medical reasons most of them a man and most are not what you would call vertically challenged professor novick of who operated on many of them says it usually comes down to a man's pride some of the first patient to turn to us with a leg lengthening the quest to meet his fifteen centimeters to be still want to surgery because panos to than him we like to say that we need to break their legs in order to fix their head maybe nothing wrong with them from an orthopedic point of view but there is something psychological that prevents them from living their lives fully being happy and we fix it like lengthening surgeries are banned in many countries and even the out there press. expensive in russia the entire course costs eleven thousand dollars about one tenth of the similar package in the united states financial considerations for one of the reasons that brought this washington state native to western siberia his main motive for the surgery had to do with how he fared in the others in america advertise his one seventy five i was one sixty seven or one sixty eight and so on eight centimeters would