When my garage+office was built a few years ago, the electrician used a bunch of faux-recessed LED fixtures (the brand name is "I Can't Believe It's Not Recessed!", which is certainly memorable). They surface-mount over standard ceiling junction boxes, but appear similar to recessed lights once installed. We have ~20 of these fixtures, both interior and exterior. They're quiet, flicker-free, and have a great dimming curve (with the standard Z-wave dimmers I've used). We've had no failures so far after almost four years, so they've passed the leading edge of the bathtub curve.

I think it's much easier to design entire fixtures than retrofit bulbs, as there's much more control over heat dissipation and so on. Finding trusted manufacturers (and supply chains that resist counterfeits) is also extremely important.