One of the most common concerns for people considering a hair transplant is whether the procedure is painful. While hair transplantation involves surgical work on the scalp, advances in modern techniques and anesthesia have made the experience much more comfortable than many expect. During the Procedure Hair transplants are typically performed under local anesthesia, which numbs both the donor and recipient areas. Once the anesthesia takes effect, patients generally feel little to no pain. Some may experience mild pressure or a tingling sensation during the extraction or implantation of follicles, but these sensations are usually minimal and manageable.