IMO Paley is only for millionaires. Average guys guys from east side of the world will never be able to afford him or any US surgeon in their lifetime. And it's very bad for guys who need both their segments done to reach average height because they have to settle with a less known doc for femurs. Some even have to risk LON femurs as it's pointless to remain short till your late 40s.
Now, with tibia there are many decent surgeons around the world who charge between 10-15k USD (even less for pure externals). That's a guaranteed 2 inches of height at that price that anyone can get despite their starting height. But, 5'5 guys won't truly benefit from LL unless they lengthen their femurs too in order to stand at minimum 176 or at maximum 178 cm which is truly life changing rather than remaining at 170 cm after 2 inch tibia.
Turkey docs are shady indeed, but at least not all of them are pathetic. Turkey is good for cheap Precice femurs or risking LON femurs at a very affordable package price. Tibia is better in Russia for pure external. Regarding Indian docs, only Parihar is worth there IMO. Vietnam for tibia is much expensive than doing it in Russia so I don't see any reason going there for tibia. 5.5 cm can be done in 10-12 months for pure external and is the best bang for your buck and is much safer than LON.
I would only pay huge money for internal femurs with decent doctor. Paying 80-100k for internal tibia is a joke when it can be done for 10k with Ilizarov and get the same if not better aesthetic results with it.
If only internal femur was as affordable as Ilizarov tibia, it would truly transform many short men's lives getting double LL for 20-25k total. That's why many go with LON femur route because it's affordable. There's no other pro for LON femur compared to Precice femur but legit short men are risking anyways as they want to gain the maximum height from LL and as 2 inches from tibia is not enough when someone is 5'5-5'7 starting height.