Dr. Paley tells everyone that he doesn't have complications. What females had complications you know? I know he had patients with fat embolism. One almost died. How can he say he doesn't have complications?
I think he means with the actual formation of the bone like pre consolidation, rods failing etc. I will admit I don't think he is totally honest in the sense that I know the patients who had the embolism, and one other patients here had their rods stop at 7 cm. But as far as any males having femur issues before 7 cm I've heard nothing and I have met many people here and heard of many many more.
Tibias, especially tibias on female are a very different story. Two females including one on these forums had screws come out, and one of them had a contracture. Then there is the case with the males screws. I would hope Paley would honestly express these risks, specifically to females. The number one thing I'd yell to any female is to not do internal tibia unless you are 100% ready and expecting to pay upwards of 50k.
Its also worth mentioning that the first precice 2 break, at least with paley, just occurred. However this was two months post finishing lengthening with the patient walking before consolidation. A 30 thousand dollar mistake, and the fault of the patient(and to an extent the precices limitations), not Paley.
As for questioning Paley being sacrilege- I think thats true in the sense that pretty undeniably he is the best if price is no object and comes with the immense perk of the PT center that works in harmony with the PA's and Paley. I find a lot of people are wanting this done so badly they want to get it done as cheap as possible and ignore that the PT and X-rays is included with Paley which makes the savings with another internal doctor somewhat negligible since those are both mandatory, and slacking with them will result in a worse outcome or outright disaster. I've met people who had their first operations in Europe and say it is a night and day difference here- And also that while there they had seen patients who still hadn't walked after two years.
Now is that to say no other dr. can't perform the operation? Nope. Paley himself has called Dr. G and M "decent", but that they make a critical mistake with how(I believe) they insert the screws, which he said can and has led to issues. However you can look at diaries and see plenty of success stories- with shy shy being the most impressive documented recovery I've seen.
As for things I can attest to that are somewhat questionable they do exist, but it doesn't pertain to his actual skill with surgery or the team. One of the sketchier things was when my friend from hong kong had his IT bands getting incredibly tight to the point he would have to stop around 5 CM because he did not get a release initially. He wanted a release and Paley quoted it at a whopping 15k. When he sought to schedule a date for surgery he was quoted an outrageous 25k and decided to go home.
His consultations are very expensive(x rays are not included in that already high price) and I don't believe properly detail the difficulties of LL. They make it seem significantly easier than it is. For example they said ANYONE can reach 8 CM and everyone does unless they decided to go home. Thats a meaningless statement since sometimes they decide to go home because they cannot take it. I've heard of one guy who stopped before an inch and another who stopped after a few mm.
At the consult I also mentioned I'd be coming alone, and they mentioned I'd need help for two weeks but would be otherwise fine. When I came for surgery after paying they were suddenly a lot less enthusiastic about me being here alone, and when I had a discrepancy early on and they wanted me to lengthen lying on my side with someone helping me and I said I hadn't brought anyone he said "programdude, buddy, we talked about this", implying I should have had someone with me to which I responded with "yes we did and you said it would be fine". Things ended up fine for me, but this is sort of to point out how things are sunshine and rainbows before they get your money.
However, especially after going through this, I think the extra expertise and PT more than justify the costs. If you are a US native even more so because of the benefits insurance may offer towards your nursing aids, medication, and x rays.