It is performed by extracting a strip of tissue from the haired zone where the hair does not fall out genetically on the back of the head, between two ears, with the aid of a surgical scalpel. This area is closed with sutures. This strip of tissue is dissected into particles called grafts once more with the surgical scalpels, under special magnifying stereoscopic microscopes. The procedure is completed with the placement of these grafts to opened canals. The procedure is performed under local anesthesia. Sutures are removed after 10-14 days. It is not very preferable method in recent years.