After reading the accounts of many diaries, it seems to me that the ITB band is one of the thing that causes the most concern among patients lengthening.

While stretching is the most important part, and the make or break here, it appears to me that the following apply:  (Note, i am not a substitute for consulting a specialist on this issue)

1.  If you have good upper bosy strength and don't care about returning to work for 5/6 months,  and would rather slowly recover and have a much smoother time when it comes to lengthening paticularly for wide legs, some element of duck ass, and tight bands, getting a full ITB release is a good option.

2. ITB full releases are well documented , and common surgeries. People don't just become paralysed for life. Any temporary issue for mobility, for someone already on crutches, should not be an issue. if you want to walk with effort, and don't mind the extra effort, for the freedom while you lengthen, getting it cut is a good option.

So think about this. Adam wants to lengthen his Femurs 6.5cm. He gets a FULL ITB release, meaning initially, he does struggle to walk, but, he has great upper body strength, still manages his stretches, and doesn't care about being able to walk perfectly because he won't be working for 6 months anyway. His priority is, he wants to lengthen safely, and he is willing to still walk and use his legs, and does not mind instability, if it means far less tight ITB bands. Once he gets to his 6.5-7cm, the process will not only be much smoother, he will have less wide legs, less of a duck ass, and likely, because of the effort he has made with all of the walking he did, have a much better gait. He will still work hard, twice as hard as anyone else in stretching.

So why shouldn't Adam get a full ITB release prior to lengthening?

The biggest, and most major issue everyone lengthening their femurs has, is tight ITB bands, wide legs, and an element of duck ass. I have combed through dozens of diaries, unianimously these are the key issues. Pain, difficulty clicking etc, tend to be transient and overcome or just dealt with.