Guides & How-Tos

Red Flags in Hair Transplant Clinics: Step-by-Step Action Plan

February 23, 20265 min read1,200 words

Evaluating a hair transplant clinic becomes significantly easier with a structured process. Instead of relying on gut feelings or marketing materials, this 10-step plan gives you a repeatable system to assess any clinic objectively. Patients who research clinics independently have 45% lower revision rates. Follow each step in order.

Step 1: Establish Your Baseline (Before Contacting Any Clinic)

Before reaching out to a single clinic, know your own numbers. This prevents clinics from inflating graft counts or misclassifying your hair loss to increase the procedure scope.

What to determine:

  • Your Norwood stage (1-7)
  • Estimated graft range for your stage
  • Your budget based on regional pricing
  • Your preferred technique (FUE, FUT, or DHI) based on initial research

Reference graft ranges by Norwood stage:

StageGrafts Needed
Norwood 2800-1,500
Norwood 31,500-2,200
Norwood 3V2,000-2,800
Norwood 42,500-3,500
Norwood 53,000-4,500
Norwood 64,000-6,000
Norwood 75,500-7,500

Use the free AI assessment at myhairline.ai/analyze to determine your Norwood stage and graft estimate.

Step 2: Build Your Initial Clinic List (5-8 Clinics)

Search these sources for candidates:

  • ABHRS.org surgeon directory
  • ISHRS.org member directory
  • IAHRS.org recommended surgeons
  • RealSelf top-rated hair transplant providers in your area
  • Reddit r/HairTransplants community recommendations
  • HairRestorationNetwork.com forum recommendations

Pass/fail criteria at this stage: Each clinic must have at least one surgeon with ABHRS, ISHRS, or IAHRS credentials. Remove any that do not.

Step 3: Audit Each Clinic's Website (Narrow to 4-5)

Spend 15-20 minutes on each clinic's website looking for:

CheckGreen FlagRed Flag
Surgeon biosNamed surgeons with credentials and experience listedNo surgeon names, only clinic branding
Before/after gallery20+ cases with multiple angles and clear timelinesFew cases, single angles, no dates
Pricing informationPer-graft pricing or price range publishedNo pricing, "call for quote" only
Educational contentBlog articles, FAQs, procedure explanationsOnly promotional content and testimonials
Physical addressVerified address with street view availableNo address or PO box only

Remove clinics with 2 or more red flags from this check. For detailed guidance on this process, read our guide on how to research clinics effectively online.

Step 4: Cross-Reference Reviews (Narrow to 3-4)

For each remaining clinic, check reviews on all of these platforms:

  • Google Business reviews
  • RealSelf
  • Trustpilot
  • Reddit r/HairTransplants
  • HairRestorationNetwork.com

What to look for:

  • Overall rating of 4.0+ across platforms
  • Mix of 3, 4, and 5-star reviews (all 5-star is suspicious)
  • No pattern of identical review language (suggests fake reviews)
  • Clinic responds professionally to negative reviews
  • Detailed patient stories with photos, not generic praise

Remove clinics with fewer than 20 total reviews across platforms or those with clear patterns of fake reviews.

Step 5: Verify Surgeon Credentials Independently

For each remaining surgeon, verify their credentials directly:

  1. Search their name on ABHRS.org
  2. Search their name on your state medical board website
  3. Search "[surgeon name] complaint" and "[surgeon name] lawsuit" in Google
  4. Check their license status and disciplinary history

Any active complaints, license restrictions, or malpractice history is a disqualifying factor.

Step 6: Book Consultations (2-3 Clinics)

Schedule consultations with your top 2-3 clinics. Request in-person consultations if geographically feasible. Video consultations are acceptable for initial screening but should be followed by an in-person visit before committing.

Before each consultation, prepare:

  • Photos of your hair loss from the front, both sides, crown, and back
  • List of current medications and supplements
  • Family history of hair loss
  • Your baseline Norwood stage and graft estimate from Step 1
  • Questions from this guide

Step 7: Evaluate Each Consultation

During and after each consultation, score these elements:

Evaluation PointScore (1-5)
Surgeon personally examined my scalp
Norwood classification discussed with visual aids
Graft count within standard range for my stage
Technique recommendation explained with reasoning
Realistic expectations discussed (not guarantees)
Per-graft pricing transparent and within regional norms
Post-op care plan detailed and included in price
Revision policy explained clearly
No pressure to book or pay deposit immediately
Surgeon answered technical questions confidently

A score below 35 out of 50 should give you serious pause. Below 25 is a clear disqualification.

Step 8: Compare Treatment Plans Side-by-Side

After completing all consultations, create a comparison document:

FactorClinic AClinic BClinic C
Surgeon name and credentials
Norwood stage assessment
Recommended technique
Graft count
Cost per graft
Total estimated cost
Recovery timeline
Number of follow-ups included
Revision policy
Consultation score (from Step 7)

Graft count differences of 10-15% between surgeons are normal. Differences of 30%+ mean someone is significantly off in their assessment.

Step 9: Review the Contract

Before paying any deposit, review the financial agreement against these criteria:

  • Deposit is 10-20% of total (not more)
  • Per-graft pricing matches what was quoted verbally
  • Follow-up appointments are included in the total cost
  • Revision/touch-up policy is documented in writing
  • No non-disparagement clause preventing honest reviews
  • Cancellation terms are reasonable (full refund minus deposit with 2-4 weeks notice)

Step 10: Final Decision and Booking

Make your decision based on data, not emotion. The clinic that scores highest across Steps 7, 8, and 9 is your strongest choice. Book your procedure date and:

  • Pay the deposit (10-20% maximum)
  • Confirm the surgeon who will perform your procedure
  • Receive written pre-operative instructions
  • Schedule any required pre-op blood work
  • Set a calendar reminder for each pre-op preparation milestone

The Complete Checklist

Print or save this quick-reference version:

  • Norwood stage and graft estimate established independently
  • 5-8 clinics identified from professional directories
  • Websites audited and narrowed to 3-4
  • Reviews cross-referenced on 3+ platforms
  • Surgeon credentials verified through independent sources
  • 2-3 consultations completed and scored
  • Treatment plans compared side-by-side
  • Contract reviewed for fair terms
  • Decision based on objective criteria

For the full breakdown of every warning sign, read the complete clinic red flags overview.

Medical disclaimer: This article provides general educational information about evaluating hair transplant clinics. It is not medical advice. Always consult with a board-certified hair restoration surgeon for personalized treatment recommendations.

Frequently Asked Questions

Follow a structured research process: verify ABHRS/ISHRS credentials, audit before/after photos, cross-reference reviews on 3+ platforms, evaluate pricing against standard ranges ($4-6/graft in the US), and consult at least 2-3 surgeons before committing.

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