Hi Oliver, no need at all to apologise my friend - we're all in the same boat fighting this curse the best way we know how. I take your point that there's a certain moment in time where you have to pull the trigger and that you can't wait eternally to try to improve the situation. I'm simply saying wait a bit and continue with the meds. 22 is too young to pull that trigger. Keep a photo log for yourself with baseline pictures. If in a couple of years you see that things have not got worse and you still want to proceed I figure you'll be in a much better position. You'll have had more time to research, to step back and consider it from all angles, to find a surgeon who has consistently good results with diffused patients and you'll have the comfort of knowing that you didn't rush headlong into it. Moreover, if the meds work well, you may not even need surgery and save yourself a lot of $$ and donor hair in the process. And don't forget there are other exciting treatments coming down the pipeline so we may have other options in two to five years with CB, Replicel, Follica, JAK inhibitors, Histogen, Brotzu's lotion and, of course, the holy grail in Dr Tsuji's stem cell regeneration technique which may offer the closest thing we've seen to a full-blown "cure" for this generation of Norwoods.