It really depends on what dolly doctor you get. Ive heard stories where people only got eyes replaced, and whole heads.
I sent in Kirsten for silver eye, and she got a whole new head despite her haircut. I had planned to rewig her anyway, so I didn't leave a note or anything because I didn't care either way.
If you want the strings, yes you will need to write a note and attach it to the doll or the order form. They've always followed my instructions and I always just put the note stapled to the order form. Of course again, YMMV
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