The first step is to determine if your insurance policy will cover it. If so, they will tell you what you need to pay. If insurance will not cover it, you need to figure out how long it will take you to accumulate the required money. As my savings were depleted, it took me about 2.5 years to rebuild my savings and as I needed a buffer, I didn't contact the surgeon until I had the minimum amount saved. With the longer wait times for some surgeons, you might want to contact them earlier. Some doctors may want to see you before setting a surgical date. Once you determine the doctor you wish to use, contact the doctors office to see if you need an advance trip and when you can get your surgery. You can also get hair clearing instruction so you don't waste time and money clearing excessive hair.