I've hunted ibex with Shikar Safaris in Turkey, and hunted mid-Asian after I took my Marco Polo in Tajikistan.
The hunts in Turkey are all based on CMs and/or points - I took a gold medal and had a bucket of money in my ibex there and it was definitely what I would call a gentlemans hunt. Meaning they are super selective and know exactly what billy they want you to take.
Once you leave Europe it's more of a real hunt (bow hunting Europe is tough but rifle hunting isn't as much) and a free-for-all. Pricing drops, and physicalness of hunting escalates. It's not crazy but you need to be in shape.
And always, always, always - take your own gun!!! I don't trust anyone. I've tried renting one twice because my ex-wife wanted to tour before and after the hunt and I was very unhappy with the outcome. I took what I was after but not the way I like to operate.