In general, my suggestion is to opt for an internal method if you have a good income as the benefits outweigh the additional costs. However, in a scenario where this isn’t feasible, and you are considering limb lengthening due to height-related suicidal tendencies, I would recommend LON, perhaps femur (approximately 8 cm increase), for the most significant outcome for your investment. Nonetheless, undergoing LON on tibias, which is a bit safer (around 5 cm gain), might be a better choice since it typically results in a satisfactory outcome with minimal severe complications, particularly if you choose reputable clinics, even though there is still a higher risk compared to an internal method. Personally, I can endorse AFA in Turkey. Based on my investigations, opting for Vietnam or India for limb lengthening is not advisable due to numerous negative outcomes. While Parihar is a reputable surgeon in India, I am uncertain if he continues to offer LON. Turkey, too, has a number of substandard clinics, but one that receives positive feedback is AFA, with encouraging testimonials and an absence of negative reviews. Moreover, they meticulously attend to the pin sites every other day to significantly reduce infections commonly associated with LON procedures, a practice not consistently followed by all clinics. The total expenses, covering accommodation, meals, lodging, x-rays, psychotherapy, all consolidated in one facility, would amount to approximately $40,000, which, in my view, represents good value for money. steer clear of WannaBeTaller and LiveLifeTaller in Turkey as they have a history of poor outcomes and negative experiences, as supported by various testimonials on this platform. For firsthand information, simply navigate to the “Limb Lengthening Patients Experiences” section on the main page and peruse recent negative accounts regarding these establishments.