You are skipping over MTO. The question about needing bespoke is relevant to whether your foot fits an available last/size that is available. If you can fit well in a existing G&G last, then there is no reason to go full bespoke. But I see how desireable it is to go MTO (which is custom, but not building a new last for your specific foo as bespoke would bet) and pick out materials, design, etc. Some of the Deco stuff is outstanding.