Pain during surgery — what patients actually feel
Hair transplant surgery is performed entirely under local anaesthesia. The scalp is numbed before any extraction or implantation begins. During the procedure itself — which may last 6–9 hours — the patient feels no pain. Many patients sleep, listen to music or watch films during surgery.
The only moment of discomfort is during the anaesthetic administration at the start. Conventional needle injection of local anaesthetic can cause a brief stinging sensation. At Hairmedico, this is eliminated entirely by the use of the Comfort-in needle-free injector — a pressurised device that delivers the anaesthetic through the skin without a needle, making the initial anaesthesia completely comfortable for the vast majority of patients.
Pain after surgery — the recovery period
| Timeline | What patients report |
|---|---|
| Day 1–2 | Mild discomfort at donor zone. Tightness. Pain score 2–3/10. Managed with paracetamol. |
| Day 3–5 | Significant improvement. Most patients pain-free. Itching may begin. |
| Day 7–10 | No pain in most patients. Scabs on recipient zone. Mild donor zone sensitivity. |
| Week 2–4 | Fully comfortable. Hair begins to shed (shock loss) — painless. |
The aftercare kit provided at Hairmedico includes post-operative pain relief, anti-inflammatory medication and a specialised healing spray. The Hairmedico 12-month follow-up includes direct WhatsApp access to the medical team for any concerns during recovery.
Managing surgical anxiety
Surgical anxiety is common and completely normal before a hair transplant. At Hairmedico, every patient has a pre-operative consultation with Dr. Arslan the morning of surgery — before anaesthesia is administered — to walk through the procedure in detail, answer any final questions and confirm the hairline design. Patients who understand exactly what is happening typically report significantly lower anxiety than those who do not.
Frequently Asked Questions
No. Surgery is performed under local anaesthesia — the scalp is completely numb throughout. Patients feel no pain during extraction or implantation. The only discomfort is from the anaesthetic injections at the start of the procedure.
The initial injections can sting briefly. At Hairmedico, the Comfort-in needle-free injector is used to deliver the anaesthetic without a needle, eliminating this discomfort entirely.
Recovery is mild. Most patients describe a 2–3 on a 10-point pain scale for the first 48 hours — managed with paracetamol. By Day 3–4, most patients report no pain. The donor zone typically causes more awareness than the recipient zone.
- Epstein J. Postoperative care in hair transplantation. Facial Plastic Surgery. 2008. https://doi.org/10.1055/s-2008-1079223
- Perez-Meza D, Niedbalski R. Complications in hair restoration surgery. Oral and Maxillofacial Surgery Clinics. 2009. https://doi.org/10.1016/j.coms.2008.12.005
- AAD. Hair loss: treatment and outcome. American Academy of Dermatology. 2023. https://www.aad.org/public/diseases/hair-loss/treatment
- Onda M et al. Follicular unit extraction: a systematic review of the literature. J Plastic, Reconstructive & Aesthetic Surgery. 2020. https://doi.org/10.1016/j.bjps.2019.11.006
- Bernstein RM, Rassman WR. Follicular unit transplantation: 2005. Dermatologic Clinics. 2005. https://doi.org/10.1016/j.det.2005.01.007
All references are peer-reviewed medical literature or official health authority publications. No commercial sources included.
Dr. Arslan Musbeh
- ✓ FUE Europe Full Member
- ✓ Ministry of Health accredited
- ✓ 17+ years · 4,500+ cases
- ✓ One patient per day
- ✓ Algorithmic FUE™ creator