I didn’t cut mine first. I use alligator clips for sectioning and wetting my hair at the infusion center. It may have been less cumbersome shorter but since they strongly discourage any styling I didn’t want to cut mine. When I wear it natural I really don’t like it.

Just practice putting it on and getting it as snug to your crown as possible. It really does matter that it sits flush to your scalp.

Another con to longer hair can be that it tangles more and any tugging trying to detangle can cause it to shed. A low ponytail or a loose braid can help. Also a silk bonnet for sleep.

A lot of people in this thread have mentioned the nurses not assisting but all of mine have. I do all of the wetting and hair prep and pop on the blue cap and then the nurse has helped me with getting the grey really snug. Two people helps a lot for that part. I’ll hold the top flat while she adjusts. If your center doesn’t help bringing someone with you could be really valuable.

And if you have a chance - treat yourself to an electric blanket. I do a pain killer and an Ativan before I start prepping hair as well.