Actual Surgery review/notes;
So on the 20th I went for the surgery at Groot Dermasurgery in Edmonton. You show up fairly early, around 730AM if I remember correctly. I didn't realize I'd be in the clinic for around 12 hours. The staff lets you know that they've got a locked room that's 'your' clinic room for the day where you can leave your coat, phone, etc.
The staff was pleasant and helpful. Dr. Nakatsui's main nurse/assistant/tech (I'm not quite sure what he is), was a real pleasure and very informative and willing to go over any last minute questions. Dr. Nakatsui comes in shortly after for photos and to give you a quick overview of what's going to happen and see if you had any questions.
The initial excision and stapling of the donor site is done by Dr. Nakatsui and was pretty swift and painless. You do feel the initial freezing injections, but I'm lucky enough that needles never seem to 'hurt', so I'd say it wasn't bad at all. I did seem to need quite a bit of freezing, but it's no big deal on the back of the head.
After the removal of the donor tissue the Dr. starts putting the incisions on the recipient site for the next couple of hours. I never looked into the actual time and manual labour aspect of a transplant before the surgery, and you start to realize why 'you get what you pay for' is probably a good mantra for hair transplants. There's a tremendous amount of slicing going on up there. Once again, there's really no pain beyond the initial freezing which starts at the top of the bridge of your nose and eyebrows. I can't say if everyone experiences it, but it definitely felt like I was developing some massive Neandertal superobital torus from all the freezing haha (fortunately it doesn't LOOK like it).
After the Doc's done with the recipient cuts and the techs have prepped some transplants, there's about a half hour break for lunch. They get lunch from 'Dlux Burger Bar' which is a fancy-ish burger place in the same shopping complex. Fortunately, Dlux is usually really good (I had been there a couple times in the past) and it's nice to get a decent lunch while you're there.
After lunch two of the techs there start the long (and boring) part of the procedure; putting in the transplants into the thousand-some cuts in your forehead. The clinic does have an Ipad setup so you can watch movies or listen to music to alleviate some of the boredom. I spent the first couple hours just sitting there, but after that watched a couple movies (although the ipad's battery died about 2-3 hours later). Overall really the worst part of the procedure was just how long you're stuck sitting on your butt. I did take a couple 5 minute breaks to stretch my legs, but it's a really long time to be sitting there.
The only other point of note I learned was that if the anasthetic starts to wear off they want you to tell them right away. Retaining a little of my 'tough construction worker' past, I just ignored it for a while as it just felt like little pin-stabs/pricks. But apparently there's less bleeding and concerns if you don't feel anything so letting the techs know is a good idea. I took quite a bit more freezing (the Doc even made a 'wow we've put quite a bit of this in' comment). Eyebrows begin to feel less like a Neandertal and more like a robust Australopithecene.
After the transpants are completed and the Doc double checks everything, you go back to 'your' clinic room and some antibiotic gel and such is applied. You're given a little home 'care' kit and on your way. Overall the transplant was a much more pleasant experience that what it could be and other that the very long duration, I didn't have any real complaints.