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Leg lengthening surgery is performed in several countries including the US, India, Italy, Germany, France, Brazil, and Russia, as well as a few others. The procedure seems to be most popular with populations that tend to be naturally shorter, such as what is traditionally the case with Asians. A disconcertingly high level of respect for height - coupled with an immensely competitive professional arena - has driven many people living in Asia to increase their height through this type of surgery.