The 'isolated frontal forelock,' 'bridge over troubled waters,' and lighter density coverage of larger areas are new options for hair transplant patients. Alopecia reductions are playing an increasingly important role in overall planning after a period in which they had at least appeared to be losing popularity. Tumescent anesthesia in the donor or recipient area results in safer, more comfortable, and effective anesthesia. Total excision techniques in the donor area as well as improvements in minigrafting represent important advances that are being utilized by an increasing member of practitioners. Carbon dioxide lasers are likely to play an important role in hair replacement surgery.