Why Do Technicians Do the Graft Placing in a Hair Transplant?

I see in many hair transplant surgery photos that technicians place the grafts on the scalp. Since the placing is so crucial (angle, position, etc) how do surgeons leave this to technicians? Also, the survival of the extracted hair follicles is also a crucial matter, how safe is to leave the follicles’ processing to technicians?

is there a center where technicians intervene minimally and where skilled surgeons take charge in most of the procedure? in other kinds of surgeries I have watched, technicians and nurses are just there to pass the instruments to the surgeon, hold them, and generally do not interfere with the main procedure, so I really need to know a HT center mostly crewed by surgeons and not a big name surgeon that leaves the procedure to technicians

The total man-hours to do a surgery of 2500 grafts may be 30-40 hours. No doctor can do it all and I would not want them to try to do it all, because by the time the doctor finished, the grafts would be dead. This is a team surgery and graft survival is a complex process that requires many skilled people to do the job.

My technicians are highly skilled, working 8 hours/day doing either cutting the grafts or placing the grafts. When I used to do much of this work, I worked along side of the technicians and set the standards for training, and the skills needed for cutting and placing. Today, I still work along side of the technicians, though I work more in a supervisory role.

If you employed 4 surgeons in addition to myself, the costs would be out of sight for most of our patients and the quality would not be as good as the surgeons will most likely not have the manual skills that the technicians have. The secrets to success in getting the results that the patients want and need is that such a team approach needs (1) skills, (2) speed, (3) good and tight quality control systems, (4) good organization.