The ideal goals of hair restoration surgery are to achieve dense hair, naturally matching with the recipient hair direction and minimal donor site scarring. This study was done on 15 male patients with grades II, III and IV male pattern baldness to evaluate the one-year cosmetic outcome of hair restoration surgery, regardless of their initial direction of implantation at the recipient bald area. The strip graft technique was used for harvesting the follicular units. The study showed that hair could be directed as willingly through regular combing, even though other surgeons have postulated the theory of a fixed direction at the initial insertion of the follicles during surgery, in order to maintain a more natura/look  post-surgery. In conclusion, time wasted during surgery for insertion of follicular units in certain direction at the recipient site aiming for a natural post-operative outcome, proved unworthy.