Despite the fact hair transplantation has made considerable advancement to gain dramatic popularity because of its remarkable esthetical results, unfortunately, however, still quite a number of patients not satisfied with their results even after undergoing 2-3, so called, mega sessions of hair transplant procedures. There could be number of factors responsible for poor growth of transplanted hair, including patient’s health issues, (hypertension, depression etc.), side effects of certain medicines, habit of smoking or narcotics and also post clinical issues, i.e. trauma and infections etc., most commonly discussed on this subject. This article however, is focused to discuss various issues related to bad hair transplant results, particularly, due to negligence of clinical protocols during surgical hair restoration.