You shouldn't limit yourself just to paypal, you know. There are numerous eCommerce solutions out there that offer numerous payment methods that will help you grab a global audience. I personally work at such a company and it really doesn't matter where you are from, we have around 7 payment methods including paypal plus all major credit cards, many of them are specific for certain countries (Russia, Netherlands, Brazil and many European countries), we are constantly increasing our payment portfolio. And all that is free of charge.
AlertPay.com works with numerous designers and developers in Pakistan and might be an ideal payment solution Chris Z Online Community Support AlertPay.com
You cannot deny the fact that PayPal is the most popular and widely accepted payment processor! Here people use AlertPay and now LibertyReserve is also getting available as a payment option on web.
Yes, There are many payment processors available for Pakistan, but it is a giant problem to not have PayPal there. 90% of online shoppers use PayPal for primary payment processor. Don't know when PayPal will serve all countries on the globe.