It's generally recommended to get a hair transplant before getting scalp micropigmentation. This is because a hair transplant can provide a more permanent solution for hair loss by restoring hair growth, while scalp micropigmentation is a cosmetic procedure that can enhance the appearance of hair. Getting a hair transplant first can also help the technician better design the scalp micropigmentation to match the new hair growth. However, it's important to discuss your individual needs and goals with a qualified hair restoration specialist to determine the best approach for your unique situation.