The technique known as the strip method, but also called FUT (Follicular Unit Transplantation): several strips of scalp are collected from the donor area and then cut into grafts before being implanted into the recipient area. The strip collection phase and the subsequent suture phase are a surgical procedure performed by a surgeon in the operating room under local anaesthesia. The phase of manually cutting the graft strips is long and meticulous. This is why it is usually performed under a microscope by a team of people specially qualified for this type of cutting. The manual graft reimplantation is carried out by a practitioner who inserts the grafts one by one, using special forceps, into each incision initially performed in the recipient area.
The technique known as the punch or direct method, and often called FUE (Follicular Unit Extraction), has more and more adherents due to the fact it is much less invasive than the strip technique. In the FUE technique, grafts are manually collected from the donor area using a punch and then reimplanted directly with forceps into the incisions in the recipient area. It can be performed by a non-surgical doctor in an office practice under a simple local anaesthetic. The only drawback with respect to the strip technique is its duration.