From my research it seems that surgeons claim to do a lot of the work but in reality they just give the anasthetic and leave it up to the technicians. I have even spoken to some surgeons who say that doing tissue puncture etc is extremely easy and a waste of the surgeons time. Hair transplants adw heavily over rated in terms of difficulty and spending such a large amount of money only happens because we all have an emotional attachment to our hair. If we understood the hair transplant process we wouldn't simply go for the most famous surgeons with most marketing behind them and their clinic. Just find a surgeon you like and trust as a human being, speak to their technicians and gage how responsible they are. Relying on a surgeon's skill is completely unnecessary as they won't b doing the job!