Hair transplantation can play a complementary role in the spectrum of gender-affirming procedures sought by the transgender patient undergoing gender affirmation surgery. Among the hair restoration procedures sought by transgender patients, female hairline feminization, beard and eyebrow transplantation, surgical hairline lowering, and body hair transplantation are the most popular. Hairline lowering, hairline feminization, and eyebrow and pubic hair transplantation can play roles for the male to female (MTF) transgender patient while beard hair transplantation and body hair transplantation can play integral roles for the female to male (FTM) patient seeking gender-affirming surgery, not only to create a more feminine or masculine appearance but to help conceal prior surgical scarring. This chapter will delineate the role hair restoration plays for the transgender patient. The various surgical approaches and treatment paradigms will be detailed for the hair restoration surgeon.