Female pattern alopecia is most often caused by androgenetic alopecia, and tends to take on one of several classic patterns. Progressive hair loss in women also tends to carry with it significant emotional and social pressures, and advances in hair transplantation techniques have begun to give women increased options for its therapy. Although female pattern androgenetic alopecia is often a diagnosis of exclusion, hair transplantation surgeons are now able to more effectively treat this difficult condition. Careful patient selection is critical to the success of the procedure, as is meticulous technique and surgical planning.