Dr. Ende and his amazing hair transplant team are capable of transplanting up to 4000 grafts in one single session.  Aside from a few pinches felt with the local anesthetic, the procedure is pain-free.  Most patient barely know that Dr. Ende is touching them.  General anesthesia for hair transplant is absolutely unnecessary.  The procedures are all performed with sterile gloves, unlike many other facilities that Dr. Ende has encountered.  Dr. Ende will prescribe a pain medication to take after the procedure, but the majority of his hair transplant patients find this unnecessary.  Most take Tylenol or use absolutely nothing.  Dr. Ende is often surprised to here scattered reports in the media concerning painful hair transplant since he has not had any personal experience with this phenomenon in New York.