Help & Hope for Hair Loss; Avon Books, 1997.