American Girl officially states that the dolls were released through them "for girls affected by cancer, alopecia, or any medical condition causing hair loss."
Bald dolls originally were not visually seen at stores and could only be purchased by ordering over the phone through Customer Service. Various options such as skin tone and eye color were available, and there was no additional cost over standard purchase cost of a modern doll. American Girl offered variant face and skin tone combinations. People could additionally send a current Truly Me doll in to have her sent back without hair. New dolls are dressed in the current modern meet outfit. The back of the heads, unlike the standard AG heads, are fully smooth and dolls arrive with extra padding behind the heads to prevent scratches or damage in transit.
Starting in 2017, American Girl gave four of the dolls available official connection to the Truly Me Line as the numbers #70, #71, #72, and #73. Other dolls potentially remain available by calling in for unique combinations.
With the launch of the Create Your Own line, bald dolls can be included in the various combinations available.
While a standard doll can have the wig removed manually by a purchaser, there is a raised ring of plastic on the doll's head that would have to be smoothed, filed off, or otherwise hidden.
One free head replacement is available through the American Girl Hospital at any time (which is explained in paperwork included with the purchased doll) and can be chosen from any of the matching My American Girl molds and hairstyles.
Dolls can also be rewigged with any fitting wig to add hair.