I am 50 and had progressive hair loss since my 30's. I would be a grade 4 now. I started oral propecia in January (topical rogaine irritated by scalp). Dr Alexander in Phoenix did 2600+ grafts to the front on 4/16. He is a really nice guy and the staff are very friendly. I took some oral zanax before the start and snoozed in and out for several hours! The pain and swelling were not that bad. I will do the crown next year.