The strip excision method is the process by which a strip of scalp tissue is surgically removed from the donor area of the scalp. The donor area is then sutured. The assistants extract the individual hair follicles. These follicles are then implanted into the bald area. Sutures in donor area are removed after 7-10 days. The scar of the strip method comes under the long hair at the back of head .

Some patients are scared of sutures and therefore, never wish to undergo this surgery. Sometimes there is swelling or increased bleeding in the area of sutures. There may be persistent numbness because of nerve injury. Since the dissection is carried out by technicians, there is a high incidence of injury to hair follicles and decreased graft yield. It is also not a good choice for the people who wish to shave or keep short hair. The hair from the body cannot be extracted by this technique. If one is not satisfied with the density, it is not possible to immediately do ‘top-ups’ or re-surgeries. One would have to wait for atleast 6 months or maybe longer. Also there is a theoretical limit to the number of times the procedure is repeated.