Hair transplantation surgery (HTS) is the most permanent and innovative treatment compared to other methods when it comes to treat androgenic alopecia. Severe complications are relatively uncommon, however, adverse effects can still occur even with optimal conditions. A 25-year-old woman visited our hospital for hypopigmented macules and patches at the recipient site of hair transplantation 3 years prior at the private clinic. Although 3 years had passed since the HTS, the leukoderma site still remained in stable state. The hypopigmented lesions occurred at the exact spot where HTS was performed, it is likely they occurred after HTS as an adverse effect of the surgery. These lesions could arise from postinflammatory hypopigmentation.Hypopigmented lesions occurred after HTS are uncommon and difficult to remedy, therefore, we present a case in which the patient developed a hypopigmented macules and patches at the recipient site following HTS.