Finasteride pre and post hair transplant surgery?

Propecia (finasteride) is an optional medication for treating male pattern balding. It is meant to be taken for life.  If you have issues with the medication or do not want to take it, let your doctor know.

The use of finesteride is important for preventing further hair loss, not necessarily preventing shock loss.  You don't HAVE to take it, but it would be highly recommended to try and keep what you have!  If you're fortunate to have a very dense "donor" area on the back of your head and you knew that you were only going to lose a little hair, it wouldn't be a big deal.  But it's hard to predict the future.  The side effects of the medications are generally rare and and reversible if you stop the medication.  Anything less than the 1mg a day dose is probably wasting your time and money.  

Despite many peoples concerns, finasteride is tolerated by most people.  Unless you have very low DHT levels at baseline, you should go on 1 mg of finasteride daily and monitor the effects under the guidance of your physician.  I have recommended topical finasteride for those who do have side effects and I have had great results with this in most people.  I also strongly recommend cellular therapy such as PRP and SVF because the are natural and safe and have the benefit of both promoting hair growth and slowing hair loss.