Dr. Muhammad M. Hanif warmly Welcomes you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and can realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns. I appreciate the details you gave. I will rather suggest you to get your hair fall assessed and get degree of hair fall numbered 1,2,3,4,5... If you may go to a nearest hair club, that s good. Or send me some details through a direct question and I will be more than happy to solve your baldness issue. I need pictures of your head taken from all angles all around to assess the advancement of baldness, hair pattern and hair line, which pattern of implantation will suit according to your personality and head shape, your scalp condition, your donor area and health of your hair follicles etc just to name some assessments. And I need your complete blood count and Serum testosterone levels. Sometimes I suggest medicines and topical sprays to my patients, based on the individual case, and it works best with my treatment regimen. You look more concerned about surgery. So there are two types, both depends on individual case. A doctor can suggest which one suits you after all the above required documents in hand, and discussing the treatment expenses with the patient. I want to throw some light on two methods of surgeries available for you based on your scenario which I can surely tell you once I have the required documents from you. One is FUE in which we remove hair follicles one-by-one directly from the your scalp, is what differentiates the FUE hair transplant from a traditional Follicular Unit Transplant (FUT) that is the 2nd method, where the donor hair is removed from the scalp in one thin, long strip and then subsequently dissected into individual follicular units using a stereo-microscope. No it doesn t hurt at all. Surgeon numb your scalp first. You feel only first Stick of the needle and that s it. Nothing afterwards. You may feel slight numbness upto a few weeks afterwards, that s good for you to heal. In 6 months and on, no one can recognize you are transplanted hair. Your barber gets deceived too. Its based on the feedback my patients give me in daily practice. Hope I answered all of your questions. In future, If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to attachments@healthcaremagic.com with the Subject as, Attention: Dr. Muhammad Hanif, and the lab reports and images will directly reach my inbox for review. May you get very well soon and have a wonderful time ahead. Please don t forget to give your valuable positive feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me, after you close this discussion. Regards! DR. MUHAMMAD HANIF PHILADELPHIA-PA, USA