Don't Forget To Read Our Insider's Guide Click Here to get the Insider's Guide The 26 Questions You Need To Ask Before Having Surgery In Mexico Click Here to see the 26 Questions Hair Loss Surgery Quote & Contact Form Name* First Last Email* Enter Email Confirm Email Phone*Age*Sex*MaleFemaleWould you like to request a quote?*YesNoWould you like to request a quote on one of our procedures?Additional Required InformationAdditional information required to accurately calculate your quote.Height (inches)*List your height in inches. (12 inches = 1ft.)Weight (lbs)*BMI (Body Mass Index)*Height (m)*Weight (kg)*Height (squared)*Do you have any cardiac issues?*YesNoHave you in the past, or currently have cardiac issues?If yes, can you get a Cardiac clearance letter from your Doctor?*YesNoHair Loss Procedures*FUE Hair TransplantPRP Injection TherapyDo you currently smoke?*NoYesDo you currently smoke cigarettes or cigars?WARNING! You must stop smoking 2 weeks prior to surgery up until 4 weeks after the surgery.Do you currently have symptoms of Heart Burn and/or Acid Reflux?*YesNoWARNING! An additional cost of $500 is a hernia is discovered.Are you currently prescribed any pain medications?*YesNoWARNING! You must bring your own pain medication for your surgery.Do you currently use a CPAP Machine?*YesNoWARNING! You must bring your own CPAP machine or there will be an extra charge.Total $0.00 NameThis field is for validation purposes and should be left unchanged.