My initial reply is more related to the flaws that I see in their approach.
Now please allow me to respond with some advice that I often convey to patients in ascertaining and an accurate accounting of grafts that are paid in advance…Always insist that the surgical staff “charts” the graft count that are being placed according to graft size and exact placement in a defined surface area that is clearly marked…after all grafts are placed, the recipient area needs to be photographed with all photos provided to the patient at checkout, NO EXCEPTIONS…photos taken before any placement and along the way as each section within the recipient zones are filled in accordance with the written surgery plan…this approach also provides a basis to track regrowth rates and yields…your chart should clearly document how many grafts were extracted by size: i.e. (total # of singles, doubles, triples, etc.) the photos should show and confirm the same total number that you paid for…make them account for EVERY graft that you paid for…all of this needs to be discussed beforehand at the time you schedule your procedure date.