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[GrowGrow123]

8cm is the safest max limit for most doctos(other doctors go above 8cm to even 10cm+ but just go with less). There are various reasons why people stop though at around 5cm to 6cm most of the time, usually it's only down to pain, proportions, and plausible long-term adverse effects. While 8cm is still "relatively safe", it's no secret that the less lengthening, the less possible complications in the future or ill-effects that can happen like early onset arthritis. Which is why 5 to 6 is usually the stopping point, because less than that will feel like the cost to the operation and stress isn't worth it below 5cm, basically it's the "sweet spot". That's not to say there aren't people who do less than 5cm, but usually those people are the ones who couldn't tolerate going past 4cm, fwiw though you still gained height so that's a win even if you didn't meet that goal.

The "sweet spot" is whatever cures your height dysphoria. Full stop.

When people stop early, it's generally because they can't handle the pain or mental boredom from the procedure. Only rarely is it because the surgeon advises them to stop. A good surgeon will put your safety first and advise you to stop if there's any real risk of complications like non-union.

It's no secret that your recovery will take longer, the more you lengthen. However, it is misinformation to suggest with confidence that long term issues like arthritis are going to happen. We don't have data on this one way or the other, but the top LL surgeons don't seem to think so (based only on current theoretical medical knowledge).

[CuteIsNotWhatWeAimFor]

Okay after reading your responses, it sounds like a good strategy is this:

FIRST: Attempt a <=20% femur increase. See how I feel as I go. Stop at 20% if can reach. (I need to measure my femurs, but I think it's safe to assume that 20% increase will put me in at least 6cm ballpark).

6cm would put me at 175CM/5'8.9. 7cm would put me at 176CM/5'9.3. I believe I have very average tibia to femur proportions, so I'm not going to bet on anything above 7cm really.

SECOND: Take a year to recover, see how I feel. My only doubt is there's so much bull  on US social media about how if you're under 5'10 you're blah blah blah, so I hope that wouldn't still get to my head (I know they worship 6 foot, but I feel that's next level and I am under no illusion I could safely hit that).

I do have a follow-up question:

If you do femur with (top) Doctor A and then decide to go tibia, would a different (top) Doctor B be willing to operate on you? Or do top doctors usually only accept a second surgery on a patient they did the first surgery on?

Example: Single surgery Femur less complicated, so would be comfortable with "A tier" doctor. And then if I wanted to do second operation on tibia, I'd definitely want to go with "S tier" doctor. So like Femur with Mahboubian then second surgery Tibia with Paley.

[AllinStryde]

As someone that did femurs...this was the hardest f'n thing I have ever done in my life.  It would be so easy to plan on doing quads, but man, I can't even imagine going for quadrilateral at all.  Take my advice, start with femurs, and I am willing to bet you'll be satisfied with one surgery.  But to go in starting out with all 4 segments, that is a huge goal.  Far be it from me to say don't do it, but it's gonna be a rough road even with one segment.

[guy_incognito]

@CuteIsNotWhatWeAimFor Have you read about proportions already? There is a huge part of this forum that deals with people who have anxiety about having too long legs in proportion to the rest of their body. Or femur/tibia proportions. Anyways, your plan sounds great.

Also to answer your previous question, I dont know much about external devices for tibia. The way I see it the internal ones are great, I actually have no problem continuing the rest of my life with a temporary help of the crutches. Tho there is a lot of pain involved.

[DanishViking]

I agree with sxxa check this this thread out:

http://www.limblengtheningforum.com/index.php?topic=75056.0

Conclusion: 7 cm is for many the amount that you can Safely get without sacrificing too big of a risk. According to cyborg 4 life and the 3 surgeons in the thread the complication rate rises by alot after the 6-6.5 cm mark however most patients can go a little further aka most likely 7 cm but pushing further is playing with fire unless your starting height is over 170 cm and your're very flexible to begin with. And why play with fire for 1 cm, that you can get with better posture?