The author defines the essential management skills that are unique to building a successful hair restoration surgery team and contrasts these skills with those needed to manage a general cosmetic surgery practice. Strategies for hair technician selection, training, supervision, and management are discussed, emphasizing the management skill areas that are different from those of general medical office or cosmetic surgery practices. Attention is given to the components of a contemporary hair restoration surgery operating suite: size, specialized equipment and tools, and essential support systems.