Protruding Donor Area?

Dear Doctor Rassman, Thanks for your all your help in helping people with their baldness issues.

I have two questions. The part of where the top of my skull meets the bottom part, it protrudes a little more then usual and it feels like a bump. That protrusion is in the same area the donor area would be. If I were to have a strip surgery would that protrusion prevent me from having strip surgery. Second question, I have noticed that transplant surgeries in other parts of the world other then North America, are much more cheaper. The quality and techniques are the same and so is the results are amazing, so how come transplant surgeries are so expensive in North America?

The protruding part on the back of the scalp around at the ear level is called the occipital protuberance. This may be more pronounced in some individuals. It is the same area where donor hair is harvested and should not affect the surgery.

With respect to cost of the surgery around the world, I understand it varies, but cosmetic surgeries and its fees are not commodities like an object (automobiles, electronics, etc). So the quality and techniques are not the same all over the world. In theory, it should be, but it is not. One example may be your taste of food in different restaurants all over the world. You can eat a $1 hamburger or a $20 hamburger, but it is not the same. In addition, some parts of the world use different instrument and techniques. The results may be the similar, but not the same.