To me, the design of the hairline and the incisions are where the "talent" comes from in a good HT. Also, the surgeon I believe will usually make the decision on where the 1's, 2's, and 3's are placed which is key for naturalness, especially at the hairline. Sure, it's extremely important to have quality techs who are removing grafts and then planting them but a good clinic will have highly skilled and experienced techs who are going to do a great job on removing and implanting the grafts.