My doc, Dr Feriduni, has had his techs for years and they do all the extractions and implanting. He told me he has ongoing pain in his hands from years of surgery which is one of the reasons why he does not do all of the extractions himself. People perhaps underestimate the physical demands FUE places on the surgeons hands, and have unrealistic expectations that they should be doing absolutely everything where it is not feasible or necessary. I say not necessary because, in Dr Feriduni's case, his techs are exceptionally skilled and experienced, so it comes down to not just knowing your doc, but knowing your techs as well, because with FUE you are buying into the whole package. This means when researching, not just obsessing over the doctor, as everyone tends to do, but finding out information about the techs as well, and this is something I suspect most of us don't do in our research.