@grahamdunning Not my practice, but as far as I understand, people tend to just order PCBs at specialized labs.
Some labs even populate the board for you, i.e. no need for hunting down parts or difficult soldering anymore. Also, the labs will have more choices of PCB material (think RF, or USB-C compatible stuff with a defined thickness), will do multi-layer boards and vias, print silk screen and solder resist, produce solder masks ...
A web search for "order pcb" brings up a few brand names.