Thanks David for your in depth response. I am 46 years old. I have looked into Avodart but have been told by my general internist to stay away from it. He is also not very fond of the propecia but I continue. I really haven't had a whole lot of side effects with the propecia to speak of, except slightly decreased libido (but may attribute that to aging as well!) I have had multiple consultations with some great surgeons, all the way from the east coast to the west coast, in my due diligence. The general feel was "I will not ultimately go completely bald" and some have even said I shouldn't obsess about it right now and consider something in the future. But, I must say, what I see, day in and day out makes me question otherwise. The general creeping back of the hairline and oh crap moments each week, as I see the hairline going back further and further and thinning all over. The one thing I have yet to see effected much yet at all is the crown. The surgeon plan was FUT and mainly into the recessed areas/temporal and about 3000 grafts.