I found this quote from another of Dr Coutos patients posting here, involved yes, doing all the steps no.
The doctor is involved in the whole process from the first moment, makes the design of the hairline, marks the donor area, plans the extraction and cuts the hair.
The extraction team consists of trained nurses and another doctor, all of whom are well trained by Couto. Dr. Couto directs and supervises the extraction all the time, he started the extraction on the first day and then explains to his team what the extraction strategy was going to be and how many units of each type he needed, the team continues while the doctor is going to do consultations with other patients and follow-up checkups, but he comes by the operating room frequently reviewing the entire extraction process and always asks me how I'm feeling. There is a technician checking the quality and classifying each graft under a kind of microscope, they showed me some on a screen where they looked very large. Part of the time I fell asleep, because before starting the procedure I was administered an oral sedative.