It depends a lot on the brand. I can't speak for Koetsu, but some companies do thorough and excellent rebuilds, and others literally re-tip. The good rebuilds will include a new cantilever, stylus and coils, and are not cheap. Re-tips are sometimes nothing more than a new stylus glued on to the old cantilever. Good rebuilds are definitely worth it. I have had my Linn Arkiv factory-rebuilt twice since 1995 and it sounds as good as new. In fact, they have upgraded the cantilever along the way.
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