Here, the leak itself is usually ordinary, old copper under concrete that finally develops a pinhole. The floors, finishes and rooms above it are another matter, built to a standard nobody wants to take a jackhammer to. So the repair has to fit the home, and the options available now can do that.
The contractor sets the approach for each home, and detection gear can locate the leak under the slab so nothing gets opened in the wrong place. From there the options get weighed against the home itself. One is a targeted opening at the leak, when the evidence says that's the cleanest route. The other is the reroute, if the contractor judges it the right fit, with the failed line abandoned in place and its replacement run overhead through walls and ceiling cavities, leaving the slab alone.
Every option gets explained in plain English with its real tradeoffs, along with a clear read on what one leak means versus a pattern, and the repipe conversation when old pipe has truly reached that point. You decide at your pace, with a licensed contractor performing the work when you're ready. With finished floors, a careful approach is worth the time.