Homebrew and 3pp APs. (Shout out for Way of the Wicked!) Pathfinder has some flaws ... okay, it has a LOT of flaws. But on the whole I think it is the best RPG around. However, there's pretty much nothing about Golarion that I like.
We primarily seem to use Published Adventures, inclusive of Adventure Paths. We move MUCH more slowly than the AP's come out however, so we are FAR behind where the AP's currently are. One module/adventure for an AP can take us several months and an AP could take us over a year! So yes, AP's are far ahead of where we are in going through them.
In planning to run Curse of the Crimson Throne fortnightly, I am pencilling in two years for the campaign, around 40-45 sessions is my estimate. Some people on the Paizo boards have taken four years or more to do one AP.