I have a 30+ year old Linhof tripod and pan/tilt head. It weighs a bit, but worth the extra effort. The pan/tilt handle folds down by loosening it and rotates all over for easy use. The only issue I had was adding a 1/4 20 mounting screw, as it only has the 3/8".
My prior tripods wouldn't support my 4x5 very well, heck they wouldn't even support the RB-67 if I tilted it.