Hair transplantation in African American hair is a process that must be extracted more carefully, slowly, and meticulously than other non-curly straight hair. In this article, we will share with you the reason behind it. Traditionally, there are two types of processes to extract hair follicles. These are FUT and FUE, respectively. FUE hair transplantation is the latest method, and it is the most efficient technique for extracting maximum hair grafts. The most preferred method for African American curly hair is the FUE method. However, there is a fine detail between Afro and straight hair types, curly hair grafts have a curly shape (on the skin’s surface) as under the skin. This circumstance makes it more challenging to extract the hair grafts healthily and requires more professionalism and experience. To extract standard (straight) hair grafts, we perform it with the help of a device that we call punch, which works with a diameter of 0.9 mm and 4 mm long straight rotating flexion. But since the Afro-curly grafts contain curly shape even under the skin, we need to change this punch, and eventually, we can have healthier hair follicles with a higher number of hair grafts. With the extraction of Afro curly hair grafts, we provide the possibility to extract an average of 3000-3500 hair roots with a punch with a more inferior length and conventional diameter.