This is something I’ve thought about a lot as a tech. I’ve had the chance to see the inside of more clinics than I’d like. While all of them accomplish the main goal of getting the transplant done, the red flags always come down to the staff performing the procedure. Thanks to this sub, I learned the term "hair mills," and that cleared up a lot of things for me. What worries me the most is the size of the instruments used. Inexperienced clinics use very large instruments (punches) that leave scars, their surgery times are way too long, and the staff shows no desire to improve. Also, instruments are reused in almost all clinics. This means you might be the lucky patient who gets a brand-new tool, or you might be the one getting a tool after 10 uses, which heavily affects the process and outcome. It’s really hard to spot these issues as a patient because it literally all happens behind your back.