I don't think that PAL to NTSC would be too bad but since PAL uses more lines than NTSC, but vice versa then yes it wouldn't be too good.
I don't think I've used DVDDecrypter but DVDShrink is very simple to use and it can auto-set eveything when you load up a disc, and since content usually needs to be shrunk to 50% to fit on a single layer disc quality will suffer anyway.
www.videohelp.com is a good website for information and they have a forum too for asking questions (but if I remember correctly/they still use the same policy you have to wait for 4 days from joining before they create your account, which seems quite odd)