The Ultimate FUE (follicular unit extraction) hair transplantation technique differs from the traditional FUE technique in many ways. These differences create a huge impact on the overall hair transplantation outcome. The specially designed drill punch knives are one of the most important of these. The size selection of the drill punch knife relevant to the area of harvesting is another important matter, considering all these hints, the graft implantation direction is extremely crucial for a natural looking hair. Blending all these skills makes what we call “The Ultimate FUE Technique” in hair Transplantion.