Yeah, I get the impression that John Cobb thinks he can solve all saddle problems. He's done some awesome things for saddle fit in general, but he is making some sweeping judgements in that post, for sure.

I can vouch that there is NO WAY my saddle was too high relative to my bars (since my legs are so short, that's not even an issue for me) and I still was unable to get comfort. For me, the leg crease pain was due to saddles that are too wide at the base of the nose...cutout or not. In my case, the discomfort was due to my anatomy not matching a saddle in an aero position, not due to my bike fit.

I also can't believe someone suggested zip-tying the rails on an Adamo together in that post! I've heard that before and had it suggested to me, but I can't imagine how much pain having that plastic thing in THAT particular spot (when space is at a premium) would cause!