its not that they are necessarily bad, its just that there is a big difference between the top surgeons in the world and then what I consider the next best. The guys like Hasson & Wong, Shapiro, Rahal, Erdogan, Konior, and Feriduni are producing consistently stellar results, whilst 2nd tier surgeons produce solid results, but aren't at the same level of the top guys, and the aesthetic result will be noticible. As I said, its a highly skilled profession, and each surgeon has to have an artistic hand. Its not an easy procedure, and there are many different aspects that go into it. Its not like Lasik where multiple doctors can produce the same result. Each surgeon can produce a different result and that's why it is important to choose your surgeon wisely/ If you are looking for a youthful hairline, then Rahal is the best in the business, if you are a higher NW and need the maximum number of grafts to achieve coverage in a single procedure, then Dr Hasson is the best at that, if you need crown work, then Dr Wong is the best at that, if you want an FUE mega-session, then you should consider Erdogan, if you are looking for a mature hairline, go with Dr Ron Shapiro, if you are an older gentleman looking for something conservative, then Bob Bernstein, if you hate FUE and want someone to diss FUE with, then Feller is your man. It really depends what you are looking for, but yes, there will be a difference in the results if you pick an average surgeon over one of the top ones. Not saying an average surgeon can't give you a stellar result, but this is not something you want to chance - that's what the best piece of advice on this forum is to not let geography be a factor in your decision, and be open to traveling.