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[scandinavian15]

Which one is better and why in your opinion?

[6CMFemurs]

Having done LL with both, the only doctor I would ever go to is Dr Assayag or one of the other docs at ICLL.

[femurs2022]

I only had surgery with Assayag so I can't really directly compare the two. But I would give Assayag my strongest recommendation. I don't really see any advantage with Paley over Assayag unless you live in Florida (and even then if possible I would consider Assayag). Assayag is more affordable, more willing to work with your health insurance (things like x-rays and PT can be covered by insurance), very accessible via text 24/7, and very well qualified to perform and manage cosmetic limb lengthening. I feel like he did a great job with the surgery itself and then did a great job managing the actual lengthening process (you see him at every follow up, he personally looks at all your x-rays and examines you etc.).

[boklecrt]

I only had surgery with Assayag so I can't really directly compare the two. But I would give Assayag my strongest recommendation. I don't really see any advantage with Paley over Assayag unless you live in Florida (and even then if possible I would consider Assayag). Assayag is more affordable, more willing to work with your health insurance (things like x-rays and PT can be covered by insurance), very accessible via text 24/7, and very well qualified to perform and manage cosmetic limb lengthening. I feel like he did a great job with the surgery itself and then did a great job managing the actual lengthening process (you see him at every follow up, he personally looks at all your x-rays and examines you etc.).

not to mention Paley is like 70 years old and has that smug air of superiority to him which all successful boomers have in common. Just watch any of his interviews on the cyborg channel. I personally think the doctor's personality is equally as important when it comes to a successful end result

[baltiless]

Baltimore is a dangerous place. It's no joke. Especially for anyone planning to do this alone, do it in a safe environment.

Assayag is great but he can't do anything about the city. I had gone there via train and felt uncomfortable even waiting at the train station for my Uber. And to reach Sinai you have to go through some sketchy areas. In a car, it should be mostly fine though. They suggest keeping your windows closed at all times.

If you can stay in the HP house during lengthening and figure out a way to go back home after that, then you will be OK. But you will be trapped in the HP house for 3 months.

I reiterate that these are problems if you are doing this all alone. Having someone with you or visiting you to take you back home would change everything.

[Sambollio]

I think I have answered this exact question before and I strongly stand by it.  It’s also fairly blasphemous against the “goat”. I see no reason to ever go with Payley. He’s arguably the most experienced doctor of all time and massively contributed to the evolution of this procedure. That being said he’s known for being uncaring and has had more than his fair share of controversy from illegal financial scandals to trying his best to scrub negative reviews of him from the internet. He even has preformed two of these surgeries on two uninformed patients at the same time. It’s fairly easy to dig these up on the forum. This is a scary surgery that requires good support structure and a caring doctor you can trust, for me Payley is the opposite of that from what I’ve heard and read. If I feel something is wrong I don’t trust him to give me the attention I think is necessary unless an absolute emergency.

Dr. Assayag on the other hand is the exact opposite, he’s one of the most caring surgeons in the industry and truly wants the best for his patients. His experience and skill are not lacking either. His prices are some of the best for the big name US surgeons as well. The only downside is location, if you go to Baltimore do a lot of research on where is safe and where to avoid when staying there. I promise I’m not a shill, but in 2-3 years when I get the surgery, it will definitely be with him. Even if price wasn’t a factor I feel my safety would be best in his hands.

[Asi219]

I don’t know to much about dr assayag but saw some videos, it looks he is a good doctor. Did you know the price for Precice with dr assayag ? Also is there any post-op care like Physiotherapy and accommodation for patients from others countries?

[AllinStryde]

I can only directly comment on Paley because I went there.  You won't run into Paley on a regular basis, because he is very busy, but you will see Dr. Robbins for all of your follow-ups and consultations.  Being down in West Palm Beach was awesome too.  I wouldn't want to have my surgery done in a town where things felt sketchy or dangerous (Baltimore).  All that said, Dr. Assayag seems awesome.  I have seen his interviews with Victor and don't doubt he's a super-surgeon for this procedure. 

[6CMFemurs]

Damn so much Baltimore hate on this thread!

 My Grandma lives less than 10 minutes away from Sinai Hospital and I have never felt unsafe going to visit her in 30 years. Likewise, throughout my lengthening I have been hopping through BWI, Penn Station, and a bunch of other transportation hubs throughout the city on one leg and have never had a problem. If anything people have gone out of their way to be helpful.

Of course there are shady neighborhoods in Baltimore, but Sinai Hospital, Hackerman-Patz, and the other Rubin Institute Office in Owings Mills are all located in nice parts of town. It’s easy to paint a whole city with a broad brush based on a couple TV shows, but if you go to ICLL you won’t be in a dangerous area.

[femurs2022]

With regards to the safety of Baltimore, one really does not need to spend much time in Baltimore. I flew in and out of BWI. But otherwise, I stayed in Owings Mills (a reasonably nice, seemingly safe suburb of Baltimore). I had my follow-up appointments at the lifebridge health office in Owings Mills which is located in a suburban shopping center (with a Wegmans!). I did have one appointment at the Sinai hospital office due to scheduling issues and while the office itself seemed fine, my uber to get there did go through a sketchy area that didn't feel safe. For my other appointments and getting to and from the hospital, office in owings mills, hotel, and airport I had no concerns about safety. You can get from BWI to Owings Mills via uber without going through any questionable areas. I didn't have surgery at Sinai, mine was at Northwest hospital which felt like your typical small suburban hospital. If you were willing to stay in a hotel or airbnb instead of the hackerman patz house you could probably completely avoid spending any time in actual Baltimore. That said, I live in a city with a reputation very similar to Baltimore ("dangerous," "crime-ridden") and I can't imagine anyone deciding not to come here for medical care because of the reputation of the city.

[SB-5]

Paley is retiring, so the only option may be Assayag.